Department of Psychiatry, The University of Texas Southwestern Medical Center, Dallas, Texas 75390-9121, USA.
J Marital Fam Ther. 2010 Jul 1;36(3):376-87. doi: 10.1111/j.1752-0606.2009.00144.x.
The reliability and validity of the Diagnostic and Statistical Manual of Mental Disorders-IV Global Assessment of Relational Functioning (GARF) was evaluated in consenting participants presenting to a family therapy training clinic. The purpose of this study was to (a) assess whether the GARF could be administered quickly in a marriage and family therapy training clinic, (b) assess the inter-rater and internal reliability of GARF ratings of intake sessions, (c) examine the relationship of GARF ratings to established measures of relationship functioning, and (d) compare GARF ratings to a measure of depressive symptoms. Study participants completed the General Functioning Subscale of the Family Assessment Device (GFS/FAD), the Quality of Marriage Index (QMI), and the Center for Epidemiologic Studies-Depression Scale (CES-D). After intake sessions were conducted with study participants, GARF ratings were made by an American Association for Marriage and Family Therapy Approved Supervisor or Supervisor-in-Training, a therapist trainee, and two observing trainees who had observed the session from behind a one-way mirror. Cronbach's coefficient alphas and the average intraclass correlation coefficients were both .82 when ratings of the supervisor and two observers were compared and .78 and .79, respectively, when ratings of the supervisor, two observers, and therapist were evaluated. There was significant agreement between GARF ratings made by the supervisor and therapist (but not observers) and scores on the GFS/FAD, QMI, and CES-D. Results suggest that GARF ratings can be made quickly and reliably, especially among raters with greater clinical experience, and are related to measures of relational functioning and depression. Implications for research and marriage and family therapy training are discussed.
《精神障碍诊断与统计手册第四版全球人际关系功能评估（GARF）》的可靠性和有效性在同意参加家庭治疗培训诊所的参与者中进行了评估。本研究的目的是：(a)评估 GARF 是否可以在婚姻和家庭治疗培训诊所中快速进行，(b)评估 GARF 对摄入阶段的评分的评分者间和内部可靠性，(c)检查 GARF 评分与既定人际关系功能测量的关系，以及 (d)将 GARF 评分与抑郁症状的测量值进行比较。研究参与者完成了家庭评估设备的一般功能量表 (GFS/FAD)、婚姻质量指数 (QMI) 和流行病学研究中心抑郁量表 (CES-D)。在与研究参与者进行摄入阶段后，由美国婚姻和家庭治疗协会认可的主管或主管培训生、治疗师受训者以及两名从单向镜后面观察会议的观察受训者对 GARF 评分进行了评估。当比较主管和两名观察员的评分时，Cronbach 的系数 alpha 和平均组内相关系数均为.82，当评估主管、两名观察员和治疗师的评分时，分别为.78 和.79。主管和治疗师（但不是观察员）的 GARF 评分与 GFS/FAD、QMI 和 CES-D 的评分之间存在显著的一致性。结果表明，GARF 评分可以快速可靠地进行，尤其是在具有更多临床经验的评分者中，并且与人际关系功能和抑郁的测量值相关。讨论了对研究和婚姻家庭治疗培训的影响。
