Abstract • The Children's Global Assessment Scale (CGAS), a measure of overall severity of disturbance, is an adaptation of the Global Assessment Scale for adults. Data obtained on the CGAS during a pilot study in Puerto Rico demonstrate high interrater reliability and both concurrent and discriminant validity. A discriminant function was generated that highly correlates with other measures of impairment. Use of the CGAS can be of heuristic value to complement other methods of diagnostic categorization. References 1. Shaffer D, Gould MS, Brasic J, Ambrosini P, Fisher P, Bird H, Aluwahlia S: A Children's Global Assessment Scale (CGAS) . Arch Gen Psychiatry 1983;40:1228-1231.Crossref 2. Endicott J, Spitzer RL, Fleiss JL, Cohen J: The Global Assessment Scale: A procedure for measuring overall severity of psychiatric disturbance . Arch Gen Psychiatry 1976;33:766-771.Crossref 3. Conners CK: A teacher rating scale for use in drug studies with children . Am J Psychiatry 1969;126:884-888. 4. Bird HR, Canino G, Gould MS, Shaffer D, Sesman M: The Puerto Rico child psychiatry epidemiologic study: Design and methods. Read before the 32nd Annual Meeting of the American Academy of Child Psychiatry, San Antonio, Tex, Oct 25, 1985. 5. Spitzer R, Skodol A, Gibbon M: DSM-III Casebook: A Learning Companion to the Diagnostic and Statistical Manual of Mental Disorders . Washington, DC, American Psychiatric Association, 1981. 6. Achenbach TM, Edelbrock CS: Behavioral problems and competencies reported by parents of normal and disturbed children aged 4 through 16 . Monogr Soc Res Child Dev 1981;46(Serial No. 188):1-82.Crossref 7. Fleiss JL: Statistical Methods for Rates and Proportions , ed 2. New York, John Wiley & Sons Inc, 1981. 8. Shrout PE, Fleiss JL: Intraclass correlations: Uses in assessing rater reliability . Psychol Bull 1979;86:420-428.Crossref 9. Canino G, Bird HR, Rubio-Stipec M, Woodbury MA, Ribera JC, Huertas SE, Sesman M: Reliability of child diagnosis in a Hispanic sample . J Am Acad Child Psychiatry , in press. 10. Rothman D, Sorrells J, Heldman P: A Global Assessment Scale for Children . Oakland, Calif, Alameda County Mental Health Services, 1976. 11. Kestenbaum C, Bird HR: A reliability study of the mental health assessment form for school-age children . J Am Acad Child Psychiatry 1978;17:338-347.Crossref 12. Edelbrock CS, Costello A, Kessler MD: Empirical corroboration of attention deficit disorder . J Am Acad Child Psychiatry 1984;23:285-290.Crossref 13. Bird HR, Canino G: The use of the Child Behavior Checklist as a screening instrument for epidemiologic research: Results of a pilot study . J Am Acad Child Psychiatry , in press.
Archives of General Psychiatry – American Medical Association
Published: Sep 1, 1987