PMID- 16799832
OWN - NLM
STAT- MEDLINE
DCOM- 20061031
LR  - 20071114
IS  - 0894-587X (Print)
IS  - 0894-587X (Linking)
VI  - 33
IP  - 5
DP  - 2006 Sep
TI  - Comparison of self-report and clinician-rated measures of psychiatric symptoms 
      and functioning in predicting 1-year hospital readmission.
PG  - 568-77
AB  - This study compared the self-report Behavior and Symptom Identification Scale 
      (BASIS-32) and clinician-rated Global Assessment of Functioning (GAF) in their 
      ability to predict a measure of psychiatric outcome, 1-year psychiatric hospital 
      readmission. BASIS-32 and GAF were completed at admission for 1034 patients in an 
      inpatient psychiatric facility. Multiple informants analysis was used to 
      determine the difference between the two in predicting readmission within 1 year. 
      We also examined sensitivity, specificity, and predictive value positive of the 
      two measures, and whether self-report added information above clinician rating in 
      predicting outcome. While the odds of 1-year readmission decreased with 
      increasing BASIS-32 score, there was no association between change in GAF score 
      and 1-year readmission. Although neither measure used alone demonstrated high 
      predictive value, using both scores improved predictive ability over using 
      clinician rating alone. In this setting, self-report was better than clinician 
      rating in predicting psychiatric outcome. Differences between the two in relation 
      to other outcomes need to be examined.
FAU - Clements, Karen M
AU  - Clements KM
AD  - Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA. 
      karen.clements@state.ma.us
FAU - Murphy, Jane M
AU  - Murphy JM
FAU - Eisen, Susan V
AU  - Eisen SV
FAU - Normand, Sharon-Lise T
AU  - Normand SL
LA  - eng
GR  - 5 T32 MH17119-20/MH/NIMH NIH HHS/United States
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PL  - United States
TA  - Adm Policy Ment Health
JT  - Administration and policy in mental health
JID - 8914574
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Cohort Studies
MH  - Female
MH  - Hospitals, Psychiatric
MH  - Humans
MH  - Male
MH  - Medical Audit
MH  - Mental Disorders/*diagnosis
MH  - Middle Aged
MH  - Patient Readmission/*trends
MH  - Retrospective Studies
MH  - *Self Disclosure
EDAT- 2006/06/27 09:00
MHDA- 2006/11/01 09:00
CRDT- 2006/06/27 09:00
PHST- 2006/06/27 09:00 [pubmed]
PHST- 2006/11/01 09:00 [medline]
PHST- 2006/06/27 09:00 [entrez]
AID - 10.1007/s10488-006-0066-y [doi]
PST - ppublish
SO  - Adm Policy Ment Health. 2006 Sep;33(5):568-77. doi: 10.1007/s10488-006-0066-y.