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The Course of Adjustment Disorder Following Involuntary Job Loss and Its Predictors of Latent Change


Lorenz, Louisa; Perkonigg, Axel; Maercker, Andreas (2018). The Course of Adjustment Disorder Following Involuntary Job Loss and Its Predictors of Latent Change. Clinical Psychological Science, 6(5):647-657.

Abstract

Adjustment disorders (AjDs) usually resolve after the precipitating life event and its consequences are terminated. However, they bear the risk for the development of severe mental illness. The present study investigates the natural course of AjD as defined for International Classification of Diseases, 11th version (ICD-11). A total of 303 individuals who involuntarily lost their jobs were assessed initially after the job loss and 6 months later. Latent class latent change analysis and multinomial logistic regression were performed. Two groups showed low (n = 149, 49.2%) and medium (n = 108, 35.6%) symptom severity at initial assessment that declined over time. The third group (n = 46, 15.2%) showed a high initial response and a small effect of worsening of symptoms. Female gender, higher age, first dismissal, impaired social functioning, dysfunctional disclosure, less social support, and less social acknowledgment were associated with belonging to the latter group. It might be beneficial to target individuals at high risk with interventions that aim at the improvement of skills relevant for stress management.

Abstract

Adjustment disorders (AjDs) usually resolve after the precipitating life event and its consequences are terminated. However, they bear the risk for the development of severe mental illness. The present study investigates the natural course of AjD as defined for International Classification of Diseases, 11th version (ICD-11). A total of 303 individuals who involuntarily lost their jobs were assessed initially after the job loss and 6 months later. Latent class latent change analysis and multinomial logistic regression were performed. Two groups showed low (n = 149, 49.2%) and medium (n = 108, 35.6%) symptom severity at initial assessment that declined over time. The third group (n = 46, 15.2%) showed a high initial response and a small effect of worsening of symptoms. Female gender, higher age, first dismissal, impaired social functioning, dysfunctional disclosure, less social support, and less social acknowledgment were associated with belonging to the latter group. It might be beneficial to target individuals at high risk with interventions that aim at the improvement of skills relevant for stress management.

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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
Uncontrolled Keywords:DoktoratPsych Erstautor
Language:English
Date:2018
Deposited On:26 Jul 2018 14:22
Last Modified:13 Oct 2019 05:50
Publisher:Sage Publications Ltd.
ISSN:2167-7026
OA Status:Green
Publisher DOI:https://doi.org/10.1177/2167702618766290
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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