PMID- 15490275 OWN - NLM STAT- MEDLINE DCOM- 20050128 LR - 20181113 IS - 1018-8827 (Print) IS - 1018-8827 (Linking) VI - 13 IP - 5 DP - 2004 Oct TI - Global assessment of psychosocial functioning in child and adolescent psychiatry. A review of three unidimensional scales (CGAS, GAF, GAPD). PG - 273-86 AB - Global assessment of functioning represents an important aspect of assessment in clinical practice and research. It can help identify persons in need of psychiatric treatment, have predictive value and measure change over time, including treatment effects. This review examines publications concerning development, psychometric properties and usefulness of three scales for children: Axis-VI in ICD-10 Global Assessment of Psychosocial Disability (GAPD), Children's Global Assessment Scale (CGAS) and Axis-V in DSM-IV Global Assessment of Functioning Scale (GAF). It is based on literature searches in PubMed and PsycInfo (1977-2003), and screening of Scandinavian and English textbooks on child psychiatry. The three scales differ in theoretical guidelines, descriptions of codes/anchor points and psychometric aspects. CGAS has been evaluated in 69 papers and 33 have been published on GAF used for children. The one paper comparing GAPD and CGAS found both scales sufficiently reliable for clinical practice. Reliability of CGAS and GAF has been found to vary from fair to substantial, depending on raters, training and diagnostic groups. International consensus for the use of one scale for global assessment of functioning for children 4-18 years would improve reliability in clinical practice and ease comparisons of studies across countries. A training programme would assist in this. FAU - Schorre, Bjorg Elisabeth Haugen AU - Schorre BE AD - Outpatient Clinic for Child and Adolescent Psychiatry Bogerud, BUP Bogerud, Postbox 23 Bogerud, 0621 Oslo, Norway. bjorge.haugen.schorre@ulleval.no FAU - Vandvik, Inger Helene AU - Vandvik IH LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - Germany TA - Eur Child Adolesc Psychiatry JT - European child & adolescent psychiatry JID - 9212296 SB - IM MH - Adaptation, Psychological MH - Adolescent MH - *Adolescent Psychiatry MH - Child MH - *Child Psychiatry MH - Child, Preschool MH - Diagnosis, Differential MH - Female MH - Humans MH - Male MH - Mental Disorders/*diagnosis MH - *Psychiatric Status Rating Scales MH - Reproducibility of Results RF - 127 EDAT- 2004/10/19 09:00 MHDA- 2005/01/29 09:00 CRDT- 2004/10/19 09:00 PHST- 2003/11/24 00:00 [accepted] PHST- 2004/10/19 09:00 [pubmed] PHST- 2005/01/29 09:00 [medline] PHST- 2004/10/19 09:00 [entrez] AID - 10.1007/s00787-004-0390-2 [doi] PST - ppublish SO - Eur Child Adolesc Psychiatry. 2004 Oct;13(5):273-86. doi: 10.1007/s00787-004-0390-2.