Skodol A E, Shrout P E
Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY.
Am J Psychiatry. 1989 Jan;146(1):61-6. doi: 10.1176/ajp.146.1.61.
This study compared the etiologically significant stressors listed on DSM-III axis IV (severity of psychosocial stressors) with life events elicited by the Psychiatric Epidemiology Research Interview (PERI). Multiaxial evaluations of a diagnostically heterogeneous group of 362 patients were made, and all patients were subsequently administered the PERI by interviewers blind to the clinical assessments. The results indicated that axis IV functions well as a shorthand method for identifying the more severe psychosocial stressors. However, the DSM-III requirement that the stressor be important in the development or exacerbation of the current disorder resulted in discrepancies between the axis IV and PERI assessments.
本研究将《精神疾病诊断与统计手册》第三版轴IV（心理社会应激源的严重程度）中列出的具有病因学意义的应激源与由精神疾病流行病学研究访谈（PERI）引发的生活事件进行了比较。对362名诊断异质性患者进行了多轴评估，随后所有患者由对临床评估不知情的访谈者进行PERI访谈。结果表明，轴IV作为识别更严重心理社会应激源的一种简便方法效果良好。然而，《精神疾病诊断与统计手册》第三版要求应激源在当前疾病的发生或加重中起重要作用，这导致了轴IV与PERI评估之间的差异。
