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Toward construct validity for DSM-III Axis V.

A E Skodol1, B G Link, P E Shrout

  • 1Columbia University College of Physicians and Surgeons, New York, NY.

Psychiatry Research
|April 1, 1988
PubMed
Summary
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This study validates the Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III) Axis V ratings using independent functioning assessments. Occupational factors were found to be the primary determinants of these ratings.

Area of Science:

  • Psychiatry
  • Psychological Assessment
  • Mental Health Research

Background:

  • The construct validity of Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III) Axis V ratings, which assess overall adaptive functioning, has been questioned.
  • Previous research has not sufficiently examined the relationship between Axis V ratings and independent measures of social and occupational functioning across diverse clinical settings.

Purpose of the Study:

  • To investigate the construct validity of DSM-III Axis V ratings by comparing them with independent assessments of adaptive functioning.
  • To determine the influence of social and occupational variables on DSM-III Axis V ratings.

Main Methods:

  • Three hundred and sixty-two patients underwent supervised multiaxial assessments.
  • Patients were subsequently reinterviewed using the Psychiatric Epidemiology Research Interview to measure social and occupational functioning.

Related Experiment Videos

  • A subsample of 154 patients received a second independent interview focusing on social network characteristics.
  • Main Results:

    • DSM-III Axis V ratings showed predictable differences across diagnostic and demographic groups.
    • Both social and occupational variables influenced Axis V ratings, with occupational factors demonstrating a predominant effect.
    • The findings support the validity of Axis V ratings as a measure of adaptive functioning.

    Conclusions:

    • The study provides evidence for the construct validity of DSM-III Axis V ratings.
    • Occupational functioning is a key determinant of adaptive functioning ratings.
    • Findings have implications for refining assessment methods and future revisions of Axis V in diagnostic manuals.