PMID- 18827754
OWN - NLM
STAT- MEDLINE
DCOM- 20081112
LR  - 20081001
IS  - 0353-5053 (Print)
IS  - 0353-5053 (Linking)
VI  - 20
IP  - 3
DP  - 2008 Sep
TI  - Reliability and validity of DSM-IV Axis V scales in a clinical sample of veterans 
      with posttraumatic stress disorder.
PG  - 286-300
AB  - OBJECTIVES: Psychometric properties of the DSM-IV Axis V scales in measuring 
      adaptational functioning of psychotraumatised veterans have been chosen as the 
      focus of this study. SUBJECTS AND METHODS: The reliability and validity of the 
      Global Assessment of Functioning Scale (GAF), the Social and Occupational 
      Assessment Scale (SOFAS), and the Global Assessment of Relational Functioning 
      (GARF) were examined in a clinical sample of 129 veterans with posttraumatic 
      stress disorder (PTSD). RESULTS: The interrater reliability of the GAF (ICC=0.82) 
      and the SOFAS (ICC=0.83) was excellent, while the interrater reliability of the 
      GARF (ICC=0.75) was good. Correlations with other clinician-rated scales of 
      psychopathology and overall functioning showed that the GAF is primarily related 
      to a reduction in functioning due to psychiatric symptoms, while an assessment of 
      functioning beyond psychopathology, considering the effects of the individual's 
      general medical condition as well, was provided by the SOFAS and the GARF, which 
      is of importance for a comprehensive evaluation of the patients' health status. 
      The factor analysis of the Axis V scales revealed a theoretically meaningful, 
      single common factor (variance accounted for by the extracted factor = 76.91%), 
      while observed differences, between the subjects with complete and partial PTSD, 
      in scores on the axis V scales support further use of the axis V scales as useful 
      outcome variables. CONCLUSION: The issue of a valid and reliable measurement of 
      functional impairment is of paramount importance not only in the domain of 
      clinical psychiatry but in forensic practice as well. In this respect, our 
      findings give strong support to extending the scope of the DSM axis V scales with 
      the two experimental scales which provide both conceptual framework and useful 
      tools for reliable and valid evaluation of adaptatinal functioning in persons 
      suffering from PTSD.
FAU - Jovanovic, Aleksandar A
AU  - Jovanovic AA
AD  - Institute of Psychiatry, Clinical Centre of Serbia, Belgrade, Serbia.
FAU - Gasic, Miroslava Jasovic
AU  - Gasic MJ
FAU - Ivkovic, Maja
AU  - Ivkovic M
FAU - Milovanovic, Srdjan
AU  - Milovanovic S
FAU - Damjanovic, Aleksandar
AU  - Damjanovic A
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - Croatia
TA  - Psychiatr Danub
JT  - Psychiatria Danubina
JID - 9424753
SB  - IM
MH  - Adult
MH  - Brief Psychiatric Rating Scale/statistics & numerical data
MH  - Comorbidity
MH  - Diagnostic and Statistical Manual of Mental Disorders
MH  - Disability Evaluation
MH  - Factor Analysis, Statistical
MH  - Forensic Psychiatry/methods
MH  - Health Status
MH  - Humans
MH  - Male
MH  - Mental Disorders/diagnosis/epidemiology
MH  - Middle Aged
MH  - Psychiatric Status Rating Scales/*statistics & numerical data
MH  - Psychometrics
MH  - ROC Curve
MH  - Reproducibility of Results
MH  - Severity of Illness Index
MH  - Social Adjustment
MH  - Stress Disorders, Post-Traumatic/*diagnosis/psychology
MH  - Veterans/psychology/statistics & numerical data
MH  - Yugoslavia/epidemiology
EDAT- 2008/10/02 09:00
MHDA- 2008/11/13 09:00
CRDT- 2008/10/02 09:00
PHST- 2008/10/02 09:00 [pubmed]
PHST- 2008/11/13 09:00 [medline]
PHST- 2008/10/02 09:00 [entrez]
PST - ppublish
SO  - Psychiatr Danub. 2008 Sep;20(3):286-300.