Article

Validity of DSM-IV axis V global assessment of relational functioning scale: A multimethod assessment

Massachusetts General Hospital and Harvard Medical School, Psychology Assessment Center, 1 Bowdoin Square, 7th Floor, Boston, Massachusetts 02114-2919, USA.
The Journal of nervous and mental disease (Impact Factor: 1.81). 01/2009; 197(1):50-5. DOI: 10.1097/NMD.0b013e3181923ca1
Source: PubMed

ABSTRACT We investigate the convergent validity of the DSM-IV Axis V Global Assessment of Relational Functioning Scale (GARF; American Psychiatric Association, 1994). This study included 79 patients at a university-based outpatient treatment clinic. We examined clinician-rated GARF and the relationship to self-reported (Inventory of Interpersonal Problems; IIP-C; Horowitz et al. 2000) and free response themes [Social Cognition and Object Relations Scale: SCORS; Hilsenroth, Stein & Pinsker, 2004; Westen, 1995] of interpersonal functioning. Clinician ratings of the GARF scale and SCORS variables were highly reliable and internally consistent. Convergent Validity among the GARF, SCORS, and IIP scores was calculated using a Principal Components Analysis and Confirmatory Factor Analysis (CFA). Results of the Principal Components Analysis revealed that the GARF, SCORS, and IIP scores converged on a single factor, although findings of the CFA did not fully confirm the 1 factor model originally proposed. Intercorrelations among the GARF, SCORS, and IIP variables were analyzed and a pattern of significant relationships was found between the GARF and SCORS variables. This study helps support the convergent validity GARF as a relational functioning measure and is one of the first investigations to examine this scale multidimensionally.

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Available from: Michelle B Stein, Mar 11, 2015
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    • " and SCORS – G ratings . Past research with adult samples has also reported similar findings ( Pinsker - Aspen , Stein , & Hilsenroth , 2007 ) . We also found that the SCORS – G composite ratings were positively correlated to the patients ' GAF scores . This pro - vides convergent validity as similar results were found in past SCORS – G research ( Stein et al . , 2009 ) . We would expect that those who have healthier self - and interpersonal functioning capacities would lead to better coping capacities and overall"
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    • "These three constructs have been used in other global functioning measures such as the CGAS and the GAF (Bird, 1999; Bird et al., 1987; Winters et al., 2005). In addition, the inclusion of a dimensional assessment of personality functioning into the Overall Functioning Scale (OFS) was supported by work showing how personality pathology affects overall functioning (Kuurmann and Hilsenroth, 2012; Peters et al., 2005; Stein et al., 2009; Westen and Arkowitz- Westen, 1998; Zittel-Conklin and Westen, 2005). Personality pathology in adolescents has also been linked to other psychiatric disorders (for review, see Shiner and Tackett, 2014). "
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