PMID- 10775040
OWN - NLM
STAT- MEDLINE
DCOM- 20000614
LR  - 20190723
IS  - 0021-9762 (Print)
IS  - 0021-9762 (Linking)
VI  - 56
IP  - 4
DP  - 2000 Apr
TI  - Global assessment of functioning (GAF) ratings: determinants and role as 
      predictors of one-year treatment outcomes.
PG  - 449-61
AB  - OBJECTIVE: To assess the adequacy of global ratings of patients' psychosocial 
      functioning, which are an integral part of the current system for obtaining 
      multidimensional psychiatric diagnoses and are embodied by the Global Assessment 
      of Functioning (GAF) Scale as AXIS V of the Diagnostic and Statistical Manual of 
      Mental Disorders, Fourth Edition (American Psychiatric Association, 1994). 
      METHOD: We identified a sample of 1,688 patients with substance use disorders, 
      many of whom also had psychiatric disorders; examined the determinants of GAF 
      ratings; and focused on how well these ratings predicted patients' one-year 
      symptom and psychosocial functioning outcomes. RESULTS: Patients' clinical 
      diagnoses and psychiatric symptoms were stronger predictors of GAF ratings than 
      was their social and occupational functioning. Moreover, GAF ratings were only 
      minimally associated with patients' one-year psychological, social, and 
      occupational functioning outcomes. CONCLUSIONS: These findings raise serious 
      questions about the conceptual and clinical value of the current standard method 
      of assessing psychiatric and substance abuse patients' global functioning.
FAU - Moos, R H
AU  - Moos RH
AD  - Center for Health Care Evaluation, Veterans Affairs Health Care System, Palo 
      Alto, CA 94304, USA.
FAU - McCoy, L
AU  - McCoy L
FAU - Moos, B S
AU  - Moos BS
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, Non-P.H.S.
PL  - United States
TA  - J Clin Psychol
JT  - Journal of clinical psychology
JID - 0217132
SB  - IM
MH  - Adult
MH  - Diagnosis, Dual (Psychiatry)/*statistics & numerical data
MH  - *Employment
MH  - Female
MH  - Follow-Up Studies
MH  - Humans
MH  - Male
MH  - Prognosis
MH  - Psychiatric Status Rating Scales/*standards
MH  - Reproducibility of Results
MH  - Severity of Illness Index
MH  - *Social Adjustment
MH  - Treatment Outcome
EDAT- 2000/04/25 09:00
MHDA- 2000/06/17 09:00
CRDT- 2000/04/25 09:00
PHST- 2000/04/25 09:00 [pubmed]
PHST- 2000/06/17 09:00 [medline]
PHST- 2000/04/25 09:00 [entrez]
AID - 10.1002/(SICI)1097-4679(200004)56:4<449::AID-JCLP1>3.0.CO;2-8 [pii]
AID - 10.1002/(sici)1097-4679(200004)56:4<449::aid-jclp1>3.0.co;2-8 [doi]
PST - ppublish
SO  - J Clin Psychol. 2000 Apr;56(4):449-61. doi: 
      10.1002/(sici)1097-4679(200004)56:4<449::aid-jclp1>3.0.co;2-8.