PMID- 21051684
OWN - NLM
STAT- MEDLINE
DCOM- 20110324
LR  - 20211020
IS  - 1545-7206 (Electronic)
IS  - 0033-3182 (Print)
IS  - 0033-3182 (Linking)
VI  - 51
IP  - 6
DP  - 2010 Nov-Dec
TI  - Beyond the global assessment of functioning: learning from Virginia Apgar.
PG  - 515-9
LID - 10.1176/appi.psy.51.6.515 [doi]
AB  - BACKGROUND: The Global Assessment of Functioning (GAF) scale is widely used in 
      psychiatry, yet it has certain drawbacks. OBJECTIVE: The authors seek to generate 
      further discussion and research around developing an improved successor to the 
      GAF. METHOD: The authors used the Apgar scale as a template for constructing a 
      possible successor to the GAF. Consulting with 16 colleagues, they selected 5 
      domains that were felt to be central to functioning in psychiatric patients. 
      Psychiatrists in diverse clinical settings then completed both a GAF and a 
      Psychiatric Apgar scale on 40 patients. RESULTS: The two scales were found to 
      agree significantly. Use of the Psychiatric Apgar, however, provides clearer 
      guidance about assessing functioning. CONCLUSION: The GAF was a brilliant 
      addition to psychiatric practice. As we develop the next Diagnostic and 
      Statistical Manual, it is pertinent to ask whether the GAF approach could be 
      optimized even further by applying the lessons of Virginia Apgar.
FAU - Dimsdale, Joel E
AU  - Dimsdale JE
AD  - correspondence and M.D., Dept. of Psychiatry, Univ. of California, San Diego, 
      9500 Gilman Dr., La Jolla, CA 92093-0804, USA. jdimsdale@ucsd.edu
FAU - Jeste, Dilip V
AU  - Jeste DV
FAU - Patterson, Thomas L
AU  - Patterson TL
LA  - eng
GR  - P30MH066248/MH/NIMH NIH HHS/United States
GR  - P30 MH080002/MH/NIMH NIH HHS/United States
GR  - MH078737/MH/NIMH NIH HHS/United States
GR  - HL36005/HL/NHLBI NIH HHS/United States
GR  - P30 MH080002-05/MH/NIMH NIH HHS/United States
GR  - CA023100/CA/NCI NIH HHS/United States
GR  - HL44915/HL/NHLBI NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PL  - England
TA  - Psychosomatics
JT  - Psychosomatics
JID - 0376506
SB  - IM
MH  - Apgar Score
MH  - Humans
MH  - Least-Squares Analysis
MH  - Linear Models
MH  - Mental Disorders/*diagnosis
MH  - *Psychiatric Status Rating Scales
MH  - Quality of Life
MH  - Reproducibility of Results
PMC - PMC3230237
MID - NIHMS336147
EDAT- 2010/11/06 06:00
MHDA- 2011/03/25 06:00
PMCR- 2011/12/05
CRDT- 2010/11/06 06:00
PHST- 2010/11/06 06:00 [entrez]
PHST- 2010/11/06 06:00 [pubmed]
PHST- 2011/03/25 06:00 [medline]
PHST- 2011/12/05 00:00 [pmc-release]
AID - 51/6/515 [pii]
AID - 10.1176/appi.psy.51.6.515 [doi]
PST - ppublish
SO  - Psychosomatics. 2010 Nov-Dec;51(6):515-9. doi: 10.1176/appi.psy.51.6.515.