Måleegenskaper ved den norske versjonen av Children’s Global Assessment Scale (CGAS)

Authors

  • Thomas Jozefiak Regionalt kunnskapssenter for barn og unge (RKBU Midt Norge); Institutt for psykisk helse, Fakultet for medisin og helsevitenskap, Norges teknisk-naturvitenskapelig universitet (NTNU)
  • Ketil Hanssen-Bauer FoU-avdelingen, Divisjon psykisk helsevern, Akershus universitetssykehus; Klinikk for helsetjenesteforskning og psykiatri, Institutt for Klinisk Medisin, Universitetet i Oslo https://orcid.org/0000-0001-8303-2961
  • Ingvar Bjelland Klinikk psykisk helsevern for barn og unge, Divisjon psykisk helsevern, Haukeland universitetssykehus; Klinisk institutt 1, Det medisinsk-odontologisk fakultet, Universitetet i Bergen https://orcid.org/0000-0003-1113-8323

DOI:

https://doi.org/10.21337/0058

Keywords:

Generell psykisk helse, Barn i skolealder

Abstract

Description: Psychometric properties of the Norwegian version of Children's Global Assessment Scale (CGAS). PsykTestBarn, 1:3. Description. The Children’s Global Assessment Scale (CGAS) was developed by David Shaffer and colleagues at Columbia University, in 1983. The CGAS was adapted from the Global Assessment Scale for adults (GAS) and is scored by clinicians as a measure of a child’s or adolescent’s psychosocial functioning during the month before assessment, on a scale from 1 (lowest functioning) to 100 (superior functioning in all areas). It is recommended for children and adolescents aged 4 to 16/17 years. The CGAS is scored by clinicians and takes less than 10 minutes to complete. It is unknown whether there are competence requirements to score the instrument. New information on translation and copyright in 2022. There is now an officially approved Norwegian translation of CGAS from the copyright holders at Columbia University, USA. It was translated in August 2022 by Lars Ravn Øhlckers, Børge Idar Mathiassen and Ketil Hanssen-Bauer, on behalf of the University Hospital of Northern Norway and is free for non-profit use both digitally and in paper format.
Literature search: We included 34 Norwegian articles, of which 19 had more than 100 participants. Most of the participants were children and adolescents aged 6-18 years, but a few follow-up studies into adulthood were also included. The included studies varied considerably with regard to clinical samples, and there were both cross-sectional and longitudinal studies. Psychometrics: We found satisfactory evidence for convergent, discriminant, and predictive validity and interrater reliability, somewhat less for sensitivity to change. There was a lack of test-retest reliability studies. Conclusion.
Conclusion: We recommend the use of the Norwegian version both in research and clinical practice, provided that clinicians receive adequate training in scoring.

References

Aasland, A., Flato, B. & Vandvik, I. H. (1997). Psychosocial outcome in juvenile chronic arthritis: A nine-year follow- up. Clinical and Experimental Rheumatology, 15(5), 561-568.

Andresen, H. N., Hansen, B. H., Bronder, K. H. B., Juvodden, H. T. & Knudsen, S. (2016). Narcolepsy type 1 is associated with executive dysfunction. Journal of Sleep Research, 25, 182. https://doi.org/10.1111/jsr.12446

Bird, H. R., Yager, T. J., Staghezza, B., Gould, M. S., Canino, G. & Rubio-Stipec, M. (1990). Impairment in the epidemiological measurement of childhood psychopathology in the community. Journal of the American Academy of Child and Adolescent Psychiatry, 29(5), 796-803. https://doi.org/10.1097/00004583-199009000-00020

Botellero, V. L., Skranes, J., Bjuland, K. J., Lohaugen, G. C., Haberg, A. K., Lydersen, S. et al. (2016). Mental health and cerebellar volume during adolescence in very-low-birth-weight infants: A longitudinal study. Child and Adolescent Psychiatry and Mental Health, 10(6). https://doi.org/10.1186/s13034-016-0093-8

Brondbo, P. H., Mathiassen, B., Martinussen, M., Handegard, B. H. & Kvernmo, S. (2013). Agreement on diagnoses of mental health problems between an online clinical assignment and a routine clinical assignment. Journal of Telemedicine and Telecare, 19(2), 113-119. https://doi.org/10.1258/jtt.2012.120209

