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A Two-Year Follow-Up Study and Prospective Evaluation of the DSM-IV Axis V
Journal article   Peer reviewed

A Two-Year Follow-Up Study and Prospective Evaluation of the DSM-IV Axis V

P Hay, Mary Katsikitis, J Begg, J Da Costa and N Blumenfeld
Psychiatric Services, Vol.54(7), pp.1028-1030
2003
url
https://doi.org/10.1176/appi.ps.54.7.1028View
Published Version

Abstract

Public Health and Health Services
A six-month cohort of general adult psychiatric inpatients was followed for up to two years to evaluate outcome and contrast the validity of DSM-IV measures of adaptive functioning-the Global Assessment of Functioning (GAF), the Social and Occupational Functioning Assessment Scale (SOFAS), and the Global Assessment of Relational Functioning Scale (GARF). Detailed data, including quality-of-life ratings and DSM-IV axis I and V codes, were collected by interview and self-report questionnaires for 53 study participants. Patients' retrospective ratings of the care they received were not predictive of outcome. Adaptive functioning at discharge was predictive of both severity of illness and social functioning at follow-up. The SOFAS had the strongest concurrent and predictive validity, the latter both for length of initial inpatient stay and two-year outcome.

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Health Policy & Services
Psychiatry
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