Abstract
Sixteen Axis 5 ICD-10 codes were applied to a prospective multicentre study of 276 adolescent psychiatric inpatients. Frequency distributions were obtained for the whole cohort and separately for each of the seven main ICD-9 psychiatric diagnoses. Certain abnormal psychosocial situations were associated with particular diagnoses, and many significant correlations were found between Axis 5 codes. Factor analysis with varimax rotation produced four factors accounting for 46% of the total variance.
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Aarkrog T, Lauritsen S, Mortensen KV, Strom J (1979) Adoiescents in psychiatric treatment and five years later. Acta Psychiatr Scand [Suppl 278]
Ainsworth P (1984) The first 100 admissions to a regional general purpose adolescent unit. J Adolesc 7:337–348
American Psychiatric Association (1987) Diagnostic and statistical manual of mental disorders, 3rd edn, revised. APA Washington, D.C.
Andrews B, Brown GW, Creasey L (1990) Intergenerational links between psychiatric disorder in mothers and daughters: the role of parenting experience. J Child Psychol Psychiatry 31: 1115–1129
Beardsall L, Dunn J (1992) Adversities in childhood: siblings experiences, and their relations to self-esteem. J Child Psychol Psychiatry 33: 349–359
Burgess PM, Joyce CM, Pattison PE, Finch SJ (1992) Social indicators and the prediction of psychiatric inpatient service hospitalisation. Soc Psychiatry Psychiatr Epidemiol 27, 86–94
Clare A, Gulbinat W, Sartorius N (1992) A triaxial classification of health problems presenting in primary, health care. A World Health Organisation multi-centre study. Soc Psychiatry Psychiatr Epidemiol 27:108–116
Dohrenwend BP (1990) Socioeconomic status (SES) and psychiatric disorders. Are the issues still compelling? Soc Psychiatry Psychiatr Epidemiol 25: 41–47
Goodyer IM (1990) Family relationships, life events and childhood psychopathology. J Child Psychol Psychiatry 31: 161–192
Gossett JT, Lewis JM, Barnhart FD (1983) To Find a way: the outcome of hospital treatment of disturbed adolescents. Brunner/Mazel, N. Y.
Luthar SS (1993) Methodological and conceptual issues in research on childhood resilience. J Child Psychol Psychiatry 34: 441–453
Rossman BBR, Rosenberg MS (1992) Family stress and functioning in children: the moderating effects of children's beliefs about their control over parental conflict. J Child Psychol Psychiatry 33: 699–715
Rothery DJ, Wrate RM, McCabe RJRJ, Aspin J, Bryce G Treatment goal-planning: outcome findings of a British prospective multicentre study of abolescent inpatient units (submitted for publication)
Rutter M, Shaffer D, Shepherd D (1975) Multiaxial classification of child psychiatric disorders. World Health Organisation, Geneva
Rutter M (1989) Annotation: child psychiatric disorders in ICD-10. J Child Psychol Psychiatry 30: 499–513
Quinton D, Rutter M (1988) Parenting breakdown: making and breaking of inter-generational cycles. Gower Press, Epping, UK
Steinhausen H-C, Erdin A (1991a) A comparison of ICD-9 and ICD-10 diagnoses of child and adolescent psychiatric disorder. J Child Psychol Psychiatry 32: 909–920
Steinhausen H-C, Erdin A (1991b) The interrater reliability of child and adolescent psychiatric disorder in ICD-10. J Child Psychol Psychiatry 32: 921–928
Steinhausen H-C, Erdin A (1992) Abnormal psychosocial situations and ICD-10 diagnoses children and adolescents attending a psychiatric service. J Child Psychol Psychiatry 33: 731–740.
van Goor-Lambo G, Orley J, Poustka F, Rutter M (1990) Classification of abnormal psychosocial situations: preliminary report of a revision of a WHO scheme. J Child Psychol Psychiatry 31: 229–241
World Health Organisation (1988) Axis 5: associated abnormal psychosocial situations, from the Draft multiaxial classification of child psychiatric disorders. MNH/PRO/86, 1 Rev 1
World Health Organisation (1990) Psychosocial axis of the multiaxial classification of child and adolescent psychiatric disorders. Parent Interview Schedule. Draft for comments and fieldtesting. MNH/MND/90.13
World Health Organisation (1991) Psychosocial axis of the multiaxial classification of child and adolescent psychiatric disorders: Interview Schedule for Children. Draft for comments and fieldtesting. MNH/MND/91.7
Wrate RM, Rothery DJ, McCabe RJR, Aspin J, Bryce G (1994) A prospective multi-centre study of adminssions to adolescent psychiatry inpatient units. J Adolesc 17: 221–237
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Wrate, R.M., Rothery, D.J., McCabe, R.J.R. et al. Psychosocial adversity in an adolescent psychiatry inpatient cohort: WHO ICD-10 findings from a multicentre prospective study. Soc Psychiatry Psychiatr Epidemiol 30, 5–13 (1995). https://doi.org/10.1007/BF00784428
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DOI: https://doi.org/10.1007/BF00784428