全球功能评估
评定量表
抗精神病药
可靠性(半导体)
精神科
人口
比例(比率)
克朗巴赫阿尔法
临床心理学
心理学
心理健康
有效性
简明精神病评定量表
结构效度
医学
组内相关
收敛有效性
等级间信度
内部一致性
探索性因素分析
预测效度
验证性因素分析
精神分裂症(面向对象编程)
精神病
功率(物理)
发展心理学
物理
环境卫生
量子力学
作者
Steven J.M. Jones,Graham Thornicroft,Michael Coffey,Graham Dunn
标识
DOI:10.1192/bjp.166.5.654
摘要
Background The Global Assessment of Functioning (GAF) is a quick and simple measure of overall psychological disturbance. However, there is little research on the reliability and validity of this measure in severely mentally ill populations. Method Multidisciplinary keyworkers assessed 103 patients at monthly intervals over a 6-month period. Overall GAF scores were obtained, with additional separate ratings for symptoms and disability. These were compared with changes in antipsychotic medication and support needs over the same period. Results Satisfactory reliability was obtained for total GAF score and for symptom and disability measures, in spite of raters having only one brief training session. All GAF scores were associated with current support needs of patients. Symptom and disability scores were associated with changes in antipsychotic medication in the previous month. Only symptom score was associated with increases in antipsychotic medication at time of rating. Conclusion AF proved to be a reliable and, within the limits of the indicators used, a valid measure of psychiatric disturbance in our sample of the severely mentally ill. Differences in relationships between the three GAF scores and medication/support needs indicate the usefulness of obtaining all three scores for monitoring levels and type of psychiatric disturbance in this population.
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