Dyrborg J, Larsen F W, Nielsen S, Byman J, Nielsen B B, Gautrè-Delay F
Department of Child and Adolescent Psychiatry, Psykiatrisk Sygehus, Hillerød, Denmark.
Eur Child Adolesc Psychiatry. 2000 Sep;9(3):195-201. doi: 10.1007/s007870070043.
Studies on the inter-rater reliability on the Children's Global Assessment Scale (CGAS) and the Global Assessment of Psychosocial Disability (GAPD) involving different subgroups of 145 outpatients from 4 to 16 years of age showed fair to substantial intraclass correlations of 0.59 to 0.90. Raters of different training levels participated. Interrater reliability was dependent on number of ratings per rater, training, available data sources and experience. A more detailed description of anchor points resulted in higher inter-rater agreement by psychiatrists training in child and adolescent psychiatry, but did not influence the inter-rater reliability among more (widely) experienced raters. Both the CGAS and the GAPD seem to be sufficiently reliable tools in clinical practice. The CGAS seems to be more sensitive to inter-rater variation than the GAPD.
对145名4至16岁门诊患者不同亚组进行的儿童总体评估量表（CGAS）和心理社会残疾总体评估（GAPD）评分者间信度研究显示，组内相关系数为0.59至0.90，信度从中等到较高。不同培训水平的评分者参与其中。评分者间信度取决于每位评分者的评分数量、培训情况、可用数据源和经验。对锚定点的更详细描述使接受儿童和青少年精神病学培训的精神科医生之间的评分者间一致性更高，但并未影响经验更丰富（范围更广）的评分者之间的评分者间信度。CGAS和GAPD在临床实践中似乎都是足够可靠的工具。CGAS似乎比GAPD对评分者间差异更敏感。
