PMID- 17355524
OWN - NLM
STAT- MEDLINE
DCOM- 20070801
LR  - 20070314
IS  - 0001-690X (Print)
IS  - 0001-690X (Linking)
VI  - 115
IP  - 4
DP  - 2007 Apr
TI  - Are GAF scores reliable in routine clinical use?
PG  - 326-30
AB  - OBJECTIVE: The Global Assessment of Functioning (GAF) scale has been considered 
      as a reliable tool. However, most studies of GAF reliability have been based on 
      special conditions, such as prior training and test awareness. This study takes a 
      different approach investigating inter-rater reliability of GAF scores in a 
      routine clinical context. METHOD: Eighty-two consecutively admitted acute 
      psychiatric patients were rated according to routine department procedures and by 
      two researchers at admission and discharge. Intraclass correlations (ICC) were 
      computed using two-way mixed models. RESULTS: Inter-rater reliability between 
      routine scores and research scores were low (ICC coefficients between r = 0.39 
      and 0.59). Inter-rater reliability between the two researchers were excellent 
      (ICC coefficients r = 0.81 and 0.85). CONCLUSION: Inter-rater reliability of GAF 
      scores in a routine clinical context seems to be insufficient.
FAU - Vatnaland, T
AU  - Vatnaland T
AD  - Department of Acute Psychiatry, Ulleval University Hospital, Oslo, Norway. 
      tovatna@online.no
FAU - Vatnaland, J
AU  - Vatnaland J
FAU - Friis, S
AU  - Friis S
FAU - Opjordsmoen, S
AU  - Opjordsmoen S
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Acta Psychiatr Scand
JT  - Acta psychiatrica Scandinavica
JID - 0370364
SB  - IM
MH  - Hospitals, Psychiatric
MH  - Humans
MH  - Medical Staff, Hospital
MH  - *Observer Variation
MH  - Personality
MH  - Psychiatric Nursing
MH  - Psychiatric Status Rating Scales/*standards
MH  - Psychiatry
MH  - Reproducibility of Results
MH  - Students, Medical
EDAT- 2007/03/16 09:00
MHDA- 2007/08/02 09:00
CRDT- 2007/03/16 09:00
PHST- 2007/03/16 09:00 [pubmed]
PHST- 2007/08/02 09:00 [medline]
PHST- 2007/03/16 09:00 [entrez]
AID - ACP925 [pii]
AID - 10.1111/j.1600-0447.2006.00925.x [doi]
PST - ppublish
SO  - Acta Psychiatr Scand. 2007 Apr;115(4):326-30. doi: 
      10.1111/j.1600-0447.2006.00925.x.