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An integration of the DSM‐III and ICD‐8 by global severity assessments for measuring multidimensional outcomes in general hospital psychiatry
Author(s) -
Bech P.,
Hjortsø S.,
Lund K.,
Vilmar T.,
Kastrup M.
Publication year - 1987
Publication title -
acta psychiatrica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.849
H-Index - 146
eISSN - 1600-0447
pISSN - 0001-690X
DOI - 10.1111/j.1600-0447.1987.tb02792.x
Subject(s) - psychosis , psychosocial , psychiatry , psychology , neurosis , psychopathology , nosology , bipolar disorder , schizophrenia (object oriented programming) , icd 10 , clinical psychology , stressor , mood
— A multiaxial classification system has been developed in which three ICD‐8 derived axes of psychiatric syndromes, personality disorders and somatic syndromes, and two DSM‐III axes of psychosocial stressors and social functioning have been included. Global assessment scales were annexed the three ICD‐8 axes. This DSM‐III/ICD‐8 system was used for registration of 880 consequetively admitted psychiatric patients in a general hospital setting. The results showed that six psychiatric syndromes (substance use disorders, schizophrenia, manic‐depressive psychosis, reactive psychosis, neurosis, and adjustment reactions) were responsible for 80% of the diagnostic variance. Of these syndromes, manic‐depressive psychosis had the highest improvement rate both concerning symptoms and social functioning. Manic‐depressive psychosis had also the lowest coefficient of variation in the stay in hospital indicating a high degree of homogeneity in accordance to the diagnose‐related group system. However, patients within the categories of reactive psychosis and neurosis who antidepressants also had a low coefficient of variation, although the neurotics were significantly more depressed than the manic‐depressives at discharge from hospital.