Relationship between the global assessment of functioning and other DSM axes in routine clinical work
2005 (English)In: Psychiatric Services, ISSN 1075-2730, Vol. 56, no 4, 439-443 p.Article in journal (Refereed) Published
Objectives: The aim of this study was to investigate the validity of theGlobal Assessment of Functioning (GAF) when routinely used in clinicalwork by focusing on the relations between the GAF, other axes in theDSM system, and some demographic variables conceptually derived ontheoretical and clinical grounds.
Methods: A clinical database containingdata for 5,538 patients assessed by 181 raters as a part of routinepractice in psychiatric outpatient settings in Sweden was used. A hierarchicallinear regression model and a variance component model wereused to analyze the data. Regression models were also used to determinehow the relation between the GAF and axis I depends on the selectionof diagnostic groups in the sample.
Results: Seventeen percentof the systematic variance in GAF scores was explained by diagnosticdifferences as defined on DSM-IV axis I, and 5.1 percent was explainedby psychosocial and environmental problems as measured on DSM-IVaxis IV. Unexpectedly, the site of the investigation explained another 3.6percent of the variance.
Conclusions: The GAF can be used as a comprehensivemeasure of global mental health in routine clinical work forassessment and for outcome management.
Place, publisher, year, edition, pages
Washington: American Psychiatric Association , 2005. Vol. 56, no 4, 439-443 p.
IdentifiersURN: urn:nbn:se:umu:diva-5640OAI: oai:DiVA.org:umu-5640DiVA: diva2:145224