PMID- 15812094
OWN - NLM
STAT- MEDLINE
DCOM- 20050810
LR  - 20191210
IS  - 1075-2730 (Print)
IS  - 1075-2730 (Linking)
VI  - 56
IP  - 4
DP  - 2005 Apr
TI  - Relationship between the Global Assessment of Functioning and other DSM axes in 
      routine clinical work.
PG  - 439-43
AB  - OBJECTIVES: The aim of this study was to investigate the validity of the Global 
      Assessment of Functioning (GAF) when routinely used in clinical work by focusing 
      on the relations between the GAF, other axes in the DSM system, and some 
      demographic variables conceptually derived on theoretical and clinical grounds. 
      METHODS: A clinical database containing data for 5,538 patients assessed by 181 
      raters as a part of routine practice in psychiatric outpatient settings in Sweden 
      was used. A hierarchical linear regression model and a variance component model 
      were used to analyze the data. Regression models were also used to determine how 
      the relation between the GAF and axis I depends on the selection of diagnostic 
      groups in the sample. RESULTS: Seventeen percent of the systematic variance in 
      GAF scores was explained by diagnostic differences as defined on DSM-IV axis I, 
      and 5.1 percent was explained by psychosocial and environmental problems as 
      measured on DSM-IV axis IV. Unexpectedly, the site of the investigation explained 
      another 3.6 percent of the variance. CONCLUSIONS: The GAF can be used as a 
      comprehensive measure of global mental health in routine clinical work for 
      assessment and for outcome management.
FAU - Tungstrom, Stefan
AU  - Tungstrom S
AD  - Psychiatric Research and Development Department of Sater, Sweden. 
      stefan.tungstrom@ltdalrna.se
FAU - Soderberg, Per
AU  - Soderberg P
FAU - Armelius, Bengt-Ake
AU  - Armelius BA
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Validation Study
PL  - United States
TA  - Psychiatr Serv
JT  - Psychiatric services (Washington, D.C.)
JID - 9502838
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - *Diagnostic and Statistical Manual of Mental Disorders
MH  - Female
MH  - Humans
MH  - Male
MH  - Mental Disorders/*diagnosis/*epidemiology
MH  - Mental Health Services/*standards/statistics & numerical data
MH  - Observer Variation
MH  - Reproducibility of Results
MH  - *Surveys and Questionnaires
MH  - Sweden
EDAT- 2005/04/07 09:00
MHDA- 2005/08/11 09:00
CRDT- 2005/04/07 09:00
PHST- 2005/04/07 09:00 [pubmed]
PHST- 2005/08/11 09:00 [medline]
PHST- 2005/04/07 09:00 [entrez]
AID - 56/4/439 [pii]
AID - 10.1176/appi.ps.56.4.439 [doi]
PST - ppublish
SO  - Psychiatr Serv. 2005 Apr;56(4):439-43. doi: 10.1176/appi.ps.56.4.439.