J Korean Med Sci.  2009 May;24(Suppl 2):S338-S342. 10.3346/jkms.2009.24.S2.S338.

Developing Korean Academy of Medical Sciences Guideline for Rating the Impairment in Mental and Behavioral Disorders; A Comparative Study of KNPA's New Guidelines and AMA's 6th Guides

  • 1Department of Psychiatry, College of Medicine, Hallym University, Seoul, Korea.
  • 2Department of Psychiatry, College of Medicine, Hallym University, Anyang, Korea.
  • 3Department of Psychiatry, College of Medicine, Soonchunhyang University, Bucheon, Korea. hanyjung@schbc.ac.kr
  • 4Department of Neurosurgery, College of Medicine, Soonchunhyang University, Bucheon, Korea.
  • 5Department of Rehabilitation Medicine, College of Medicine, Inha University, Incheon, Korea.
  • 6Department of Neurology, College of Medicine Soonchunhyang University, Cheonan, Korea.
  • 7Department of Physical Medicine and Rehabilitation, School of Medicine, Ajou University, Suwon, Korea.
  • 8Department of Psychiatry, Seoul Metropolitan Children's Hospital, Seoul, Korea.


Quantifying and rating the impairments due to mental and behavior disorders are difficult for their own characteristics. Korean Academy of Medical Sciences (KAMS) is developing guidelines of rating impairment in mental and behavioral disorders based on Korean Neuropsychiatric Association (KNPA)'s new guidelines. We compared the new KNPA's guidelines and the American Medical Association (AMA)'s 6th Guides in assessing impairment due to mental and behavioral disorders to develop new guidelines of KAMS. Two guidelines are different in diagnosing system, applicable disorders, qualification of assessors, application of scales, contents of assessment and rate of impairment of the whole person. Both AMA's and the proposed guidelines have individual merits and characteristics. There is a limitation in using the 6th AMA's Guides in Korean situation. However to improve objectivity in Korean assessment of psychiatric impairment, the new AMA's Guides can serve as a good reference.


Disability Evaluation; Mental Disorders; Behavioral Symptoms
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