Administration and Policy in Mental Health and Mental Health Services Research

, Volume 33, Issue 5, pp 568–577

Comparison of Self-report and Clinician-rated Measures of Psychiatric Symptoms and Functioning in Predicting 1-year Hospital Readmission

  • Karen M. Clements
  • Jane M. Murphy
  • Susan V. Eisen
  • Sharon-Lise T. Normand
Original paper

DOI: 10.1007/s10488-006-0066-y

Cite this article as:
Clements, K.M., Murphy, J.M., Eisen, S.V. et al. Adm Policy Ment Health (2006) 33: 568. doi:10.1007/s10488-006-0066-y

Abstract

This study compared the self-report Behavior and Symptom Identification Scale (BASIS-32) and clinician-rated Global Assessment of Functioning (GAF) in their ability to predict a measure of psychiatric outcome, 1-year psychiatric hospital readmission. BASIS-32 and GAF were completed at admission for 1034 patients in an inpatient psychiatric facility. Multiple informants analysis was used to determine the difference between the two in predicting readmission within 1 year. We also examined sensitivity, specificity, and predictive value positive of the two measures, and whether self-report added information above clinician rating in predicting outcome. While the odds of 1-year readmission decreased with increasing BASIS-32 score, there was no association between change in GAF score and 1-year readmission. Although neither measure used alone demonstrated high predictive value, using both scores improved predictive ability over using clinician rating alone. In this setting, self-report was better than clinician rating in predicting psychiatric outcome. Differences between the two in relation to other outcomes need to be examined.

Keywords

Psychiatric rehospitalization self-reportClinician ratingBASIS-32GAFMultiple informant analysis

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Karen M. Clements
    • 1
    • 7
  • Jane M. Murphy
    • 1
    • 2
    • 8
  • Susan V. Eisen
    • 3
    • 4
  • Sharon-Lise T. Normand
    • 5
    • 6
  1. 1.Department of EpidemiologyHarvard School of Public HealthBostonUSA
  2. 2.Department of PsychiatryHarvard Medical SchoolBostonUSA
  3. 3.Center for Health Quality, Outcomes & Economic ResearchEN Rogers Memorial Veterans HospitalBedfordUSA
  4. 4.Health Services DepartmentBoston University School of Public HealthBostonUSA
  5. 5.Department of BiostatisticsHarvard School of Public HealthBostonUSA
  6. 6.Department of Health Care PolicyHarvard Medical SchoolBostonUSA
  7. 7.Massachusetts Department of Public HealthApplied Statistics, Evaluation and Technical ServicesBostonUSA
  8. 8.Department of PsychiatryMass General Hospital-EastCharlestownUSA