Dausch B M, Miklowitz D J, Richards J A
Department of Psychology, University of Colorado, Boulder 80309-0345, USA.
Fam Process. 1996 Jun;35(2):175-89. doi: 10.1111/j.1545-5300.1996.00175.x.
The companion article by the Group for the Advancement of Psychiatry (GAP) Committee on the Family (see p. 155, this issue) describes the development of the Global Assessment of Relational Functioning (GARF) scale. The present study evaluated the reliability and concurrent validity of a manualized version of the GARF in recently episodic bipolar patients (N = 73) participating with family members in laboratory interaction tasks. The GARF was applied with high reliability by raters with little clinical experience. GARF ratings discriminated between families rated high and low in expressed emotion, with families rated as high in emotional overinvolvement showing the lowest relational functioning scores. GARF scores also correlated with affective negativity scores derived from the interactional task-based affective style and coping style coding systems. However, relational ratings were independent of levels of concurrent symptoms or illness chronicity among individual patients. GARF ratings may inform the treatment plans for patients with psychiatric disorders, but the optimal methods of data collection and rater training must be determined.
精神病学促进小组（GAP）家庭委员会的配套文章（见本期第155页）描述了全球关系功能评估（GARF）量表的开发过程。本研究评估了在近期发作的双相情感障碍患者（N = 73）及其家庭成员参与实验室互动任务时，GARF手册化版本的信度和同时效度。临床经验较少的评分者对GARF的应用具有较高的信度。GARF评分能够区分情感表达高分组和低分组家庭，情感过度卷入程度高的家庭关系功能得分最低。GARF分数还与基于互动任务的情感风格和应对风格编码系统得出的情感消极性分数相关。然而，关系评分与个体患者的并发症状水平或疾病慢性程度无关。GARF评分可为精神障碍患者的治疗计划提供参考，但必须确定最佳的数据收集方法和评分者培训方法。
