Rey J M, Stewart G W, Plapp J M, Bashir M R, Richards I N
Rivendell Adolescent Unit, Royal Prince Alfred Hospital, Concord, N.S.W., Australia.
Am J Psychiatry. 1988 Mar;145(3):286-92. doi: 10.1176/ajp.145.3.286.
Clinicians have traditionally inquired about stressful life events preceding the onset of a psychiatric disorder. Axis IV of DSM-III attempted to improve on this by suggesting that a wide range of events be considered and that the information obtained be integrated into a global rating of severity. After reviewing recent evidence, the authors suggest that this process might result in ratings with lower reliability than expected. They also discuss some of the methodological difficulties in this field and explore directions for further research.
传统上，临床医生会询问精神疾病发作之前的生活应激事件。《精神疾病诊断与统计手册》第三版的第四轴试图对此进行改进，建议考虑广泛的事件，并将所获得的信息整合为一个总体严重程度评分。在回顾了近期的证据后，作者们认为这一过程可能会导致评分的可靠性低于预期。他们还讨论了该领域的一些方法学难题，并探索了进一步研究的方向。
