European Child & Adolescent Psychiatry

, Volume 9, Issue 3, pp 195–201

The Children's Global Assessment Scale (CGAS) and Global Assessment of Psychosocial Disability (GAPD) in clinical practice – substance and reliability as judged by intraclass correlations

  • J. Dyrborg
  • F. Warborg Larsen
  • S. Nielsen
  • J. Byman
  • B. Buhl Nielsen
  • F. Gautrè-Delay
ORIGINAL CONTRIBUTION

DOI: 10.1007/s007870070043

Cite this article as:
Dyrborg, J., Warborg Larsen, F., Nielsen, S. et al. European Child & Adolescent Psychiatry (2000) 9: 195. doi:10.1007/s007870070043

Abstract

 Studies on the inter-rater reliability on the Children's Global Assessment Scale (CGAS) and the Global Assessment of Psychosocial Disability (GAPD) involving different subgroups of 145 outpatients from 4 to 16 years of age showed fair to substantial intraclass correlations of 0.59 to 0.90. Raters of different training levels participated. Inter-rater reliability was dependent on number of ratings per rater, training, available data sources and experience. A more detailed description of anchor points resulted in higher inter-rater agreement by psychiatrists training in child and adolescent psychiatry, but did not influence the inter-rater reliability among more (widely) experienced raters. Both the CGAS and the GAPD seem to be sufficiently reliable tools in clinical practice. The CGAS seems to be more sensitive to inter-rater variation than the GAPD.

Key words Children's Global Assessment Scale – Global Assessment of Psychosocial Disability – reliability 

Copyright information

© Steinkopff Verlag 2000

Authors and Affiliations

  • J. Dyrborg
    • 1
  • F. Warborg Larsen
    • 2
  • S. Nielsen
    • 2
  • J. Byman
    • 2
  • B. Buhl Nielsen
    • 2
  • F. Gautrè-Delay
    • 2
  1. 1.Department of Child and Adolescent Psychiatry, Psykiatrisk Sygehus Dyrehavevej 48 DK-3400 Hillerød, DenmarkDK
  2. 2.Department of Child and Adolescent Psychiatry, Bispebjerg Hospital Bispebjerg Bakke DK-2400 København NV, DenmarkDK