Skodol A E, Link B G, Shrout P E, Horwath E
Department of Psychiatry, School of Public Health, Columbia University College of Physicians and Surgeons, New York, NY.
Am J Psychiatry. 1988 Jul;145(7):825-9. doi: 10.1176/ajp.145.7.825.
The authors studied the relationship of psychological symptoms to clinicians' ratings on DSM-III's axis V. A total of 355 patients received multiaxial assessments and were reinterviewed under blind conditions with the Psychiatric Epidemiology Research Interview, which contains scales to measure aspects of social and occupational functioning and various symptom dimensions. The majority of symptom scales were correlated significantly with axis V ratings. Axis I diagnosis explained 19.0% of the variance in axis V; demographics, 6.5%; and symptoms, 7%. Symptoms had a larger effect, in terms of explained variance, than adaptive functioning variables and tended to detract from the latter's significance. These results have implications for axis V in DSM-III-R and for planning DSM-IV.
作者研究了心理症状与临床医生对《精神疾病诊断与统计手册》第三版（DSM - III）轴V的评分之间的关系。共有355名患者接受了多轴评估，并在盲态条件下接受了精神疾病流行病学研究访谈的再次访谈，该访谈包含测量社会和职业功能方面以及各种症状维度的量表。大多数症状量表与轴V评分显著相关。轴I诊断解释了轴V中19.0%的方差；人口统计学因素解释了6.5%；症状解释了7%。就解释的方差而言，症状比适应性功能变量的影响更大，并且往往会削弱后者的显著性。这些结果对《精神疾病诊断与统计手册》第三版修订版（DSM - III - R）中的轴V以及《精神疾病诊断与统计手册》第四版（DSM - IV）的规划具有启示意义。
