PMID- 23627600
OWN - NLM
STAT- MEDLINE
DCOM- 20140714
LR  - 20131008
IS  - 1365-2850 (Electronic)
IS  - 1351-0126 (Linking)
VI  - 20
IP  - 9
DP  - 2013 Nov
TI  - Axis IV--psychosocial and environmental problems--in the DSM-IV.
PG  - 768-75
LID - 10.1111/jpm.12009 [doi]
AB  - The aim of this study was to further explore the properties of axis IV in the 
      Diagnostic and statistical manual of mental disorders, 4th edition (DSM-IV). In a 
      naturalistic cross-sectional design, a group (n = 163) of young (18-25 years old) 
      Swedish psychiatric outpatients was assessed according to DSM-IV. Psychosocial 
      and environmental problems/axis IV were evaluated through structured interviewing 
      by a social worker and by self-assessment on a questionnaire. Reliability between 
      professional assessment and self-assessment of axis IV was examined. Concurrent 
      validity of axis IV was also examined. Reliability between professional and 
      self-assessed axis IV was fair to almost perfect, 0.31-0.83, according to 
      prevalence and bias-adjusted kappa. Categories of psychosocial stress and 
      environmental problems were related to the presence of axis I disorders, 
      co-morbidity, personality disorders and decreasing Global Assessment of 
      Functioning (GAF) values. The revised axis IV according to DSM-IV seems to have 
      concurrent validity, but is still hampered by limited reliability.
CI  - (c) 2013 John Wiley & Sons Ltd.
FAU - Ramirez, A
AU  - Ramirez A
AD  - Department of Neuroscience, Psychiatry, Uppsala University Hospital, Uppsala, 
      Sweden.
FAU - Ekselius, L
AU  - Ekselius L
FAU - Ramklint, M
AU  - Ramklint M
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20130429
PL  - England
TA  - J Psychiatr Ment Health Nurs
JT  - Journal of psychiatric and mental health nursing
JID - 9439514
MH  - Adolescent
MH  - Adult
MH  - Cross-Sectional Studies
MH  - *Diagnostic and Statistical Manual of Mental Disorders
MH  - Female
MH  - Humans
MH  - Male
MH  - Mental Disorders/*diagnosis/psychology
MH  - Psychiatric Status Rating Scales
MH  - Reproducibility of Results
MH  - Self-Assessment
MH  - *Social Environment
MH  - Stress, Psychological/*diagnosis/etiology/psychology
MH  - Sweden
MH  - Young Adult
OTO - NOTNLM
OT  - DSM-IV
OT  - assessment
OT  - axis IV
OT  - concurrent validity
OT  - psychosocial stress
OT  - young adults
EDAT- 2013/05/01 06:00
MHDA- 2014/07/16 06:00
CRDT- 2013/05/01 06:00
PHST- 2012/09/14 00:00 [accepted]
PHST- 2013/05/01 06:00 [entrez]
PHST- 2013/05/01 06:00 [pubmed]
PHST- 2014/07/16 06:00 [medline]
AID - 10.1111/jpm.12009 [doi]
PST - ppublish
SO  - J Psychiatr Ment Health Nurs. 2013 Nov;20(9):768-75. doi: 10.1111/jpm.12009. Epub 
      2013 Apr 29.