P. Roybyrne et al., EVIDENCE FOR LIMITED VALIDITY OF THE REVISED GLOBAL ASSESSMENT OF FUNCTIONING SCALE, Psychiatric services, 47(8), 1996, pp. 864-866
The study examined the concurrent validity of the revised Global Asses
sment of Functioning (GAF) scale, which is highly similar to the Socia
l and Occupational Functioning Assessment Scale (SOFAS) in DSM-IV and
which is designed to measure patients' functioning and not their clini
cal symptoms, Psychiatrists used the revised GAF to rate 337 psychiatr
ic inpatients; the ratings were compared with nurses' ratings of the s
ame sample using Lehman's Quality of Life Scale, Ratings on the revise
d GAF were most strongly correlated with ratings of clinical symptoms,
not functioning. Reliance on the GAF as the only tool to assess patie
nts' functioning may be problematic.