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The Children's Global Assessment Scale in Clinical Practice: An Empirical Evaluation
Open accessAbstract
Objective The purpose of this study was to examine characteristics of the Children's Global Assessment Scale (CGAS) in the context of clinical practice. Method Ninety-five children admitted to a psychiatric inpatient unit were rated by their attending psychiatrist and by milieu staff on the CGAS. Measures of severity and type of symptomatology; social, behavioral, and school competence; intellectual level; social relatedness; and family stress were completed by parents and staff raters. Results Results indicated that there was significant convergence in CGAS ratings by independent raters. CGAS ratings were unrelated to measures of symptomatology but were significantly related to indices of children's competence. Conclusions This pattern of results diverged from findings from highly controlled research settings and indicated that CGAS ratings obtained in clinical contexts may reflect evaluations of functional competence rather than severity of symptomatology.
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Metadata
- Authors
- GREEN, B., SHIRK, S., HANZE, D., & WANSTRATH, J.
- Affiliations
- University of Denver (US)
- Corresponding author
- GREEN, BENJAMIN
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 1994-10
- Volume
- 33
- Issue
- 8
- Pages
- 1158-1164
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W2039129759
- Cited by
- 166
- References
- 20
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 2 · 2022: 8 · 2021: 9 · 2020: 9 · 2019: 5 · 2018: 3 · 2017: 7 · 2016: 8 · 2015: 6 · 2014: 6 · 2013: 6 · 2012: 11
- FWCI
- 2.94
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Applied Psychology › Psychological Testing and Assessment
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- Children's Global Assessment Scale, functional competence, psychiatric inpatients, rating reliability, interobserver agreement, symptom severity, social competence, scholastic competence, family stress, child psychiatric assessment
- MeSH terms
- Mental Disorders, Child, Child Behavior Disorders, Female, Follow-Up Studies, Humans, Interpersonal Relations, Life Change Events, Male, Patient Admission, Personality Assessment, Treatment Outcome
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