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Differential social adjustment correlates of Axis I and Axis II psychopathology in anxiety and depressive disorders

Published online by Cambridge University Press:  16 April 2020

M Mauri
Affiliation:
Institute of Clinical Psychiatry, University of Pisa, Via Roma 67, 56100, Pisa, Italy
N Sarno
Affiliation:
Institute of Clinical Psychiatry, University of Pisa, Via Roma 67, 56100, Pisa, Italy
A Armani
Affiliation:
Institute of Clinical Psychiatry, University of Pisa, Via Roma 67, 56100, Pisa, Italy
VM Rossi
Affiliation:
Institute of Clinical Psychiatry, University of Pisa, Via Roma 67, 56100, Pisa, Italy
S Zambotto
Affiliation:
Institute of Clinical Psychiatry, University of Pisa, Via Roma 67, 56100, Pisa, Italy
GB Cassano
Affiliation:
Institute of Clinical Psychiatry, University of Pisa, Via Roma 67, 56100, Pisa, Italy
HS Akiskal
Affiliation:
Section of Affective Disorders, University of Tennessee, Memphis TN, USA
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Summary

The interest in social adjustment of psychiatric patients has increased since potent therapeutic strategies have become available, allowing patient treatment within their natural social habitat. DSM III has formally recognized the need to evaluate social variables for each patient, introducing Axis V into its multiaxial system. This is of particular relevance for personality disorders where the main pathology is manifested within the social context. In this study, 94 patients with a DSM III-R diagnosis of Panic Disorder, Major Depression, and Generalized Anxiety Disorder have been evaluated with PDE (Personality Disorders Examination) to detect the presence of DSM III personality disorders, and with SAS (Social Adjustment Scale) to assess social adjustment. Results have shown that both Axis I and Axis II diagnoses affect social adjustment, though in a slightly different manner.

Type
Original article
Copyright
Copyright © Elsevier, Paris 1991

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