Document Detail

Evaluation of the multiaxial system of ICD-10 (preliminary praft): correlations between multiaxial assessment and clinical judgements of aetiology, treatment indication and prognosis.
MedLine Citation:
PMID:  11244377     Owner:  NLM     Status:  MEDLINE    
Forty-five raters in 7 German centres took part in a multicentric field trial of the multiaxial system of ICD-10, delivering a total of 488 multiaxial assessments of 12 written case summaries. In addition to the multi-axial ratings (including main and subsidiary psychiatry diagnoses, level of social dysfunctioning and psychosocial stressors), assessments were made by the raters of the aetiology, treatment indications and prognosis of the main psychiatric disorder. There were significant correlations between these judgements and the measures of the multiaxial ratings: 62% of the cases diagnosed as endogenous were assessed as having a high level of social dysfunctioning (the proportion for all cases being 50.4%) and 63.4% as having a low number of stressors (vs. 52.8% in all cases). In contrast, cases diagnosed as reactive were assessed as having a lower level of social dysfunctioning and more social stressors. Cases whose prognosis was poor showed a higher rate of comorbidity and a high level of social dysfunctioning. The results demonstrate that the multiaxial approach reflects factors important to the process of clinical treatment and decision making and delivers preliminary evidence of this system's treatment and prognostic validity.
R Michels; U Siebel; H J Freyberger; H Schönell; H Dilling
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Multicenter Study    
Journal Detail:
Title:  Psychopathology     Volume:  34     ISSN:  0254-4962     ISO Abbreviation:  Psychopathology     Publication Date:    2001 Mar-Apr
Date Detail:
Created Date:  2001-03-13     Completed Date:  2001-06-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8401537     Medline TA:  Psychopathology     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  69-74     Citation Subset:  IM    
Copyright Information:
Copyright 2001 S. Karger AG, Basel
Department of Psychiatry and Psychotherapy, WHO Reference Centre for Research and Training in Mental Health, Medizinische Universität zu Lübeck, Lübeck, Germany.
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MeSH Terms
Diagnosis, Differential
Life Change Events
Mental Disorders* / diagnosis,  etiology,  therapy
Middle Aged
Psychiatric Status Rating Scales*

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