Development of brief measures of psychosocial adjustment to medical illness applied to cancer patients

Gary R. Morrow, Michael Feldstein, Leta M. Adler, Leonard R. Derogatis, Allen J. Enelow, Christopher Gates, Jimmie Holland, Nick Melisaratos, Benjamin J. Murawski, Doris Penman, Arthur Schmale, Madeline Schmitt, Ikla Morse

Research output: Contribution to journalArticle


The interrater reliability and validity of brief interview rated measures of psychosocial adjustment were examined in four sequential studies. A total of 25 videotaped interviews with cancer patients were rated by 105 social workers, nurses, physicians, and specialists in psychosocial oncology. The Rating of Psychosocial Function (RPF), Coping Adequacy Rating (CAR), and Global Adjustment to Illness Scale (GAIS) were used by various rating groups with an indication of interrater agreement. Agreement on ratings was not influenced by the length of interview (15 vs. 30 minutes) but appeared to be affected by the structure of the interview and profession of the raters. All three instruments showed a measure of matching with clinical impressions in addition to demonstrating a measure of both convergent and divergent construct validation. The GAIS was chosen as most adequately reflecting their clinical impression by a majority of raters. With a degree of training, any of the three instruments could be used to assess psychosocial adjustment with some measure of confidence in the validity of the rating.

Original languageEnglish (US)
Pages (from-to)79-88
Number of pages10
JournalGeneral Hospital Psychiatry
Issue number2
StatePublished - Jun 1981


ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Morrow, G. R., Feldstein, M., Adler, L. M., Derogatis, L. R., Enelow, A. J., Gates, C., Holland, J., Melisaratos, N., Murawski, B. J., Penman, D., Schmale, A., Schmitt, M., & Morse, I. (1981). Development of brief measures of psychosocial adjustment to medical illness applied to cancer patients. General Hospital Psychiatry, 3(2), 79-88.