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Effect of symptoms on the assessment of social functioning: comparison between Axis V of DSM III-R and the Psychosocial Aptitude Rating Scale

Published online by Cambridge University Press:  16 April 2020

P Robert ,
V Aubin ,
M Dumarcet ,
T Braccini ,
E Souêtre  and
G Darcourt
P Robert
Affiliation:
Clinique de Psychiatrie et de Psychologie Médicale, Hôpital Pasteur, BP 69, 06002, Nice Cedex, France
V Aubin
Affiliation:
Clinique de Psychiatrie et de Psychologie Médicale, Hôpital Pasteur, BP 69, 06002, Nice Cedex, France
M Dumarcet
Affiliation:
Clinique de Psychiatrie et de Psychologie Médicale, Hôpital Pasteur, BP 69, 06002, Nice Cedex, France
T Braccini
Affiliation:
Clinique de Psychiatrie et de Psychologie Médicale, Hôpital Pasteur, BP 69, 06002, Nice Cedex, France
E Souêtre
Affiliation:
Clinique de Psychiatrie et de Psychologie Médicale, Hôpital Pasteur, BP 69, 06002, Nice Cedex, France
G Darcourt
Affiliation:
Clinique de Psychiatrie et de Psychologie Médicale, Hôpital Pasteur, BP 69, 06002, Nice Cedex, France
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Summary

The aim of this study was to investigate relationships and differences between 2 scales assessing subject’s adaptative functioning. On the one hand, Axis V in the revised version of the Third Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM III-R) includes specific symptoms for each level of functioning described. On the other hand, the Psychosocial Aptitude Rating Scale (PARS) does not include clinical symptoms. A total of 78 psychiatric inpatients were rated independently with the 2 scales. The 2 ratings were correlated for the whole sample and for each diagnostic category. Diagnosis (Axis 1) explained 63.9% of the variance in the Global Assessment Functioning (GAF) Scale (Axis V) and only 23.8% in the Psychosocial Aptitude Rating Scale (PARS). Axis V is then made redundant by Axis 1 which is contrary to the aim of a multi-axial system. PARS describes aspects of the disorder that are distinct from clinical symptoms. These occupational and social aspects may be of great interest for a better overall evaluation of severity of mental disorders.

Keywords

adaptative behaviorAxis VPsychosocial Aptitude Rating Scale
Type
Original article
Information
European Psychiatry , Volume 6 , Issue 2 , 1991 , pp. 67 - 71
Copyright
Copyright © Elsevier, Paris 1991

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