Validation of the Clinical Global Impression—Corrections Scale (CGI-C) by Equipercentile Linking to the BPRS-E

Background: The Clinical Global Impression—Corrections (CGI-C) is an adaptation of the severity scale of the Clinical Global Impression for use in correctional facilities. Although it has been shown to have good inter-rater reliability, there have been no validation studies of this instrument.Method...

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Main Authors: Roland M. Jones, Cory Gerritsen, Margaret Maheandiran, Alexander I. F. Simpson
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-03-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fpsyt.2020.00180/full
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author Roland M. Jones
Cory Gerritsen
Margaret Maheandiran
Alexander I. F. Simpson
author_facet Roland M. Jones
Cory Gerritsen
Margaret Maheandiran
Alexander I. F. Simpson
author_sort Roland M. Jones
collection DOAJ
description Background: The Clinical Global Impression—Corrections (CGI-C) is an adaptation of the severity scale of the Clinical Global Impression for use in correctional facilities. Although it has been shown to have good inter-rater reliability, there have been no validation studies of this instrument.Method: We analyzed data from 726 initial assessments of persons detained in two correctional facilities and compared clinician's ratings for the CGI-C and modified Brief Psychiatric Rating Scale-Expanded (BPRS-E). We used equipercentile linkage and Spearman correlations to investigate concordance in the total sample, by diagnostic groups, and by gender.Results: We found that the CGI-C scores and BPRS-E scores among persons in remand settings were significantly correlated (ρ = 0.51, p < 0.001) and that correlations were the same for men and women. We found that points of equivalence can be reliably found between the two scales using equipercentile linkage, and that those with psychotic disorders had lower BPRS-E scores than those with mood/anxiety/situational stress for equivalent CGI-C scores.Conclusion: Overall, CGI-C ratings correspond well to BPRS-E ratings for both men and women remand prisoners across diagnoses, and the CGI-C appears to be a valid tool for the assessment of severity of symptoms in this setting.
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spelling doaj.art-0b2ff95f5a6d4e45b768fac45aded04d2022-12-21T19:51:58ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402020-03-011110.3389/fpsyt.2020.00180525521Validation of the Clinical Global Impression—Corrections Scale (CGI-C) by Equipercentile Linking to the BPRS-ERoland M. JonesCory GerritsenMargaret MaheandiranAlexander I. F. SimpsonBackground: The Clinical Global Impression—Corrections (CGI-C) is an adaptation of the severity scale of the Clinical Global Impression for use in correctional facilities. Although it has been shown to have good inter-rater reliability, there have been no validation studies of this instrument.Method: We analyzed data from 726 initial assessments of persons detained in two correctional facilities and compared clinician's ratings for the CGI-C and modified Brief Psychiatric Rating Scale-Expanded (BPRS-E). We used equipercentile linkage and Spearman correlations to investigate concordance in the total sample, by diagnostic groups, and by gender.Results: We found that the CGI-C scores and BPRS-E scores among persons in remand settings were significantly correlated (ρ = 0.51, p < 0.001) and that correlations were the same for men and women. We found that points of equivalence can be reliably found between the two scales using equipercentile linkage, and that those with psychotic disorders had lower BPRS-E scores than those with mood/anxiety/situational stress for equivalent CGI-C scores.Conclusion: Overall, CGI-C ratings correspond well to BPRS-E ratings for both men and women remand prisoners across diagnoses, and the CGI-C appears to be a valid tool for the assessment of severity of symptoms in this setting.https://www.frontiersin.org/article/10.3389/fpsyt.2020.00180/fullCGI-CBPRS-Ecorrectional psychiatryprisonmental healthassessment
spellingShingle Roland M. Jones
Cory Gerritsen
Margaret Maheandiran
Alexander I. F. Simpson
Validation of the Clinical Global Impression—Corrections Scale (CGI-C) by Equipercentile Linking to the BPRS-E
Frontiers in Psychiatry
CGI-C
BPRS-E
correctional psychiatry
prison
mental health
assessment
title Validation of the Clinical Global Impression—Corrections Scale (CGI-C) by Equipercentile Linking to the BPRS-E
title_full Validation of the Clinical Global Impression—Corrections Scale (CGI-C) by Equipercentile Linking to the BPRS-E
title_fullStr Validation of the Clinical Global Impression—Corrections Scale (CGI-C) by Equipercentile Linking to the BPRS-E
title_full_unstemmed Validation of the Clinical Global Impression—Corrections Scale (CGI-C) by Equipercentile Linking to the BPRS-E
title_short Validation of the Clinical Global Impression—Corrections Scale (CGI-C) by Equipercentile Linking to the BPRS-E
title_sort validation of the clinical global impression corrections scale cgi c by equipercentile linking to the bprs e
topic CGI-C
BPRS-E
correctional psychiatry
prison
mental health
assessment
url https://www.frontiersin.org/article/10.3389/fpsyt.2020.00180/full
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