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Evidence from clinical samples suggests that environmental stressors such as those indicated on Axis IV are predictive of depression relapse. For example, social support problems were predictive of poor treatment outcomes—i.e., lack of full remission—in an outpatient sample being treated for depression (Ezquiaga et al., 1999).
1 lis 1991 · DSM-III axis IV, Severity of Psychosocial Stressors, has been a disappointment to many because of the apparently infrequent use of the axis in clinical and research settings. This report is a review of literature on the use, reliability, and validity of axis IV.
Psychosocial and environmental problems are associated with the prognosis of MDE and other Axis I disorders. Although DSM-IV's taxonomy of stressors stands to be improved, these results provide empirical support for the prognostic value of Axis IV.
1 lis 1991 · The revised axis IV according to DSM-IV seems to have concurrent validity, but is still hampered by limited reliability, while psychosocial stress and environmental problems were related to the presence of axis I disorders.
3 cze 2013 · Axis IV, one of the five dimensions of clinical description, has provided a way to report psychosocial and environmental problems that may affect the diagnosis, treatment, and/or prognosis of a psychiatric disorder.
Data of actual clinical prac-tice similarly show extremely low acceptance with psychiatrists using Axis IV less than 20% of the time, and often stressors were unaccompa-nied by severity ratings (Bassett and Beiser 1991).
20 lip 2019 · In subsequent versions of the DSM Axis IV (see Table 1), now labelled Psychosocial and Environmental Problems (in DSM-IV and DSM-IV-TR), rating scales for severity have been eliminated. Clinicians are no longer required to judge the potential impact of psychosocial stressors.
