PMID- 8994279 OWN - NLM STAT- MEDLINE DCOM- 19970409 LR - 20180217 IS - 0254-4962 (Print) IS - 0254-4962 (Linking) VI - 29 IP - 6 DP - 1996 Nov-Dec TI - The multiaxial system of ICD-10: evaluation of a preliminary draft in a multicentric field trial. PG - 347-56 AB - The multiaxial system (MAS) of ICD-10, chapter V (F) consists of three axes: axis I, clinical syndromes (psychiatric disorders including personality disorders and somatic diseases); axis II, disabilities; axis III, environmental/circumstantial and personal life-style/life management factors. Results of a multicentric field trial evaluating a preliminary draft of the MAS are presented. 45 raters in seven German centers made 488 ratings on 12 written case histories. With a mean kappa of 0.50 for 3-character diagnoses interrater reliability for axis I was moderate although lower than expected from previous field trials. On axis II the WHO Disability Diagnostic Scale (WHO-DDS) was compared to the Global Assessment of Functioning (GAF) used in DSM-III-R and DSM-IV. For both scales the intraclass correlation coefficient showed a moderate interrater reliability (WHO-DDS = 0.62; GAF = 0.65). On axis III the number of relevant psychosocial circumstances coded by the different raters varied greatly. Interrater reliability was very poor with kappa values ranging from 0.03 to 0.55 for the different categories and an overall kappa of 0.16. FAU - Michels, R AU - Michels R AD - Department of Psychiatry and Psychotherapy, Medizinische Universitat zu Lubeck, Germany. FAU - Siebel, U AU - Siebel U FAU - Freyberger, H J AU - Freyberger HJ FAU - Stieglitz, R D AU - Stieglitz RD FAU - Schaub, R T AU - Schaub RT FAU - Dilling, H AU - Dilling H LA - eng PT - Journal Article PT - Multicenter Study PL - Switzerland TA - Psychopathology JT - Psychopathology JID - 8401537 SB - IM MH - Adult MH - Disability Evaluation MH - Female MH - Humans MH - Life Style MH - Male MH - Mental Disorders/classification/*diagnosis/psychology MH - Middle Aged MH - Psychiatric Status Rating Scales/*statistics & numerical data MH - Psychometrics MH - Reproducibility of Results MH - Social Adjustment EDAT- 1996/11/01 00:00 MHDA- 1996/11/01 00:01 CRDT- 1996/11/01 00:00 PHST- 1996/11/01 00:00 [pubmed] PHST- 1996/11/01 00:01 [medline] PHST- 1996/11/01 00:00 [entrez] AID - 10.1159/000285017 [doi] PST - ppublish SO - Psychopathology. 1996 Nov-Dec;29(6):347-56. doi: 10.1159/000285017.