Modification of the Clinical Global Impressions (CGI) scale for use in bipolar illness (BP): the CGI-BP
Abstract
The Clinical Global Impressions Scale (CGI) was modified specifically for use in assessing global illness severity and change in patients with bipolar disorder. Criticisms of the original CGI were addressed by correcting inconsistencies in scaling, identifying time frames for comparison, clarifying definitions of illness severity and change, and separating out assessment of treatment side effects from illness improvement during treatment. A Detailed User's Guide was developed to train clinicians in the use of the new CGI-Bipolar Version (CGI-BP) for rating severity of manic and depressive episodes and the degree of change from the immediately preceding phase and from the worst phase of illness. The revised scale and manual provide a focused set of instructions to facilitate the reliability of these ratings of mania, depression, and overall bipolar illness during treatment of an acute episode or in longer-term illness prophylaxis. Interrater reliability of the scale was demonstrated in preliminary analyses. Thus, the modified CGI-BP is anticipated to be more useful than the original CGI in studies of bipolar disorder.
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The CGI-BD is better than the original CGI for the assessment of bipolar disorder and has good inter-rater reliability.
“It is better than the original CGI for the assessment of bipolar disorder and has good inter-rater reliability [45].”
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“It is better than the original CGI for the assessment of bipolar disorder and has good inter-rater reliability [45].”
BackgroundMethodUse of treatment services in a comparative effectiveness study of bipolar disorder
Sylvia, L. G., Iosifescu, D., Friedman, E. S., Bernstein, E. E., Bowden, C. L., Ketter, T. A., Reilly-Harrington, N. A., Leon, A. C., Calabrese, J. R., Ostacher, M. J., et al. (2013) · Psychiatric Services · doi:10.1176/appi.ps.201200479 · Cited by 3 · see citing works
- Authors
- Spearing, M. K., Post, R. M., Leverich, G. S., Brandt, D., & Nolen, W.
- Affiliations
- National Institutes of Health (US)
- Stanley Foundation (US)
- Corresponding author
- Post, Robert M.
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 1997-12
- Volume
- 73
- Issue
- 3
- Pages
- 159-171
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2030034545
- Cited by
- 978
- References
- 28
- Citations by year
- 2026: 19 · 2025: 28 · 2024: 29 · 2023: 24 · 2022: 32 · 2021: 40 · 2020: 34 · 2019: 41 · 2018: 45 · 2017: 69 · 2016: 36 · 2015: 53 · 2014: 51 · 2013: 49 · 2012: 56
- FWCI
- 6.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- Clinical Global Impression Scale, bipolar disorder, disease severity assessment, manic episodes, depressive episodes, inter-rater reliability, treatment side effects
- MeSH terms
- Bipolar Disorder, Humans, Psychiatric Status Rating Scales, Reference Standards, Reproducibility of Results, Observer Variation
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