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.
Keywords: Assessment; GAF; Global assessment of functioning.
Copyright © 2018 Elsevier Masson SAS. All rights reserved.
Jovanović AA, Gasić MJ, Ivković M, Milovanović S, Damjanović A. Jovanović AA, et al. Psychiatr Danub. 2008 Sep;20(3):286-300. Psychiatr Danub. 2008. PMID: 18827754
Pedersen G, Karterud S. Pedersen G, et al. Compr Psychiatry. 2012 Apr;53(3):292-8. doi: 10.1016/j.comppsych.2011.04.007. Epub 2011 May 31. Compr Psychiatry. 2012. PMID: 21632038
Gold LH. Gold LH. J Am Acad Psychiatry Law. 2014;42(2):173-81. J Am Acad Psychiatry Law. 2014. PMID: 24986344
Schorre BE, Vandvik IH. Schorre BE, et al. Eur Child Adolesc Psychiatry. 2004 Oct;13(5):273-86. doi: 10.1007/s00787-004-0390-2. Eur Child Adolesc Psychiatry. 2004. PMID: 15490275 Review.
Goldman HH, Skodol AE, Lave TR. Goldman HH, et al. Am J Psychiatry. 1992 Sep;149(9):1148-56. doi: 10.1176/ajp.149.9.1148. Am J Psychiatry. 1992. PMID: 1386964 Review.
Wold KF, Kreis IV, Åsbø G, Flaaten CB, Widing L, Engen MJ, Lyngstad SH, Johnsen E, Ueland T, Simonsen C, Melle I. Wold KF, et al. Schizophrenia (Heidelb). 2024 Aug 22;10(1):69. doi: 10.1038/s41537-024-00489-7. Schizophrenia (Heidelb). 2024. PMID: 39174576 Free PMC article.
Ulvestad DA, Johansen MS, Kvarstein EH, Pedersen G, Wilberg T. Ulvestad DA, et al. Front Psychiatry. 2024 Jun 21;15:1380532. doi: 10.3389/fpsyt.2024.1380532. eCollection 2024. Front Psychiatry. 2024. PMID: 38974920 Free PMC article.
Kreis I, Wold KF, Åsbø G, Simonsen C, Flaaten CB, Engen MJ, Lyngstad SH, Widing LH, Ueland T, Melle I. Kreis I, et al. Schizophrenia (Heidelb). 2024 Mar 2;10(1):30. doi: 10.1038/s41537-024-00450-8. Schizophrenia (Heidelb). 2024. PMID: 38431677 Free PMC article.
Ricci V, Di Muzio I, Ceci F, Di Carlo F, Mancusi G, Piro T, Paggi A, Pettorruso M, Vellante F, De Berardis D, Martinotti G, Maina G. Ricci V, et al. Front Psychiatry. 2024 Jan 8;14:1343884. doi: 10.3389/fpsyt.2023.1343884. eCollection 2023. Front Psychiatry. 2024. PMID: 38260781 Free PMC article.
Wüthrich F, Lefebvre S, Mittal VA, Shankman SA, Alexander N, Brosch K, Flinkenflügel K, Goltermann J, Grotegerd D, Hahn T, Jamalabadi H, Jansen A, Leehr EJ, Meinert S, Nenadić I, Nitsch R, Stein F, Straube B, Teutenberg L, Thiel K, Thomas-Odenthal F, Usemann P, Winter A, Dannlowski U, Kircher T, Walther S. Wüthrich F, et al. Mol Psychiatry. 2024 Feb;29(2):317-326. doi: 10.1038/s41380-023-02327-1. Epub 2023 Dec 1. Mol Psychiatry. 2024. PMID: 38036604 Free PMC article.