Multiaxial Evaluation
Multiaxial Evaluation
multiaxial
AXIS I
Clinical disorders
Other disorders that may be the subject of clinical attention
Disorders that begin in childhood, infancy, or adolescence (excluding mental retardation, which is diagnosed in Axis II)
Substance-related disorders
Mood disorders
Anxiety disorders
Somatoform disorders
Factitious disorders
Dissociative disorders
Eating disorders
Sleep disorders
Adjustment disorders
Neoplasms (C00-D48)
Blood diseases and diseases of the hematopoietic organs and some immune disorders (D50-D89)
Symptoms, signs, and clinical and laboratory findings not classified in other sections
Factors influencing health status and contact with health care facilities (Z00-Z99)
Axis IV
Psychosocial and environmental problems
AXIS V
Global activity assessment is carried out
through the evaluation scale of the
global activity (EEAG).
GLOBAL ACTIVITY EVALUATION SCALE (GAES)*
Note: assign a single value (between 0 and 100), taking into account the severity of the symptoms and the level of activity. Reflect the time period to which it refers.
100... Satisfactory activity in a wide range of activities, never seems overwhelmed by the problems of life, is valued by others because of their
...91 abundant positive qualities. No symptoms.
Absent or minimal symptoms (e.g., slight anxiety before an exam), good activity in all areas, interested and involved in a wide range of
90... activities, socially effective, generally satisfied with their life, with no more worries or problems than the everyday ones (for example, an occasional argument with
...81 family members.
If symptoms exist, they are transitory and constitute expected reactions to psychosocial stressors (e.g., difficulties concentrating after a
80... family discussion); there is only a slight alteration in social, work, or school activity (e.g., temporary decrease in academic performance).
...71
Some mild symptoms (for example, depressive mood and light insomnia) or some difficulty in social, work, or school activities (for example, occasionally skipping school or
70... stealing something at home), but in general it works quite well, it has some significant interpersonal relationships.
...61
60... Moderate symptoms (e.g., flattened affect and circumstantial language, occasional anxiety crises) or moderate difficulties in social, work, or school activities.
51 (for example, few friends, conflicts with coworkers or schoolmates).
50... Severe symptoms (e.g., suicidal ideation, severe obsessive rituals, shoplifting) or any serious disturbance of social, work, or school activity (e.g., without
... friends, unable to maintain a job.
A disturbance of reality testing or communication (e.g., language is sometimes illogical, obscure, or irrelevant) or significant disturbance in several areas.
40... like school work, family relationships, judgment, thought, or mood (for example, a depressed man avoids his friends, abandons the family and
...31 he is unable to work; a child frequently hits smaller children, is defiant at home, and stops attending school.
The behavior is significantly influenced by delusional ideas or hallucinations or there is a severe alteration in communication or judgment (e.g., sometimes it is
30... incoherent, acts in a clearly inappropriate manner, suicidal concern) or inability to function in almost all areas (e.g., stays in bed all
...21 the day; without work, housing, or friends).
Any danger of causing injury to others or to oneself (e.g., suicide attempts without a manifest expectation of death; frequently violent; excitement.
20... maniac) or occasionally fails to maintain minimal personal hygiene (e.g., with feces stains) or significant alteration in communication (e.g.,
...11 very incoherent or mute).
10... Persistent danger of seriously injuring others or oneself (e.g., recurrent violence) or persistent inability to maintain minimal personal hygiene or conduct.
1 serious suicide with manifest expectation of death.
0 Inadequate information