Toward construct validity for DSM-III axis V

Andrew E. Skodol, Bruce G. Link, Patrick E. Shrout, Ewald Horwath

Research output: Contribution to journalArticlepeer-review


This study investigates the construct validity of DSM-III Axis V ratings, made in diverse clinical settings, by means of independent assessments of adaptive functioning. Three hundred and sixty-two patients received supervised multiaxial assessments and were then blindly reinterviewed with the Psychiatric Epidemiology Research Interview, which contains scales measuring various aspects of social and occupational functioning. A subsample of 154 patients received a second independent interview that assessed characteristics of the individuals' social networks. The results indicate that Axis V ratings (1) demonstrate predictable diagnostic and demographic group differences, and (2) are determined by both social and occupational variables, but occupational factors predominate. The significance of the results for defining the adaptive functioning construct, for methods of assessment, and for the revisions of Axis V in DSM-III-R, is discussed.

Original languageEnglish (US)
Pages (from-to)13-23
Number of pages11
JournalPsychiatry Research
Issue number1
StatePublished - Apr 1988


  • Axis V
  • adaptive functioning
  • multiaxial diagnosis

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry


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