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The reliability and validity of the proposed axis V (disabilities) of ICD-10
1Department of Psychiatry and Behavioural Sciences, UAE University, Al Ain, United Arab Emirates.
Background:
The purpose of this study was to examine the reliability and validity of the newly proposed axis V (disabilities) of ICD-10.
Method:
Eighty-six acutely ill men and women were prospectively recruited from the Al Ain psychiatric units, UAE. Both versions of ICD-10, the Clinical Descriptions and Diagnostic Guidelines and the Diagnostic Criteria for Research (DCR) were used for coding axis I psychiatric diagnosis and its grade of severity; the WHO Disability Assessment Schedule was used to assess disabilities.
Results:
Inter-rater reliability of the DAS items ranged from moderate to good, and axis V ratings correctly predicted 84% of the observed classification on axis I.
Conclusion:
Axis V is a valid measure of disabilities, but is limited by its modest reliability.