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The American Journal of Psychiatry, VOL. 142, No. 12

REGULAR ARTICLES | December 01, 1985

The validity of DSM-III axis IV (severity of psychosocial stressors)

Am J Psychiatry 1985;142:1437-1441.

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Abstract

One hundred thirty depressed inpatients were rated on DSM-III axis IV on the basis of information collected from a comprehensive life events interview. Axis IV scores were more highly correlated with undesirable than desirable events, with exits than entrances, and with time-limited than chronic events. Higher axis IV scores were associated with a lower rate of abnormal dexamethasone suppression test results, a higher morbid risk for alcoholism, a greater frequency of personality disorders, and a greater likelihood of attempted suicide during the index episode.

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