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A socio-interpersonal approach to adjustment disorder: the example of involuntary job loss


Lorenz, Louisa; Perkonigg, Axel; Maercker, Andreas (2018). A socio-interpersonal approach to adjustment disorder: the example of involuntary job loss. European Journal of Psychotraumatology, 9(1):1425576.

Abstract

: Adjustment disorder (AjD) was redefined for ICD-11 with core symptoms of preoccupation with a stressor and failure to adapt. The socio-interpersonal framework model for stress-response syndromes suggests that interpersonal factors, besides intrapersonal processes, substantially contribute to the development of AjD. : The current study aimed to identify predictive factors in the development of AjD symptoms by the application of a framework model for stress-response syndromes. :  = 321 recently laid-off participants (47.7% female) were assessed with a newly developed standardized clinical diagnostic interview section on ICD-11 AjD. Self-report questionnaires measured AjD symptom severity, and interpersonal and intrapersonal predictors. Path analysis was used to model the associations between AjD symptom severity and the predictor variables. We conducted logistic regression to identify associated characteristics of diagnostic status. : AjD symptoms were highly prevalent and 25.6% of participants met the diagnostic criteria. Higher loneliness, higher dysfunctional disclosure, and lower self-efficacy were associated with both higher symptom severity and higher likelihood of meeting the diagnostic criteria for AjD. Higher perceived social support was associated with higher likelihood for AjD diagnosis. : Research on risk factors for AjD is still sparse. This study provided empirical evidence on the role of interpersonal factors supporting the socio-interpersonal model for stress-response syndromes.

Abstract

: Adjustment disorder (AjD) was redefined for ICD-11 with core symptoms of preoccupation with a stressor and failure to adapt. The socio-interpersonal framework model for stress-response syndromes suggests that interpersonal factors, besides intrapersonal processes, substantially contribute to the development of AjD. : The current study aimed to identify predictive factors in the development of AjD symptoms by the application of a framework model for stress-response syndromes. :  = 321 recently laid-off participants (47.7% female) were assessed with a newly developed standardized clinical diagnostic interview section on ICD-11 AjD. Self-report questionnaires measured AjD symptom severity, and interpersonal and intrapersonal predictors. Path analysis was used to model the associations between AjD symptom severity and the predictor variables. We conducted logistic regression to identify associated characteristics of diagnostic status. : AjD symptoms were highly prevalent and 25.6% of participants met the diagnostic criteria. Higher loneliness, higher dysfunctional disclosure, and lower self-efficacy were associated with both higher symptom severity and higher likelihood of meeting the diagnostic criteria for AjD. Higher perceived social support was associated with higher likelihood for AjD diagnosis. : Research on risk factors for AjD is still sparse. This study provided empirical evidence on the role of interpersonal factors supporting the socio-interpersonal model for stress-response syndromes.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:06 Faculty of Arts > Institute of Psychology
Dewey Decimal Classification:150 Psychology
Scopus Subject Areas:Health Sciences > Psychiatry and Mental Health
Uncontrolled Keywords:DoktoratPsych Erstautor
Language:English
Date:2018
Deposited On:26 Jul 2018 14:18
Last Modified:17 Sep 2020 12:21
Publisher:Co-Action Publishing
ISSN:2000-8066
OA Status:Gold
Free access at:PubMed ID. An embargo period may apply.
Publisher DOI:https://doi.org/10.1080/20008198.2018.1425576
PubMed ID:29410777
Project Information:
  • : FunderSNSF
  • : Grant ID100019_159436
  • : Project TitleThe new adjustment disorder diagnosis as stress response in ICD-11: Investigating its validity regarding alternative concepts, definitions and syndrome presentations
  • : FunderJacobs Foundation
  • : Grant ID
  • : Project Title

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