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Anpassungsstörungen nach einem neuen diagnostischen Konzept bei Patienten einer psychosomatischen Poliklinik – Beschwerden, Veränderungsbereitschaft und Psychotherapiemotivation


Dannemann, Stephanie; Einsle, Franziska; Kämpf, Franziska; Joraschky, Peter; Maercker, Andreas; Weidner, Kerstin (2010). Anpassungsstörungen nach einem neuen diagnostischen Konzept bei Patienten einer psychosomatischen Poliklinik – Beschwerden, Veränderungsbereitschaft und Psychotherapiemotivation. Zeitschrift für Psychosomatische Medizin und Psychotherapie, 56(3):231-243.

Abstract

OBJECTIVES: Adjustment disorders (AD) represent a frequently diagnosed type of disorder for which scientific interest has been limited because of insufficient diagnostic criteria. This study presents a concept comprising cognitive, behavioural, and emotional criteria (ADNM) which investigates differences in symptom severity, willingness to change, and motivation for psychotherapy in subjects with adjustment disorders.

METHOD: 331 outpatients were examined with a number of tools (ADNM, SCL-90-R, FPTM-23, FEVER). The ADNM is evaluated on the basis of theoretical assumptions and divides the sample into subjects with elevated and normal scores.

RESULTS: The sample comprised patients with elevated scores (61%) and normal scores (39%).Subjects with AD scored higher on depression, anxiety, and impulsivity as well as exhibiting elevated scores on the SCL-90-R, for contemplation/action, and for psychotherapy motivation.

CONCLUSION: The ADNM identifies patients experiencing stress. Further longitudinal studies should examine whether patients more frequently enter psychotherapy or not.

OBJECTIVES: Adjustment disorders (AD) represent a frequently diagnosed type of disorder for which scientific interest has been limited because of insufficient diagnostic criteria. This study presents a concept comprising cognitive, behavioural, and emotional criteria (ADNM) which investigates differences in symptom severity, willingness to change, and motivation for psychotherapy in subjects with adjustment disorders.

METHOD: 331 outpatients were examined with a number of tools (ADNM, SCL-90-R, FPTM-23, FEVER). The ADNM is evaluated on the basis of theoretical assumptions and divides the sample into subjects with elevated and normal scores.

RESULTS: The sample comprised patients with elevated scores (61%) and normal scores (39%).Subjects with AD scored higher on depression, anxiety, and impulsivity as well as exhibiting elevated scores on the SCL-90-R, for contemplation/action, and for psychotherapy motivation.

CONCLUSION: The ADNM identifies patients experiencing stress. Further longitudinal studies should examine whether patients more frequently enter psychotherapy or not.

Citations

4 citations in Web of Science®
5 citations in Scopus®
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Additional indexing

Other titles:New diagnostic concept of adjustment disorders in psychosomatic outpatients--symptom severity, willingness to change, psychotherapy motivation
Item Type:Journal Article, refereed, further contribution
Communities & Collections:06 Faculty of Arts > Institute of Psychology
Dewey Decimal Classification:150 Psychology
Language:German
Date:2010
Deposited On:31 Oct 2012 10:39
Last Modified:05 Apr 2016 16:02
Publisher:Vandenhoeck & Ruprecht
ISSN:1438-3608
Publisher DOI:https://doi.org/10.13109/zptm.2010.56.3.231
PubMed ID:20963716

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