PMID- 20942367 OWN - NLM STAT- MEDLINE DCOM- 20101124 LR - 20220330 IS - 0035-6484 (Print) IS - 0035-6484 (Linking) VI - 45 IP - 4 DP - 2010 Jul-Aug TI - [Kennedy V Axis assessment in an Italian outpatient and inpatient population]. PG - 214-20 AB - INTRODUCTION: Kennedy Axis V or K Axis acts is an alternative tool to the DSM-IVTR Global Assessment of Functioning (GAF) Scale, that many researchers describe as a scale with poor inter-rater reliability and clinical utility. Unlike the GAF scale, K Axis provides a multidimensional and multiaxial approach to measure personal, social and interpersonal functioning in psychiatric outpatients and inpatients. In this study, we examined K Axis's inter-raters reliability by using it with an Italian clinical population. METHODS: Clinicians used Kennedy Axis V to assess global functioning among 180 inpatients, in 9 psychiatric services in Lombardia and Piemonte. Patients were divided into 4 different diagnostic groups, according to the DSM-IV-TR criteria. RESULTS: Intraclass correlations between two independent raters's scores reveal high level of interrater reliability for all K Axis scales (0,633 < ICC < 0,813). Highly significant results in the Kruskal-Wallis test demonstrate that the patient diagnosis influence all the scales scores. Significant differences in patients functioning profiles in all K Axis scales, apart from Violence one, were noted between different diagnosis groups. CONCLUSIONS: In this study high level of raters agreement was noted, even if K Axis scales were used in different mental health services from different clinicians. K Axis scales provide a useful profile of patient global functioning, in line with the specific pathology. FAU - Mundo, Emanuela AU - Mundo E AD - Scuola di Specializzazione in Psicologia Clinica, Facolta di Psicologia I, Sapienza Universita di Roma. FAU - Bonalume, Laura AU - Bonalume L FAU - Del Corno, Franco AU - Del Corno F FAU - Madeddu, Fabio AU - Madeddu F FAU - Lang, Margherita AU - Lang M LA - ita PT - English Abstract PT - Journal Article PT - Multicenter Study TT - L'applicazione dell'Asse V di Kennedy a un campione clinico italiano. PL - Italy TA - Riv Psichiatr JT - Rivista di psichiatria JID - 0425672 SB - IM MH - Adult MH - Aged MH - Female MH - Humans MH - *Inpatients MH - Italy MH - Male MH - Mental Disorders/*diagnosis/*psychology MH - Middle Aged MH - *Outpatients MH - Psychiatric Status Rating Scales MH - Psychometrics MH - Severity of Illness Index EDAT- 2010/10/15 06:00 MHDA- 2010/12/14 06:00 CRDT- 2010/10/15 06:00 PHST- 2010/10/15 06:00 [entrez] PHST- 2010/10/15 06:00 [pubmed] PHST- 2010/12/14 06:00 [medline] PST - ppublish SO - Riv Psichiatr. 2010 Jul-Aug;45(4):214-20.