Agreement between patient self-report and clinician rating: Concurrence between the bsi and the gap among psychiatric inpatients

Piersma, Harry L.; Boes, Janna L.

doi:10.1002/1097-4679(199503)51:2<153::aid-jclp2270510203>3.0.co;2-z

Cited by 32 publications

(18 citation statements)

References 9 publications

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“…Consistent with several other studies (Dufton & Siddique, 1992;Piersma & Boes, 1995;Sullivan & Grubea, 1991), we found only minimal associations between patients' self-rated symptoms and clinicians' ratings of patients' current and highest level of functioning. This finding raises further questions about the determinants and value of GAF ratings, especially given that patients' self-rated symptoms at baseline predict one-year symptom and functioning outcomes much better than do clinicians' ratings of patients' global impairment.…”

Section: Determinants Of Gaf Ratingssupporting

confidence: 91%

Global assessment of functioning (GAF) ratings: Determinants and role as predictors of one-year treatment outcomes

2000

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Objective: To assess the adequacy of global ratings of patients' psychosocial functioning, which are an integral part of the current system for obtaining multidimensional psychiatric diagnoses and are embodied by the Global Assessment of Functioning (GAF) Scale as AXIS V of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (American Psychiatric Association, 1994). Method: We identified a sample of 1,688 patients with substance use disorders, many of whom also had psychiatric disorders; examined the determinants of GAF ratings; and focused on how well these ratings predicted patients' one‐year symptom and psychosocial functioning outcomes. Results: Patients' clinical diagnoses and psychiatric symptoms were stronger predictors of GAF ratings than was their social and occupational functioning. Moreover, GAF ratings were only minimally associated with patients' one‐year psychological, social, and occupational functioning outcomes. Conclusions: These findings raise serious questions about the conceptual and clinical value of the current standard method of assessing psychiatric and substance abuse patients' global functioning. © 2000 John Wiley & Sons, Inc. J Clin Psychol 56: 449–461, 2000.

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Section: Determinants Of Gaf Ratingssupporting

confidence: 91%

Global assessment of functioning (GAF) ratings: Determinants and role as predictors of one-year treatment outcomes

2000

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“…Il est également possible de calculer un indice de sévérité de l'ensemble des symptômes (General Severity Index) en établissant la somme des intensités rapportées, laquelle est ensuite divisée par le nombre total des symptômes (53 énoncés). Les coefficients de cohérence interne sont satisfaisants et varient selon les échelles de .71 à .85 (Piersma et Boes, 1995).…”

Section: The Turner Battery Questionnaireunclassified

Le maintien en emploi de personnes souffrant d’une maladie mentale

Corbière

Lesage²,

Villeneuve

et al. 2007

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L’insertion au travail de personnes souffrant d’une maladie mentale s’avère complexe et difficile. Pour celles qui travaillent, le maintien en emploi est de courte durée. Cet article vise à identifier des déterminants personnels du maintien en emploi de personnes souffrant d’une maladie mentale et inscrites dans un programme de réinsertion au travail. Des 105 personnes qui travaillent durant le suivi de 9 mois après leur inscription à un programme, près de 50 % maintiennent leur première activité de travail. Les résultats d’analyses de survie révèlent que selon l’indicateur de maintien en emploi observé (premier ou dernier emploi obtenu), les variables qui apparaissent comme significatives peuvent être reliées aux aspects sociodémographiques (aide financière reçue), travail (la durée d’absence du marché du travail, le type d’emploi obtenu), cognitif (fonctions exécutives) et clinique (symptômes paranoïdes). En conclusion, les auteurs suggèrent non seulement de considérer les variables inhérentes à la personne souffrant d’une maladie mentale pour prédire le maintien en emploi, mais aussi d’évaluer de façon plus systématique son milieu de travail.

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“…For example, Muller and Moller (17) found that physicians rated the onset of improvement as occurring 4 days earlier than patients reported. Others (18) found no relation between self-reported symptom distress and clinician ratings among inpatients. Still others have found self-report ratings to be more accurate predictors of behavior than clinician-assessed ratings (19).…”

mentioning

confidence: 98%

Ratings of Early Major Depressive Disorder Symptom Change During a Brief Psychiatric Hospitalization

et al. 2005

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Ratings of change in MDD severity during a brief psychiatric hospitalization were examined across informant sources to determine the extent of change from admission to discharge and if specific symptoms are especially likely to change. Study participants were 137 inpatients with a primary diagnosis of MDD. Symptom data were collected at admission and discharge from attending psychiatrists, nurses, and patients. Global ratings of MDD severity and specific MDD symptoms significantly decreased during the course of hospitalization. This effect held across informant sources. All symptoms were equally likely to change. Females were rated as more depressed at admission and discharge by psychiatrists, but no gender differences were seen in self-report or nurse ratings. Shorter length of stay and involuntary admission status were associated with greater reduction in MDD severity. The temporal course and magnitude of the symptom reduction may result in part from unique aspects of an inpatient setting or from an underreporting of symptoms. The association between a shorter length of stay and greater symptom reduction may reflect a distinction between treatment responders and nonresponders.

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Agreement between patient self-report and clinician rating: Concurrence between the bsi and the gap among psychiatric inpatients

Cited by 32 publications

References 9 publications

Global assessment of functioning (GAF) ratings: Determinants and role as predictors of one-year treatment outcomes

Global assessment of functioning (GAF) ratings: Determinants and role as predictors of one-year treatment outcomes

Le maintien en emploi de personnes souffrant d’une maladie mentale

Ratings of Early Major Depressive Disorder Symptom Change During a Brief Psychiatric Hospitalization

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