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Letters   |    
Axis V: Essential Supplement to the DSM-5
James A. Kennedy, M.D.; I. H. Monrad Aas, Ph.D.
Psychiatric Services 2013; doi: 10.1176/appi.ps.640901
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Dr. Kennedy is the owner of KennedyMD Consulting, Shrewsbury, Massachusetts. Dr. Aas is with the Research Unit, Division of Mental Health and Addiction, Vestfold Hospital Trust, Tönsberg, Norway.

Copyright © 2013 by the American Psychiatric Association


To the Editor: DSM-5 (1) eliminates axis V, which we think is a mistake. Despite the inclusion of about 50 measures of impairment severity, none is able to generate standardized global scores both within and across diagnoses. We recommend that clinicians and administrators continue to use axis V and related measures as a supplement to the DSM-5.

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 Diagnostic and Statistical Manual of Mental Disorders, 5th edition .  Arlington, Va,  American Psychiatric Publishing, 2013
Aas  IHM:  Global Assessment of Functioning (GAF): properties and frontier of current knowledge.  Annals of General Psychiatry 9:20, 2010
[CrossRef] | [PubMed]
Kennedy  JA:  Mastering the Kennedy Axis V: A New Psychiatric Assessment of Patient Functioning .  Washington, DC,  American Psychiatric Publishing, 2003
Goldman  HH;  Skodol  AE;  Lave  TR:  Revising axis V for DSM-IV: a review of measures of social functioning.  American Journal of Psychiatry 149:1148–1156, 1992
Niv  N;  Cohen  AN;  Sullivan  G  et al:  The MIRECC version of the Global Assessment of Functioning scale: reliability and validity.  Psychiatric Services 58:529–535, 2007
[CrossRef] | [PubMed]
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