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Letters   |    
Axis V: Essential Supplement to the DSM-5: In Reply
William E. Narrow, M.D., M.P.H.; Darrel A. Regier, M.D., M.P.H.
Psychiatric Services 2013; doi: 10.1176/appi.ps.6401006
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The authors are with the Division of Research, American Psychiatric Association, Arlington, Virginia.

Copyright © 2013 by the American Psychiatric Association

Extract

In Reply: Dr. Kennedy and Dr. Aas bemoan the loss of axis V in DSM-5, stating that its “genius . . . has been its focus on global measures of functioning within diagnoses and across all diagnoses to assess outcome of treatment.” They list certain instruments, including the GAF, the Mental Illness, Research, Education and Clinical Center GAF (MIRECC GAF), the Social and Occupational Functioning Assessment Scale, and the Kennedy Axis V, all with similar anchor points, rating instructions, and scoring continua, as preferable to those offered in Section III of DSM-5. We believe that they overstate the advantages of clinician-rated global scales and minimize the advantages of the DSM-5 measures.

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References

Vatnaland  T;  Vatnaland  J;  Friis  S  et al:  Are GAF scores reliable in routine clinical use? Acta Psychiatrica Scandinavica 115:326–330, 2007
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Narrow  WE;  Clarke  DE;  Kuramoto  SJ  et al:  DSM-5 field trials in the United States and Canada, Part III: development and reliability testing of a cross-cutting symptom assessment for DSM-5.  American Journal of Psychiatry 170:71–82, 2013
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Ustün  TB;  Chatterji  S;  Kostanjsek  N  et al: WHO/NIH Joint Project:  Developing the World Health Organization Disability Assessment Schedule 2.0.  Bulletin of the World Health Organization 88:815–823, 2010
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