Global Assessment of Relational Functioning Scale (Garf)

A Validity Study in Patients with Recurrent Major Depression in Brazil

Datos Bibliográficos

ID2394620
AutoresAndréa F Mello (0000-0001-8498-7751, Universidade Federal de São Paulo), Sergio Luis Blay (0000-0002-0568-9375, Department of Psychiatry of the Federal University of Sao Paulo), Robert Kohn (0000-0001-8517-0719, Department of Psychiatry and Human Behavior at Brown University, USA)
Año2007
Volumen44
Número1
Páginas55-64
Fecha de publicación2007-03-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaTranscultural Psychiatry (JOURNAL)
Identificadores de la revistaISSN: 1363-4615 • E-ISSN: 1461-7471
EditorialSAGE Publications Inc (PUBLISHER)
DOI10.1177/1363461507074969
PMID17379610
OpenAlexW2128922444
IdiomaEN
Citas recibidas5
Referencias citadas11

The Global Assessment of Relational Functioning Scale (GARF) has been proposed as an additional domain on Axis V, yet few validation studies have been conducted. This study examines the validity of the Brazilian-Portuguese version of the GARF. An experienced family therapist interviewed 34 families in which one member had a diagnosis of DSM-IV recurrent major depression. A semi-structured family interview was used to classify families into functional or dysfunctional. A second interviewer, blind to the earlier evaluation, used the GARF to assess the families' functioning. Validity coefficients with the best balance between sensitivity and specificity were obtained with a cut-off point of 70 on the GARF: sensitivity, 78%; specificity, 86%; positive predictive value, 95%; and negative predictive value, 50%. Regression analyses identified demographic and clinical variables that influenced GARF scores. The following variables accounted for 41% of the GARF's variance: patients' educational level, severity of the current depressive episode, and the role of the family member participating in the study. The Brazilian-Portuguese version of the GARF has acceptable validity coefficients, and may be a useful tool in cross-cultural settings

Cognition · Concurrent validity · Convergent validity · Dysfunctional family · Global Assessment of Functioning · Incremental validity · Mini-international neuropsychiatric interview · Predictive validity · Psychiatry · Psychometrics · Test validity · Attachment and Relationship Dynamics · Child and Adolescent Psychosocial and Emotional Development · Clinical Psychology · Personality Disorders and Psychopathology · Psychology