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Correlates of the DSM-III-R global assessment of functioning scale in patients attending a child and adolescent psychiatric service

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Abstract

Sex, socioeconomic status, intelligence, a clinical symptom score, and an index of abnormal psychosocial situations as proposed by a recent WHO draft were studied as correlates of the Global Assessment of Functioning Scale (GAFS), which comprises Axis V of theDSM-III-R. Whereas all parameters correlated significantly with the GAFS score, only total symptom domain score displayed a meaningful association. It was concluded that the GAFS contributes significantly to clinical information as an independent source.

Résumé

Le sexe, le statut socio-économique, l'intelligence, le score des symptômes cliniques, et un index de situations psychosociales anormales proposés par un récent projet del'OMS furent étudiés en corrélation avec l'évaluation globale de l'échelle de fonctionnement (Global Assessment of Functioning Scale G.A.F.S.) qui correspond à l'axe V du DSM III R. Tandis que tous les paramètres sont corrélés significativement avec un score GAFS, seul le score symptomatique total n'offre pas d'association significative. Les auteurs ont conclu que le GAFS contribue significativement à l'information clinique en tant que source indépendante.

Zusammenfassung

Es wurden ein klinischer Symptomwert, ein Index für abnorme psychosoziale Situationen gemäß einem unlängst erschienenen WHO-Dokument, Geschlecht, sozioökonomischer Status und Intelligenz als Korrelate der Global Assessment of Functioning Scale (GAFS) untersucht, welche die Achse V des DSM-III-R bildet. Während alle Parameter

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References

  • Bird, H.R., Canino, G., Rubio-Stipec, M. & Ribera, J.C. (1987). Further measures of the psychometric properties of the children's global assessment scale.Archives of General Psychiatry, 44, 821–824.

    Google Scholar 

  • Bird, H.R., Canino, G., Rubio-Stipec, M., Gould, M.S., Ribera, J., Sesman, M., Woodbury, M., Huertas-Goldmann, S., Pagan, A., Sanchez-Lacay, A. & Moscoso, M. (1988). Estimates of the prevalence of childhood maladjustment in a community survey in Puerto Rico.Archives of General Psychiatry, 45, 1120–1126.

    Google Scholar 

  • Bird, H.R., Yager, T.J., Staghezza, B., Could, M.S., Canino, G. & Rubio-Stipec, M. (1990). Impairment in the epidemiological measurement of childhood psychopathology in the community.Journal of the American Academy of Child and Adolescent Psychiatry, 29 (5), 796–803.

    Google Scholar 

  • Cohen, N.J., Kolers, N. & Bradley, S. (1990). Relation of global ratings of functioning with behaviour and development in delayed and disturbed preschoolers.Canadian Journal of Psychiatry, 25, 514–518.

    Google Scholar 

  • Endicott, J., Spitzer, R.L., Fleiss, J.L. & Cohen, J. (1976). The global assessment scale. A procedure for measuring overall severity of psychiatric disturbance.Archives of General Psychiatry, 40, 1228–1231.

    Google Scholar 

  • Goor-Lambo, G. van, Orley, J., Poustka, F. & Rutter, M. (1990). Classification of abnormal psychosocial situations: Preliminary report of a revision of a WHO scheme.Journal of Child Psychology and Psychiatry, 31 (2), 229–241.

    Google Scholar 

  • Kleining, G. & Moore, H. (1968). Soziale Selbsteinstufung.Kölner Zeitschrift für Soziologie und Sozialpsychologie, 20, 502–552.

    Google Scholar 

  • Shaffer, D., Gould, M.S. & Brasic, J. (1983). A children's global assessment scale (CGAS).Archives of General Psychiatry, 40, 1228–1231.

    Google Scholar 

  • Steinhausen, H.-C. (1987). Global assessment of child psychopathology.Journal of the American Academy of Child and Adolescent Psychiatry, 26, 203–206.

    Google Scholar 

  • Steihausen, H.-C. & Erdin, A. (1991a). A comparison of ICD-9 and ICD-10 diagnoses of child and adolescent psychiatric disorder.Journal of Child Psychology and Psychiatry, 32, 909–920.

    Google Scholar 

  • Steinhausen, H.-C. & Erdin, A. (1991b). The interrater reliability of child and adolescent psychiatric disorder in ICD-10.Journal of Child Psychology and Psychiatry, 32, 921–928.

    Google Scholar 

  • Steinhausen, H.-C. & Erdin, A.: Abnormal psychosocial situations and ICD-10 diagnoses in children and adolescents attending a psychiatric service.Journal of Child Psychology and Psychiatry (in press).

  • Weissmann, M.M., Warner, V. & Fendrich, M. (1990). Applying impairment criteria to children's psychiatric diagnosis.Journal of the American Academy of Child and Adolescent Psychiatry, 29, 789–795.

    Google Scholar 

  • World Health Organization (1988). Draft multi-axial classification of child psychiatric disorders. Axis 5: Associated abnormal psychosocial situations. Geneva: World Health Organization.

    Google Scholar 

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Authors and Affiliations

  1. Department of Child and Adolescent Psychiatry, University of Zürich, Freiestraße 15, CH-8028, Zürich, Switzerland

    Andreas Erdin

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  1. Hans-Christoph Steinhausen
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  2. Andreas Erdin
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Steinhausen, HC., Erdin, A. Correlates of the DSM-III-R global assessment of functioning scale in patients attending a child and adolescent psychiatric service. European Child & Adolescent Psychiatry 1, 105–110 (1992). https://doi.org/10.1007/BF02091793

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  • DOI: https://doi.org/10.1007/BF02091793

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