PMID- 12755850 OWN - NLM STAT- MEDLINE DCOM- 20031003 LR - 20220410 IS - 0065-1591 (Print) IS - 0065-1591 (Linking) IP - 416 DP - 2003 TI - The Clinical Global Impression-Schizophrenia scale: a simple instrument to measure the diversity of symptoms present in schizophrenia. PG - 16-23 AB - OBJECTIVE: To describe the development and validation of the Clinical Global Impression-Schizophrenia (CGI-SCH) scale, designed to assess positive, negative, depressive and cognitive symptoms in schizophrenia. METHOD: The CGI-SCH scale was adapted from the CGI scale. Concurrent validity and sensitivity to change were assessed by comparison with the Positive and Negative Symptom Severity (PANSS) and Global Assessment of Functioning (GAF) scales. To evaluate inter-rater reliability, all patients were assessed by two clinicians. RESULTS: Symptoms were assessed in 114 patients. Correlation coefficients between the CGI-SCH and the GAF and PANSS scores were high (most above 0.75), and were highest for positive and negative symptoms. Reliability was substantial (intraclass correlation coefficient, ICC > 0.70) in all but one dimension (depressive dimension, ICC = 0.64). CONCLUSION: The CGI-SCH scale is a valid, reliable instrument to evaluate severity and treatment response in schizophrenia. Given its simplicity, brevity and clinical face validity, the scale is appropriate for use in observational studies and routine clinical practice. FAU - Haro, J M AU - Haro JM AD - Research and Development Unit, Sant Joan de Deu-SSM, Sant Boi, Barcelona, Spain. 27652jha@comb.es FAU - Kamath, S A AU - Kamath SA FAU - Ochoa, S AU - Ochoa S FAU - Novick, D AU - Novick D FAU - Rele, K AU - Rele K FAU - Fargas, A AU - Fargas A FAU - Rodriguez, M J AU - Rodriguez MJ FAU - Rele, R AU - Rele R FAU - Orta, J AU - Orta J FAU - Kharbeng, A AU - Kharbeng A FAU - Araya, S AU - Araya S FAU - Gervin, M AU - Gervin M FAU - Alonso, J AU - Alonso J FAU - Mavreas, V AU - Mavreas V FAU - Lavrentzou, E AU - Lavrentzou E FAU - Liontos, N AU - Liontos N FAU - Gregor, K AU - Gregor K FAU - Jones, P B AU - Jones PB CN - SOHO Study Group LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Denmark TA - Acta Psychiatr Scand Suppl JT - Acta psychiatrica Scandinavica. Supplementum JID - 0370365 SB - IM MH - Adult MH - Cognition Disorders/physiopathology MH - Depression/physiopathology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Multicenter Studies as Topic MH - Observer Variation MH - *Psychiatric Status Rating Scales MH - Reproducibility of Results MH - Schizophrenia/*physiopathology MH - Schizophrenic Psychology MH - Sensitivity and Specificity MH - Severity of Illness Index MH - Treatment Outcome EDAT- 2003/05/21 05:00 MHDA- 2003/10/04 05:00 CRDT- 2003/05/21 05:00 PHST- 2003/05/21 05:00 [pubmed] PHST- 2003/10/04 05:00 [medline] PHST- 2003/05/21 05:00 [entrez] AID - 98 [pii] AID - 10.1034/j.1600-0447.107.s416.5.x [doi] PST - ppublish SO - Acta Psychiatr Scand Suppl. 2003;(416):16-23. doi: 10.1034/j.1600-0447.107.s416.5.x.