Exploring Outcome and Validity of the GAF in Psychiatric Inpatient Care

2015 ◽  
Vol 31 (3) ◽  
pp. 195-201
Author(s):  
Ove Sonesson ◽  
Hans Arvidsson ◽  
Tomas Tjus
Keyword(s):  
Psychotic Disorders ◽  
Psychiatric Inpatient ◽  
Inpatient Setting ◽  
Multiple Linear Regressions ◽  
Global Assessment Of Functioning ◽  
Treatment Results ◽  
Episodes Of Care ◽  
Socio Demographic Factors ◽  
Gaf Scores ◽  
Linear Regressions

Abstract. A small number of studies have investigated predictive factors in relation to the Global Assessment of Functioning (GAF) scale. This study aimed to explore the influence of clinical and socio-demographic factors in a psychiatric inpatient setting in relation to treatment outcome measured by the GAF. The studied psychiatric inpatient sample consisted of 816 episodes of care, with GAF ratings made at both admission and discharge. Multiple linear regressions were performed to analyze what variables predicted GAF scores at admission and at discharge. Significant predictors of GAF scores at admission were age, schizophrenia, other psychotic disorders, and no registered diagnosis. GAF scores at admission, patients’ diagnoses, and ward affiliation were able to significantly predict GAF at discharge. Specialized wards did not necessarily deliver the best treatment results in spite of their diagnostic specialization. This study provides support to the construct validity of the GAF when used as a measure of outcome.

scholarly journals Duration of untreated psychosis of first-episode psychotic disorders in Yogyakarta, Indonesia

2019 ◽  
Vol 7 (2) ◽  
pp. 61-64
Author(s):  
Carla R. Marchira ◽  
Irwan Supriyanto
Keyword(s):  
Psychotic Disorders ◽  
Rating Scale ◽  
First Episode ◽  
Medical Facility ◽  
Duration Of Untreated Psychosis ◽  
Global Assessment Of Functioning ◽  
Global Functioning ◽  
Syndrome Scale ◽  
Negative Syndrome ◽  
Gaf Scores

Introduction: Duration of untreated psychosis (DUP) is an important predictor for prognosis in first episode of psychotic disorders. Caregivers often seek help from alternative healers first and health professional later. These would delay proper treatments for the patients, resulting in more severe symptoms and lower functioning on their visit to medical facility. The present study aims to find the association between DUP, symptoms severity, and global functioning in patients with first-episode psychotic disorders. Methods: We identified 100 patients with first episode of psychotic disorders and their caregivers. The instruments used were Brief Psychotic Rating Scale (BPRS), Positive and Negative Syndrome Scale (PANSS), Premorbid Schizoid-Schizotypal Traits (PSST), and Global Assessment of Functioning (GAF). Results: There were no significant association between BPRS, PANSS, PSST, and GAF scores and DUP in our subjects. Nevertheless, we found that men had significantly longer DUP compared to women. Conclusion: We found significant association between sex and DUP in this study. Longer DUP leads to delayed treatments and poorer prognosis. Further study is required to confirm our finding.

Audit of Antipsychotic Prescribing in a Private Psychiatric Hospital

2004 ◽  
Vol 12 (3) ◽  
pp. 227-233
Author(s):  
Lev Botvinik ◽  
Chee Ng ◽  
Isaac Schweitzer
Keyword(s):  
Psychiatric Hospital ◽  
Psychotic Disorders ◽  
Psychiatric Inpatient ◽  
Prescribing Patterns ◽  
Psychotic Symptoms ◽  
Inpatient Setting ◽  
Antipsychotic Medications ◽  
Published Evidence ◽  
Utility Cost ◽  
And Control

