In the Global Assessment of Functioning (GAF) scale, a score of 45 corresponds to:
- A Serious symptoms or serious impairment in social, occupational or school functioning ✓
- B Some difficulty in social or occupational functioning but generally functioning well
- C Superior functioning in a wide range of activities
- D Persistent inability to maintain minimal personal hygiene with danger of hurting self or others
Correct answer: A. Serious symptoms or serious impairment in social, occupational or school functioning
Explanation
The GAF runs from 0 to 100 and combines symptom severity and functional impairment into a single rating. Scores of 91 to 100 denote superior functioning, 61 to 70 some mild difficulties, while 41 to 50 describe serious symptoms or serious impairment in functioning, such as inability to hold a job despite adequate hygiene. Option D corresponds to scores of 1 to 10, the extreme lower end of the scale.
Reference: Kaplan and Sadock's Synopsis of Psychiatry, 12th ed.
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