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the clinical global impression scale and the influence of patient or staff perspective on outcome全球临床印象规模和病人或员工视角的影响的结果
Forkmann et al. BMC Psychiatry 2011, 11:83
/1471-244X/11/83
RESEARCH ARTICLE Open Access
The clinical global impression scale and the
influence of patient or staff perspective on
outcome
1* 1 1 2 2 1
Thomas Forkmann , Anne Scherer , Maren Boecker , Markus Pawelzik , Ralf Jostes and Siegfried Gauggel
Abstract
Background: Since its first publication, the Clinical Global Impression Scale (CGI) has become one of the most
widely used assessment instruments in psychiatry. Although some conflicting data has been presented, studies
investigating the CGI’s validity have only rarely been conducted so far. It is unclear whether the improvement
index CGI-I or a difference score of the severity index CGI-S dif is more valid in depicting clinical change. The
current study examined the validity of these two measures and investigated whether therapists’ CGI ratings
correspond to the view the patients themselves have on their condition.
Methods: Thirty-one inpatients of a German psychotherapeutic hospital suffering from a major depressive disorder
(age M = 45.3, SD = 17.2; 58.1% women) participated. Patients filled in the Beck Depression Inventory (BDI). CGI-S
and CGI-I were rated from three perspectives: the treating therapist (THER), the team of therapists involved in the
patient’s treatment (TEAM), and the patient (PAT). BDI and CGI-S were filled in at admission and discharge, CGI-I at
discharge only. Data was analysed using effect sizes, Spearman’s r and intra-class correlations (ICC).
Results: Effect sizes between CGI-I and CGI-S dif ratings were large for all three perspectives with substantially
higher change scores on CGI-I than on CGI-S dif. BDI dif correlated moderately
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