Brondbo, P. H., Mathiassen, B., Martinussen, M., Heiervang, E., Eriksen, M. & Kvernmo, S. (2012). Agreement on web-based diagnoses and severity of mental health problems in Norwegian child and adolescent mental health services. Clinical Practice and Epidemiology in Mental Health Vol 8 Mar 2012, ArtID 16-21, 8. https://doi.org/10.2174/1745017901208010016

Dyb, G., Holen, A., Braenne, K., Indredavik, M. S. & Aarseth, J. (2003). Parent-child discrepancy in reporting children's post-traumatic stress reactions after a traffic accident. Nordic Journal of Psychiatry, 57(5), 339-344. https://doi.org/10.1080/08039480310002660

Edlund, J. N. & Carlberg, G. (2014). Psychodynamic psychotherapy with adolescents and young adults: Outcome in routine practice. Clinical Child Psychology and Psychiatry, 21(1), 66-80. https://doi.org/10.1177/1359104514554311

European Federation of Psychologists' Associations. (2013). EFPA Review model for the description and evaluation of psychological and educational tests: Test review form and notes for reviewers. Version 4.2.6.

Furre, A., Sandvik, L., Heyerdahl, S., Friis, S., Knutzen, M. & Hanssen-Bauer, K. (2014). Characteristics of Adolescents Subjected to Restraint in Acute Psychiatric Units in Norway: A Case-Control Study. Psychiatric Services, 65(11), 1367-1372. https://doi.org/10.1176/appi.ps.201300429

Fyhn, O. & Holte, A. (1996). The course of psychosis in children and adolescents: A systematic follow-up study of clients treated in Nordland. Tidsskrift for Norsk Psykologforening, 33(11), 1050-1064.

Hansen, B. H., Skirbekk, B., Oerbeck, B., Wentzel-Larsen, T. & Kristensen, H. (2014). Associations between sleep problems and attentional and behavioral functioning in children with anxiety disorders and ADHD. Behavioral Sleep Medicine, 12(1), 53-68. https://doi.org/10.1080/15402002.2013.764525

Hanssen-Bauer, K., Aalen, O. O., Ruud, T. & Heyerdahl, S. (2007). Inter-rater reliability of clinician-rated outcome measures in child and adolescent mental health services. Administration and Policy in Mental Health and Mental Health Services Research, 34(6), 504-512. https://doi.org/10.1007/s10488-007-0134-y

Hanssen-Bauer, K., Gowers, S., Aalen, O. O., Bilenberg, N., Brann, P., Garralda, E. et al. (2007). Cross-national reliability of clinician-rated outcome measures in child and adolescent mental health services. Administration and Policy in Mental Health and Mental Health Services Research, 34(6), 513-518. https://doi.org/10.1007/s10488-007-0135-x

Indredavik, M. S., Brubakk, A. M., Romundstad, P. & Vik, T. (2007). Prenatal smoking exposure and psychiatric symptoms in adolescence. Acta Paediatrica, International Journal of Paediatrics, 96(3), 377-382. https://doi.org/10.1111/j.1651-2227.2006.00148.x

Indredavik, M. S., Vik, T., Heyerdahl, S., Kulseng, S., Fayers, P. & Brubakk, A. M. (2004). Psychiatric symptoms and disorders in adolescents with low birth weight. Archives of Disease in Childhood: Fetal and Neonatal Edition, 89(5), F445-F450. https://doi.org/10.1136/adc.2003.038943

Lund, L. K., Vik, T., Skranes, J., Brubakk, A. M. & Indredavik, M. S. (2011). Psychiatric morbidity in two low birth weight groups assessed by diagnostic interview in young adulthood. Acta Paediatrica, International Journal of Paediatrics, 100(4), 598-604. https://doi.org/10.1111/j.1651-2227.2010.02111.x

Lund, L. K., Vik, T., Skranes, J., Lydersen, S., Brubakk, A. M. & Indredavik, M. S. (2012). Low birth weight and psychiatric morbidity; stability and change between adolescence and young adulthood. Early Human Development, 88(8), 623-629. https://doi.org/10.1016/j.earlhumdev.2012.01.006

Lundh, A. (2012). On the children's global assessment scale (CGAS). Ph.D. Karolinska Institutet, Stockholm.

