PMID- 11559867
OWN - NLM
STAT- MEDLINE
DCOM- 20020103
LR  - 20041117
IS  - 0010-440X (Print)
IS  - 0010-440X (Linking)
VI  - 42
IP  - 5
DP  - 2001 Sep-Oct
TI  - The actual process of rating the global assessment of functioning scale.
PG  - 403-9
AB  - The Global Assessment of Functioning Scale (GAF) was developed for the overall 
      assessment of psychological, social, and occupational functioning. While the 
      advantage of the GAF lies in this comprehensiveness, questions have been raised 
      on whether clinicians rate appropriately. To clarify this issue, the actual 
      process of how clinicians assign GAF scores was investigated. A total of 2,462 
      inpatients of 19 psychiatric hospitals in Japan were assessed by their primary 
      psychiatrists using the following rating scales: GAF, Brief Psychiatric Rating 
      Scale (BPRS), World Health Organization Psychiatric Disability Assessment 
      Schedule (DAS), and physical Activities of Daily Living (ADL) index. A tree-based 
      model analysis (also referred to as Automatic Interaction Detector [AID] or 
      Classification and Regression Tree [CART]) was used to construct a statistical 
      model with the GAF score as the dependent variable. The statistically best-fitted 
      tree to predict the GAF score is as follows. The first split is based on the 
      "conceptual disorganization" score in the BPRS, followed by splits based on DAS 
      item scores, such as "conversation" and "underactivity." The tree model obtained 
      suggests that Japanese clinicians judge the level of global functioning by 
      integrating the information on both the severity of psychiatric symptoms and the 
      level of impaired behaviour and social functioning. This logic structure was 
      clinically acceptable and agreed well with the concept of the GAF.
CI  - Copyright 2001 by W.B. Saunders Company
FAU - Yamauchi, K
AU  - Yamauchi K
AD  - Department of Health Policy & Management, Keio University School of Medicine, 
      Shinanomachi 35, Shinjuku-ku, Tokyo, Japan.
FAU - Ono, Y
AU  - Ono Y
FAU - Baba, K
AU  - Baba K
FAU - Ikegami, N
AU  - Ikegami N
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Compr Psychiatry
JT  - Comprehensive psychiatry
JID - 0372612
SB  - IM
MH  - Adult
MH  - Aged
MH  - Female
MH  - Humans
MH  - Japan
MH  - Length of Stay/statistics & numerical data
MH  - Male
MH  - Mental Disorders/diagnosis/*epidemiology/psychology
MH  - Middle Aged
MH  - Personality Assessment/statistics & numerical data
MH  - Psychiatric Status Rating Scales/*statistics & numerical data
MH  - Psychometrics
MH  - Reproducibility of Results
MH  - *Social Adjustment
EDAT- 2001/09/18 10:00
MHDA- 2002/01/05 10:01
CRDT- 2001/09/18 10:00
PHST- 2001/09/18 10:00 [pubmed]
PHST- 2002/01/05 10:01 [medline]
PHST- 2001/09/18 10:00 [entrez]
AID - S0010-440X(01)41558-6 [pii]
AID - 10.1053/comp.2001.26268 [doi]
PST - ppublish
SO  - Compr Psychiatry. 2001 Sep-Oct;42(5):403-9. doi: 10.1053/comp.2001.26268.