Objectives: There exists a substantial and growing body of evidence suggesting that antipsychotic medications are efficacious in the treatment of many non-psychotic psychiatric disorders. Although indications for the use of antipsychotics (particularly the atypicals) remain relatively narrow in Australia, psychiatrists seem to be using them for an expanding range of disorders in a variety of clinical settings. This has raised issues of costeffectiveness and methods of funding of these medications. The present study aimed to quantify and describe the patterns of prescribing of antipsychotic medications in a large private psychiatric hospital. Another aim was to compare the findings with other published evidence, and consider the implications of antipsychotic use for current clinical practice in Australia. Methods: A retrospective review of the medical records of 100 consecutive patients admitted to a private psychiatric hospital was conducted. The data collected included demographic details, major psychiatric diagnoses, all medications prescribed during the admission and their doses and, in the case of antipsychotics, the target symptoms/conditions for which they were prescribed. Results: Fifty-nine per cent of inpatients received at least one dose of an antipsychotic during their admission. While all patients with psychotic illnesses were treated with antipsychotics, 57% of patients with primary mood disorders and 40% of patients with a primary anxiety disorder also received an antipsychotic. The most common indications for use of antipsychotics included the treatment of psychotic symptoms, augmentation of antidepressants, relief of anxiety symptoms and lessening of agitation, and control of difficult behaviours (including self-harm and aggression) associated with personality disorders. The most frequently used antipsychotic was olanzapine (22%), followed by chlorpromazine (20%), and quetiapine (14%). Eleven per cent of patients received a combination of two antipsychotics. Conclusions: Antipsychotic medications were widely used in a private psychiatric inpatient setting for the treatment of non-psychotic disorders. This finding parallels those from other Australian studies of psychotropic prescribing patterns. The issues of clinical utility, cost-effectiveness and benefits of funding of these medications for such wider indications require further study and evaluation.

Assessing Stressors Related to Migration in Patients With Psychiatric Disorders

2012 ◽  
Vol 28 (4) ◽  
pp. 262-269 ◽  
Author(s):  
Matthias Johannes Müller ◽  
Suzan Kamcili-Kubach ◽  
Songül Strassheim ◽  
Eckhardt Koch
Keyword(s):  
Interrater Reliability ◽  
Item Analysis ◽  
Global Assessment Of Functioning ◽  
Family Conflicts ◽  
Response Options ◽  
Reliability Indices ◽  
Dsm Iv ◽  
Functional Relevance ◽  
Sum Scores ◽  
Gaf Scores

A 10-item instrument for the assessment of probable migration-related stressors was developed based on previous work (MIGSTR10) and interrater reliability was tested in a chart review study. The MIGSTR10 and nine nonspecific stressors of the DSM-IV Axis IV (DSMSTR9) were put into a questionnaire format with categorical and dimensional response options. Charts of 100 inpatients (50 Turkish migrants [MIG], 50 native German patients [CON]) with affective or anxiety disorder were reviewed by three independent raters and MIGSTR10, DSMSTR9, and Global Assessment of Functioning scale (GAF) scores were obtained. Interrater reliability indices (ICC) of items and sum scores were calculated. The prevalence of single migration-related stressors in MIG ranged from 15% to 100% (CON 0–92%). All items of the MIGSTR10 (ICC 0.58–0.92) and the DSMSTR9 (ICC 0.56–0.96) reached high to very high interrater agreement (p < .0005). The item analysis of the MIGSTR10 revealed sufficient internal consistency (Cronbach’s α = 0.68/0.69) and only one item (“family conflicts”) without substantial correlation with the remaining scale. Correlation analyses showed a significant overlap of dimensional MIGSTR10 scores (r² = 0.25; p < .01) and DSMSTR9 scores (r² = 9%; p < .05) with GAF scores in MIG indicating functional relevance. MIGSTR10 is considered a feasible, economic, and reliable instrument for the assessment of stressors potentially related to migration.

Analisis Persepsi Korupsi Pajak Dan Iklim Organisasi Terhadap Kepatuhan Wajib Pajak Orang Pribadi Karyawan

2017 ◽  
Vol 4 (2) ◽  
pp. 169-180
Author(s):  
Arif Fajar Wibisono ◽  
Yudha Catur Kusuma N
Keyword(s):  
Organizational Climate ◽  
Tax Compliance ◽  
Quantitative Approach ◽  
Multiple Linear Regressions ◽  
Parametric Test ◽  
Tax Corruption ◽  
Linear Regressions

This study aims to determine whether perceptions of corruption and organizational climate affect the compliance of personal taxpayers. This explanatory study used quantitative approach of statistical parametric test and multiple linear regressions with questionnaire instrument. This study involved personal taxpayer in the area of KPP Pratama Kota Surakarta. The result of this study confirms that the perceptions of individual tax corruption and organizational climate affect the compliance of personal taxpayers. The better the organization’s climate in emphasizing tax compliance is, the higher the level of compliance personal taxpayers is. In addition, the higher the level of perception of a person’s corruption of the tax apparatus is severely punished then increasing the compliance of personal taxpayers’ increases.

scholarly journals Warranty Claim Quantity Forecasting via Multiple Linear Regressions

2021 ◽  
Vol 1962 (1) ◽  
pp. 012043
Author(s):  
N Haris ◽  
A K Junoh ◽  
W Z A Wan Muhamad
Keyword(s):  
Multiple Linear Regressions ◽  
Linear Regressions

An ensemble model for predicting therapeutic response to unfractionated heparin therapy (Preprint)

