Special Section on the GAF: Reliability of Global Assessment of Functioning Ratings Made by Clinical Psychiatric Staff
| Autor: | Per Söderberg, Stefan Tungström, Bengt-Åke Armelius |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
medicine.medical_specialty
Psychometrics Intraclass correlation Global Assessment of Functioning behavioral disciplines and activities Mental health Psychiatry and Mental health Inter-rater reliability medicine Outpatient clinic Psychological testing Medical diagnosis Psychiatry Psychology Clinical psychology |
| Zdroj: | Psychiatric Services. 56:434-438 |
| ISSN: | 1557-9700 1075-2730 |
| DOI: | 10.1176/appi.ps.56.4.434 |
| Popis: | OBJECTIVE: In the Swedish psychiatric care system, systematic follow-up of clinical work with patients is becoming a part of regular service, and a number of care providers are using the Global Assessment of Functioning (GAF) to measure outcomes. This study investigated the reliability of the GAF and analyzed certain factors that affect measurement errors when the scale is used by regular psychiatric staff. METHODS: Eighty-one raters from various psychiatric outpatient clinics rated eight case vignettes. Interrater reliability was assessed by using intraclass correlation coefficients (ICCs), and factors associated with reliability were analyzed by using raters' unique residual values. RESULTS: The results showed that staff who are responsible for assessing first-time patients at outpatient psychiatric clinics and making diagnoses are using the GAF with satisfactory reliability (ICC1,1=.81). The factors associated with reliability were raters' subjective attitude toward the GAF and motivation to use the sc... |
| Databáze: | OpenAIRE |
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