PMID- 21223457
OWN - NLM
STAT- MEDLINE
DCOM- 20120719
LR  - 20191210
IS  - 1365-2753 (Electronic)
IS  - 1356-1294 (Linking)
VI  - 18
IP  - 2
DP  - 2012 Apr
TI  - Reliability and validity of the Global Assessment of Functioning Scale in 
      clinical outpatients with depressive disorders.
PG  - 502-7
LID - 10.1111/j.1365-2753.2010.01614.x [doi]
AB  - RATIONALE, AIMS AND OBJECTIVES: The Global Assessment of Functioning Scale (GAF) 
      is widely used to assess psychological, social and occupational functioning. The 
      validity and reliability of the GAF in clinical practice have only scarcely been 
      studied in naturalistic samples. METHODS: A total of 432 outpatients with a 
      current major depressive disorder (MDD) were evaluated with routine outcome 
      monitoring (ROM). At baseline the GAF score was assessed by the treating 
      clinician and at ROM baseline and follow-up sessions also by a trained test 
      nurse. Sociodemographic data, the Mini International Neuropsychiatric Interview 
      Plus and scores on the Montgomery-Asberg Depression Rating Scale, Beck Depression 
      Inventory-revised, Brief Symptom Inventory and Short Form-36 were assessed. 
      RESULTS: At baseline, the mean GAF score by the clinician was 54.8 (range 35-85), 
      and this was systematically lower than the mean GAF score by the test nurse of 
      57.5 (range 31-88). GAF scores by the clinician and test nurse correlated weakly 
      (r = 0.26). The GAF scores of the clinicians correlated strongly with disease 
      severity, and social and physical functioning. CONCLUSION: The GAF showed rather 
      poor inter-rater reliability as well as poor discriminant validity with disease 
      severity and physical limitations in a large naturalistic sample of outpatients 
      with MDD.
CI  - (c) 2011 Blackwell Publishing Ltd.
FAU - Grootenboer, Esther M V
AU  - Grootenboer EM
AD  - Rivierduinen, afdeling ambulante volwassenenzorg, Albinusdreef 7, 2300 AT Leiden, 
      The Netherlands. emv_grootenboer@email.com
FAU - Giltay, Erik J
AU  - Giltay EJ
FAU - van der Lem, Rosalind
AU  - van der Lem R
FAU - van Veen, Tineke
AU  - van Veen T
FAU - van der Wee, Nic J A
AU  - van der Wee NJ
FAU - Zitman, Frans G
AU  - Zitman FG
LA  - eng
PT  - Journal Article
PT  - Validation Study
DEP - 20110111
PL  - England
TA  - J Eval Clin Pract
JT  - Journal of evaluation in clinical practice
JID - 9609066
SB  - IM
MH  - Adult
MH  - Depressive Disorder/*diagnosis
MH  - Female
MH  - Humans
MH  - Male
MH  - Mass Screening
MH  - Netherlands
MH  - Outpatients/*psychology
MH  - Psychiatric Status Rating Scales/*statistics & numerical data
MH  - Psychometrics/statistics & numerical data
MH  - Regression Analysis
MH  - Reproducibility of Results
EDAT- 2011/01/13 06:00
MHDA- 2012/07/20 06:00
CRDT- 2011/01/13 06:00
PHST- 2011/01/13 06:00 [entrez]
PHST- 2011/01/13 06:00 [pubmed]
PHST- 2012/07/20 06:00 [medline]
AID - 10.1111/j.1365-2753.2010.01614.x [doi]
PST - ppublish
SO  - J Eval Clin Pract. 2012 Apr;18(2):502-7. doi: 10.1111/j.1365-2753.2010.01614.x. 
      Epub 2011 Jan 11.