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The Children's Global Assessment Scale (CGAS) is a tool to assess the overall level of functioning of children in Child and Adolescent Mental Health Services (CAMHS). Even though the use of this rating scale requires trained raters, it is commonly deployed without prior training in clinical settings. The aim of this study was to investigate the reliability and the agreement of CGAS ratings with an expert rating, in a clinical setting with untrained raters. Five experienced clinicians rated five vignettes to provide expert ratings. These vignettes were then rated by 703 health-care professionals representing 33 Swedish CAMHS. The health-care professionals rated the vignettes significantly higher (showing better global functioning) than the expert ratings. There was a wide range between the minimum and maximum ratings. The intraclass correlation coefficient was 0.73, which indicates moderate inter-rater reliability. Neither clinical experience nor earlier experience of using CGAS influenced the agreement with the expert ratings. The inter-rater reliability is moderate when CGAS is used in a clinical setting with untrained raters. Further, the untrained raters differed substantially from the experts. This stresses the importance of proper training in conjunction with the introduction of new rating scales.

Titel:	Children's Global Assessment Scale (CGAS) in a naturalistic clinical setting: Inter-rater reliability and comparison with expert ratings
Autor/in / Beteiligte Person:	LUNDH, Anna ; KOWALSKI, Jan ; SUNDBERG, Carl Johan ; GUMPERT, Clara ; LANDEN, Mikael
Link:	E-Journal im Bestand der UB Hagen? View record from FRANCIS Archive
Zeitschrift:	Psychiatry research (Print), Jg. 177 (2010), Heft 1-2, S. 206-210
Veröffentlichung:	Kidlington: Elsevier, 2010
Medientyp:	academicJournal
Umfang:	print; 5; 1/2 p
ISSN:	0165-1781 (print)
Schlagwort:	Europe Suède Homme Human Hombre Psychométrie Psychometrics Psicometría Santé publique Public health Salud pública Accord interjuge Interrater agreement Acuerdo interjuez Adolescent Adolescente Age préscolaire Preschool age Edad preescolar Age scolaire School age Edad escolar Children's Global Assessment Scale Echelle d'évaluation Evaluation scale Escala evaluación Enfant Child Niño Environnement social Social environment Contexto social Etude en condition naturelle Study under natural conditions Estudio en condición natural Expert Experto Fidélité test Test reliability Fidelidad pruebra Personnel sanitaire Health staff Personal sanitario Santé mentale Mental health Salud mental Service santé Health service Servicio sanidad Child and Adolescent Mental Health Psychiatric Status Rating Scales Validation Studies Sciences biologiques et medicales Biological and medical sciences Sciences medicales Medical sciences Psychopathologie. Psychiatrie Psychopathology. Psychiatry Techniques et méthodes Techniques and methods Psychométrie. Systèmes d'aide au diagnostic Psychometrics. Diagnostic aid systems Psychologie. Psychanalyse. Psychiatrie Psychology. Psychoanalysis. Psychiatry PSYCHOPATHOLOGIE. PSYCHIATRIE Cognition Psychology, psychopathology, psychiatry Psychologie, psychopathologie, psychiatrie Subject Geographic: Europe Suède
Sonstiges:	Nachgewiesen in: FRANCIS Archive Sprachen: English Original Material: INIST-CNRS Document Type: Article File Description: text Language: English Author Affiliations: Section of Psychiatry, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden ; JK Biostatistics, Stockholm, Sweden ; Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden ; Department of Learning, Informatics, Management and Ethics - LIME, Stockholm, Sweden ; Section of Forensic Psychiatry, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden ; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden ; Institute of Neuroscience and Physiology, The Sohigrenska Academy at Gothenburg University, Gothenburg, Sweden Rights: Copyright 2015 INIST-CNRS ; CC BY 4.0 ; Sauf mention contraire ci-dessus, le contenu de cette notice bibliographique peut être utilisé dans le cadre d’une licence CC BY 4.0 Inist-CNRS / Unless otherwise stated above, the content of this bibliographic record may be used under a CC BY 4.0 licence by Inist-CNRS / A menos que se haya señalado antes, el contenido de este registro bibliográfico puede ser utilizado al amparo de una licencia CC BY 4.0 Inist-CNRS

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Children's Global Assessment Scale (CGAS) in a naturalistic clinical setting: Inter-rater reliability and comparison with expert ratings