Given change? (7)

I believe the answer is:
altered
This could be a double definition.
'given' is the first definition.
Both the answer and definition are adjectives. Perhaps they are linked in a way I don't understand?
'change?' is the second definition.
(I've seen this before)
Can you help me to learn more?
(Other definitions for altered that I've seen before include "Different" , "Converted" , "Change" , "Reformed" , "Treadle (anag)" .)
