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Global Assessment of Functioning : ウィキペディア英語版
Global Assessment of Functioning
The Global Assessment of Functioning (GAF) is a numeric scale (1 through 100) used by mental health clinicians and physicians to rate subjectively the social, occupational, and psychological functioning of adults, e.g., how well or adaptively one is meeting various problems-in-living. The scale is presented and described in the DSM-IV-TR on page 34. The score is often given as a range.
The GAF is no longer included in the DSM-5. The new DSM-5 includes a WHODAS outline, which takes the GAF score's place. It is a survey and check box that is less likely to be subjective.
==Development, history and exclusion from DSM-5==
The DSM-IV records the development of the GAF scale. The beginnings of the scale started in 1962 with the publication of the Health-Sickness Rating Scale (which was rated 0 to 100) by Luborsky et al. al in the paper "Clinicians Judgements of Mental Health". This was subsequently revised in 1976 as the Global Assessment Scale (GAS) in the paper "The Global Assessment Scale:Procedure for Measuring Overall Severity of Psychiatric Disturbance" by Endicott et al. This was further modified and published as the Global Assessment of Functioning Scale in the DSM-III-R and DSM-IV.
The related SOFAS (Social and Occupational Functioning Assessment Scale) scale was initially described in a paper by Goldman et al. in 1992 in the paper 'Revising Axis V for DSM-IV: A review of measures of social functioning' by Goldman et al. and was subsequently included in the DSM-IV within the section 'Criteria Sets and Axes Provided for Further Study'. The SOFAS scale is similar to the GAF but only looks at social and occupational functioning rather than symptoms, and the SOFAS is usually used to rate the current period.
In DSM-5 the multiaxial system was removed including Axis-5 disability and the DSM-5 task force recommended the GAF be dropped. However for a measure of global disability the WHO Disability Assessment Schedule (WHODAS 2.0) was included in assessment measures section.

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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