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Revision of the multiaxial diagnostic assessment system was not a major change to DSM-5.
The removal of the multi-axial system from DSM-IV to DSM-5 is one of the most significant alterations. A multi-axial formulation was used by DSM-IV to organize biopsychosocial data and approach psychiatric assessment. Five distinct axes were available.
The main modifications from DSM-5 to DSM-5-TR are as follows: Updated sections on related characteristics, prevalence, course and development, risk factors, culture, diagnostic indicators and differential diagnosis are included in the revised texts for practically all diseases.
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