Daradkeh T K, Saad A
Department of Psychiatry and Behavioural Sciences, UAE University, Al Ain, United Arab Emirates.
Br J Psychiatry. 1994 Nov;165(5):683-5. doi: 10.1192/bjp.165.5.683.
The purpose of this study was to examine the reliability and validity of the newly proposed axis V (disabilities) of ICD-10.
Eighty-six acutely ill men and women were prospectively recruited from the Al Ain psychiatric units, UAE. Both versions of ICD-10, the Clinical Descriptions and Diagnostic Guidelines and the Diagnostic Criteria for Research (DCR) were used for coding axis I psychiatric diagnosis and its grade of severity; the WHO Disability Assessment Schedule was used to assess disabilities.
Inter-rater reliability of the DAS items ranged from moderate to good, and axis V ratings correctly predicted 84% of the observed classification on axis I.
Axis V is a valid measure of disabilities, but is limited by its modest reliability.
本研究的目的是检验新提出的国际疾病分类第十版（ICD - 10）轴V（残疾）的可靠性和有效性。
从阿联酋艾因的精神科病房前瞻性招募了86名急性病患者，男女皆有。使用ICD - 10的两个版本，即《临床描述与诊断指南》和《研究用诊断标准》（DCR）对轴I精神疾病诊断及其严重程度等级进行编码；使用世界卫生组织残疾评定量表评估残疾情况。
残疾评定量表（DAS）项目的评定者间信度从中度到良好不等，轴V评分正确预测了轴I上84%的观察分类。
轴V是残疾情况的有效测量指标，但受其适度可靠性的限制。