Mathiassen, B., Brondbo, P. H., Waterloo, K., Martinussen, M., Eriksen, M., Hanssen-Bauer, K. et al. (2012a). IQ as a moderator of outcome in severity of children's mental health status after treatment in outpatient clinics. Child and Adolescent Psychiatry and Mental Health, 6(22). https://doi.org/10.1186/1753-2000-6-22

Mathiassen, B., Brondbo, P. H., Waterloo, K., Martinussen, M., Eriksen, M., Hanssen-Bauer, K. et al. (2012b). IQ as a predictor of clinician-rated mental health problems in children and adolescents. The British Journal of Clinical Psychology, 51(2), 185-196. https://doi.org/10.1111/j.2044-8260.2011.02023.x

Mehlum, L., Ramberg, M., Tormoen, A. J., Haga, E., Diep, L. M., Stanley, B. H. et al. (2016). Dialectical behavior therapy compared with enhanced usual care for adolescents with repeated suicidal and self-harming behavior: Outcomes over a one-year follow-up. Journal of the American Academy of Child & Adolescent Psychiatry, 55(4), 295-300. https://doi.org/10.1016/j.jaac.2016.01.005

Mordre, M., Groholt, B., Kjelsberg, E., Sandstad, B. & Myhre, A. M. (2011). The impact of ADHD and conduct disorder in childhood on adult delinquency: A 30 years follow-up study using official crime records. BMC Psychiatry, 11(57). https://doi.org/10.1186/1471-244X-11-57

Mordre, M., Groholt, B., Knudsen, A. K., Sponheim, E., Mykletun, A. & Myhre, A. M. (2012). Is long-term prognosis for pervasive developmental disorder not otherwise specified different from prognosis for autistic disorder? Findings from a 30-year follow-up study. Journal of Autism and Developmental Disorders, 42(6), 920-928. https://doi.org/10.1007/s10803-011-1319-5

Mordre, M., Groholt, B., Sandstad, B. & Myhre, A. M. (2012). The impact of ADHD symptoms and global impairment in childhood on working disability in mid-adulthood: A 28-year follow-up study using official disability pension records in a high-risk in-patient population. BMC Psychiatry, 12(174). https://doi.org/10.1186/1471-244X-12-174

Nilsen, T. S., Handegard, B. H., Eisemann, M. & Kvernmo, S. (2015). Evaluating change in symptomatic and functional level of children and youth with emotional disorders: a naturalistic observation study. European Child and Adolescent Psychiatry, 24(10), 1219-1231. https://doi.org/10.1007/s00787-014-0671-3

Novik, T. S., Hervas, A., Ralston, S. J., Dalsgaard, S., Pereira, R. R. & Lorenzo, M. J. (2006). Influence of gender on Attention-Deficit/Hyperactivity Disorder in Europe - ADORE. European Child and Adolescent Psychiatry, 15(Suppl1), 5-24. https://doi.org/10.1007/s00787-006-1003-z

Preuss, U., Ralston, S. J., Baldursson, G., Falissard, B., Lorenzo, M. J., Rodrigues Pereira, R. et al. (2006). Study design, baseline patient characteristics and intervention in a cross-cultural framework: Results from the ADORE study. European Child & Adolescent Psychiatry, 15(Suppl1), 4-19. https://doi.org/10.1007/s00787-006-1002-0

Ropstad, I. (1988). Retrospective study of 31 children and adolescents with emergency hospitalization in a child psychiatry unit in Norway. Annales Medico-Psychologiques, 146(7), 648-654.