2021 ◽  
Author(s):  
Ahmad Abdel-Hafez ◽  
Ian A. Scott ◽  
Nazanin Falconer ◽  
Stephen Canaris ◽  
Oscar Bonilla ◽  
...  
Keyword(s):  
Unfractionated Heparin ◽  
Therapeutic Response ◽  
Characteristic Curve ◽  
External Validation ◽  
Heparin Therapy ◽  
Classification Model ◽  
Target Range ◽  
Inpatient Setting ◽  
Episodes Of Care ◽  
Multi Classification

BACKGROUND Unfractionated heparin (UFH), is an anticoagulant drug considered a high-risk medication in that an excessive dose can cause bleeding, while an insufficient dose can lead to a recurrent embolic event. Following initiation of intravenous (IV) UFH, the therapeutic response is monitored using a measure of blood clotting time known as the activated partial thromboplastin time (aPTT). Clinicians iteratively adjust the dose of UFH to a target aPTT range, with the usual therapeutic target range between 60 to 100 seconds. OBJECTIVE The aim of this study was to develop and validate a ML algorithm to predict, aPTT within 12 hours after a specified bolus and maintenance dose of UFH. METHODS This was a retrospective cohort study of 3273 episodes of care from January 2017 to August 2020 using data collected from electronic health records (EHR) of five hospitals in Queensland, Australia. Data from four hospitals were used to build and test ensemble models using cross validation, while the data from the fifth hospital was used for external validation. Modelling was performed using H2O Driverless AI® an automated ML tool, and 17 different experiments were conducted in an iterative process to optimise model accuracy. RESULTS In predicting aPTT, the best performing experiment produced an ensemble with 4x LightGBM models with a root mean square error (RMSE) of 31.35. This dataset was re-purposed as a multi-classification task (sub-therapeutic, therapeutic, and supra-therapeutic aPTT result) and achieved a 59.9% accuracy and area under the receiver operating characteristic curve (AUC) of 0.735. External validation yielded similar results: RMSE of 30.52 +/- 1.29 for the prediction model, and accuracy of 56.8% +/- 3.15 and AUC of 0.724 for the multi-classification model. CONCLUSIONS According to our knowledge, this is the first study of ML applied to IV UFH dosing that has been developed and externally validated in a multisite adult general medical inpatient setting. We present the processes of data collection, preparation, and feature engineering for purposes of replication.

MINAT CALON PEMILIK KARTU DEBIT DANAMON MANCHESTER UNITED DI YOGYAKARTA

2014 ◽  
Vol 9 (2) ◽  
pp. 113
Author(s):  
Septi Anggraeni
Keyword(s):  
Brand Image ◽  
Multiple Linear Regressions ◽  
Debit Card ◽  
Advertising Message ◽  
Analysis Methods ◽  
Linear Regressions

The purpose of this study is to understanding the influence product, advertising design, advertising color, advertising message, and brand image toward interest to Danamon’s Debit Card Manchester United advertising brochure at Yogyakarta. The data was gained by spreading 100 questionnaires to 100 respondents who has never had the Danamon’s Debit Card Manchester United. The analysis methods that used in this research is multiple linear regressions. Based on the result of multiple linear regressions, the results showed product, brochure design, brochure color, brochure message and brand image that influencing the having interest of Danamon’s Debit Card Manchester United at Yogyakarta Keywords: Product, Brochure design, Brochure color, Brochure message and Brand image

scholarly journals IMPROVING CUSTOMER LOYALTY THROUGH EXPERIENTAL VALUE, SERVICE QUALITY AND TRUST

2020 ◽  
Vol 1 (2) ◽  
pp. 117
Author(s):  
Rifki Arikah An Namla ◽  
Sukaris Sukaris ◽  
Budiyono Pristyadi ◽  
Al Kusani Al Kusani
Keyword(s):  
Service Quality ◽  
Customer Loyalty ◽  
Multiple Linear Regressions ◽  
Probability Sampling ◽  
Service Company ◽  
Sample Amount ◽  
Experiential Value ◽  
Linear Regressions

Customer with high loyalty are the assets of the company because they will provide positive recommendations and indirectly will invite people around to determine and use the product of the service company they use. This research aims to find out whether there is an effect of experiential value, service quality and trust on customer loyalty indihome in Gresik regency. Sampling is used Non Probability Sampling by using Ferdinand formula, where the sample amount is 100 people. The analysis used in this study is multiple linear regressions. The results are proven to show that experiential value, service quality and trust have a positive and significant effect on customer loyalty in Gresik regency

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