PMID- 12136447 OWN - NLM STAT- MEDLINE DCOM- 20021204 LR - 20191106 IS - 1438-3608 (Print) IS - 1438-3608 (Linking) VI - 48 IP - 3 DP - 2002 TI - [Psychic impairment in psychosomatic and psychiatric quality assessment: global assessment of functioning scale (GAF) vs. impairment score (IS)]. PG - 256-69 AB - OBJECTIVES: The Global Assessment of Functioning Scale (GAF) and the Impairment-Score (IS) are important instruments for Quality Assessment. There are only few studies examining the quality of statistical power of the GAF-Scale indicating problems in construct validity and no larger studies for the IS. METHODS: For a sample of 263 patients the Psy-BaDo and an OPD-Rating were completed. RESULTS: Though the distribution of both scales show large range, the proportion of explained variance is 58 %. This proportion can be increased to 68 % for the IS by including the OPD-Ratings. The GAF-Scale in contrast is not associated with the OPD-Ratings. CONCLUSIONS: The results indicate, that the combination of both scales is necessary to represent the whole variance of psychic impairment (ICD-10 Chapter F & Z). In addition the valid rating of both scales is very difficult for patients with somatic disorders and somato-psychic problems. FAU - Lange, Corinna AU - Lange C AD - Klinik und Poliklinik fur Psychosomatik und Psychotherapie, Universitatsklinikum Munster, Domagkstr. 22, D-48149 Munster, Germany. langeco@mednet.uni-muenster.de FAU - Heuft, Gereon AU - Heuft G LA - ger PT - English Abstract PT - Journal Article TT - Die Beeintrachtigungsschwere in der psychosomatischen und psychiatrischen Qualitatssicherung: Global Assessment of Functioning Scale (GAF) versus Beeintrachtigungs-Schwere-Score (BSS). PL - Germany TA - Z Psychosom Med Psychother JT - Zeitschrift fur Psychosomatische Medizin und Psychotherapie JID - 100886617 SB - IM MH - Activities of Daily Living/psychology MH - Humans MH - Personality Inventory/*statistics & numerical data MH - Psychiatric Status Rating Scales/statistics & numerical data MH - Psychometrics MH - Psychophysiologic Disorders/diagnosis/*psychology MH - Quality of Life/*psychology MH - Reproducibility of Results MH - Sick Role MH - Somatoform Disorders/diagnosis/*psychology EDAT- 2002/07/24 10:00 MHDA- 2002/12/05 04:00 CRDT- 2002/07/24 10:00 PHST- 2002/07/24 10:00 [pubmed] PHST- 2002/12/05 04:00 [medline] PHST- 2002/07/24 10:00 [entrez] AID - 10.13109/zptm.2002.48.3.256 [doi] PST - ppublish SO - Z Psychosom Med Psychother. 2002;48(3):256-69. doi: 10.13109/zptm.2002.48.3.256.