Oslo University Hospital, Department of Personality Psychiatry, Division of Mental Health and Addiction, Oslo, Norway; NORMENT, KG Jebsen Center for Psychosis Research, Institute of Clinical Medicine, University of Oslo, Norway.
Oslo University Hospital, Department of Personality Psychiatry, Division of Mental Health and Addiction, Oslo, Norway.
Eur Psychiatry. 2018 Jun;51:16-19. doi: 10.1016/j.eurpsy.2017.12.028. Epub 2018 Mar 3.
Global Assessment of Functioning (GAF) is a single measure of overall psychosocial impairment caused by mental factors, constituting Axis V of the Diagnostic and Statistical manual of Mental disorders, third and fourth versions. Despite its widespread use, several challenges and shortcomings have been discussed the last three decades. The current article describes some of the more serious challenges of the GAF manual, and presents a revised version more in accordance with the nature of this clinical construct. Some crucial aspects of the understanding of GAF and general guidelines for scoring are also discussed.
全球功能评估（GAF）是一种衡量由心理因素引起的整体心理社会障碍的单一指标，构成了《精神障碍诊断与统计手册》第三和第四版的轴 V。尽管它被广泛使用，但在过去的三十年中，已经讨论了一些挑战和缺点。本文描述了 GAF 手册中一些更严重的挑战，并提出了一个更符合这一临床结构性质的修订版。还讨论了 GAF 的一些重要方面和评分的一般准则。
