This clinically based retrospective study compares the DSM-III multiaxial characteristics of psychiatric inpatient and outpatient treatment-seekers with those of workmen's compensation and disability payment-seekers. It shows that 1. the groups were significantly different in their DSM-III multiaxial characteristics; 2. multiaxial diagnoses statistically predicted clinical psychiatrists' estimations of disability applicants prognosis for work; and 3. payment-seekers were more likely titan treatment-seekers to have Axis II personality disorders in addition to their Axis I diagnoses.
References
1.
MezzichJ.E., EvanszuckK.J., MathiasR.J.Admission decisions and multiaxial diagnosis.Arch Gen Psychiatry1984; 41: 1001–1005.
2.
GordonR.E., GordonK.K.Relating Axes IV and V of DSM-III to clinical severity of psychiatric disorders.Can J psychiatry1987; 32(6): 423–424.
3.
GordonR.E., JardiolinP., GordonK.K.Predicting length of hospital stay of psychiatric patients.Am J Psychiatry1985; 142: 235–236.
4.
GordonR.E., VijayJ., SloateS.G.Aggravating stress and functional level as predictors of length of hospital stay.Hosp Community Psychiatry1985; 36: 773–777.
5.
GordonR.E., HurschC.J., GordonK.K.Introduction to psychiatric research.New York: Cambridge University Press,1988.
6.
American Psychiatric Association Special Report.Guidelines for psychiatric evaluation of social security disability claimants.Hosp Community Psychiatry1983; 34: 1044–1051.
7.
LoydD.W., TsuangM.T.Disability and welfare — who wants it?J Clin Psychiatry1985; 46: 273–275.
8.
OkpakuS.Aprofile of clients referred for psychiatric evaluation for social security disability income and supplemental security income: implications for psychiatry.Am J Psychiatry1985; 142: 1037–1043.
9.
ReichJ.DSM-III diagnoses in social security disability applicants referred for psychiatric evaluation.J Clin Psychiatry1986; 47: 81–82.
10.
TyrerP., CaseyP., GallJ.Relationship between neurosis and personality disorder.Br J Psychiatry1983; 142: 404–408.
11.
ZimmermanM., CoryellW., PfohlB.ECT response in depressed patients with major depression.J Affective Disorders1984; 7: 309–319.
12.
ReichJ.DSM-III personality disorders and the outcome of treated panic disorder.Am J Psychiatry1988; 145: 1149–1152.
13.
SpitzerR.L., WilliamsJ.B.W., GibbonM.Structured clinical interview for DSM-III-R (SCID I and SCID II).New York: Biometrics Research Department, NY State Psychiatric Institute,1987.
