A Qualitative Study of Clinicians Experience with Rating of the Global Assessment of Functioning (GAF) Scale

被引:28
作者
Aas, I. H. Monrad [1 ]
Sonesson, Ove [2 ]
Torp, Steffen [3 ]
机构
[1] Vestfold Hosp Trust, Div Mental Hlth & Addict, Res Unit, POB 2267, N-3103 Tonsberg, Norway
[2] Sahlgrens Univ Hosp, Div Affect Psychiat, Gothenburg, Sweden
[3] Univ Coll Southeast Norway, Dept Hlth Promot, Tonsberg, Norway
关键词
Global Assessment of Functioning scale (GAF); Assessment; Qualitative study; Clinicians; AXIS-V;
D O I
10.1007/s10597-016-0067-6
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The severity of illness in psychiatry is rated using the Global Assessment of Functioning (GAF) scale. The GAF scale is often used in both research settings and in the clinic. The scale ranges from 1 to 100 and is subdivided into ten 10-point intervals, each with verbal rating instructions called anchor points and examples. GAF is an instrument that needs improvement. Studying clinicians' experiences with this rating system may be important for developing improvements. The aim of this study was to collect information from clinicians about their experiences with the GAF instrument, and to collect their ideas on how the GAF scale can be improved, particularly in the area of verbal instructions (i.e., anchor points and examples). Qualitative interviews were performed with 25 clinicians. Through this interview process, several weaknesses of the GAF scale were revealed. We found that clinicians have unique experiences that can be important for the development of a better GAF scale. Rating with the GAF scale also requires sufficient collection of patient information.
引用
收藏
页码:107 / 116
页数:10
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