Ryland, H. K., Lundervold, A. J., Elgen, I. & Hysing, M. (2010). Is there a protective effect of normal to high intellectual function on mental health in children with chronic illness? Child and Adolescent Psychiatry and Mental Health, 4(3). https://doi.org/10.1186/1753-2000-4-3

Schei, J., Novik, T. S., Thomsen, P. H., Lydersen, S., Indredavik, M. S. & Jozefiak, T. (2015). What Predicts a Good Adolescent to Adult Transition in ADHD? The Role of Self-Reported Resilience. Journal of Attention Disorders, 22(6), 547-560. https://doi.org/10.1177/1087054715604362

Schorre, B. E. H. & Vandvik, I. H. (2004). Global assessment of psychosocial functioning in child and adolescent psychiatry: A review of three unidimensional scales (CGAS, GAF, GAPD). European Child and Adolescent Psychiatry, 13(5), 273-286. https://doi.org/10.1007/s00787-004-0390-2

Shaffer, D., Gould, M. S., Brasic, J., Ambrosini, P., Fisher, P., Bird, H. et al. (1983). A children's global assessment scale (CGAS). Archives of General Psychiatry, 40(11), 1228-1231. https://doi.org/10.1001/archpsyc.1983.01790100074010

Skranes, J., Vangberg, T. R., Kulseng, S., Indredavik, M. S., Evensen, K. A. I., Martinussen, M. et al. (2007). Clinical findings and white matter abnormalities seen on diffusion tensor imaging in adolescents with very low birth weight. Brain, 130(3), 654-666. https://doi.org/10.1093/brain/awm001

Solem, M.-B., Christophersen, K.-A. & Wels, P. (2010). A Norwegian validity study of parenting stress measured by the Nijmegen Child-rearing Situation Questionnaire section one. Scandinavian Journal of Caring Sciences, 24(1), 183-193. https://doi.org/10.1111/j.1471-6712.2009.00690.x

Steinhausen, H. C., Novik, T. S., Baldursson, G., Curatolo, P., Lorenzo, M. J., Rodrigues Pereira, R. et al. (2006). Co-existing psychiatric problems in ADHD in the ADORE cohort. European Child and Adolescent Psychiatry, 15(SUPPL. 1), I/25-I/29. https://doi.org/10.1007/s00787-006-1004-y

Thaulow, C. M. & Jozefiak, T. (2012). A comparison between child psychiatric outpatients with AD/HD and anxiety/depression. Nordic Journal of Psychiatry, 66(6), 396-402. https://doi.org/10.3109/08039488.2012.660546

Tonstad, S., Novik, T. S. & Vandvik, I. H. (1996). Psychosocial function during treatment for familial hypercholesterolemia. Pediatrics, 98(2), 249-255.

Tonstad, S. & Sivertsen, M. (1997). Dietary adherence in children with familial hypercholesterolemia. American Journal of Clinical Nutrition, 65(4), 1018-1026.

Valderhaug, R. & Ivarsson, T. (2005). Functional impairment in clinical samples of Norwegian and Swedish children and adolescents with obsessive-compulsive disorder. European Child and Adolescent Psychiatry, Supplement, 14(3), 164-173. https://doi.org/10.1007/s00787-005-0456-9

Vandvik, I. H. (1990). Mental health and psychosocial functioning in children with recent onset of rheumatic disease. Journal of Child Psychology and Psychiatry and Allied Disciplines, 31(6), 961-971.

Vandvik, I. H. & Eckblad, G. F. (1994). The Two-Houses Technique: A clinical method for assessment of children's perception of their families. Nordic Journal of Psychiatry, 48(6), 401-407. https://doi.org/10.3109/08039489409078158

Villabo, M. A., Cummings, C. M., Gere, M. K., Torgersen, S. & Kendall, P. C. (2013). Anxious youth in research and service clinics. Journal of Anxiety Disorders, 27(1), 16-24. https://doi.org/10.1016/j.janxdis.2012.09.003

Waal, K. (2009). Mental helse og psykososial fungering hos barn og ungdommer med forstyrrelser i kjønnsdifferensieringen. Master. Universitetet i Oslo, Oslo. http://urn.nb.no/URN:NBN:no-40872

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Published

2018-11-25

How to Cite

Jozefiak, T., Hanssen-Bauer, K., & Bjelland, I. (2018). Måleegenskaper ved den norske versjonen av Children’s Global Assessment Scale (CGAS). PsykTestBarn, 8(1), 1–16. https://doi.org/10.21337/0058

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