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Adjustment disorder diagnosis: Improving clinical utility


Maercker, Andreas; Lorenz, Louisa (2018). Adjustment disorder diagnosis: Improving clinical utility. World Journal of Biological Psychiatry, 19(sup1):S3-S13.

Abstract

OBJECTIVES
Adjustment disorder (AD) is a frequent diagnosis in clinical practice worldwide. After long neglect in mental health research, the new DSM definition and in particular the ICD-11 model of AD is about to create a fresh impulse for research on AD and for refined clinical use of the diagnosis.
METHODS
This paper outlines the clinical features of AD according to the ICD-10, ICD-11 and DSM-5 definitions, and provides case vignettes of patients with AD with clinical presentations of dominating anxiety, depressed mood or mixed symptom presentations. The available clinical assessments and diagnostic tools are described in detail, together with findings on their psychometric properties.
RESULTS
The current AD definitions are consistent with a new nosological grouping of AD with posttraumatic stress disorder in the chapter on trauma- and stressor-related disorders, or stress response syndromes.
CONCLUSIONS
This nosological specification opens new avenues for neurobiological and psychological research on AD and for developing novel therapies.

Abstract

OBJECTIVES
Adjustment disorder (AD) is a frequent diagnosis in clinical practice worldwide. After long neglect in mental health research, the new DSM definition and in particular the ICD-11 model of AD is about to create a fresh impulse for research on AD and for refined clinical use of the diagnosis.
METHODS
This paper outlines the clinical features of AD according to the ICD-10, ICD-11 and DSM-5 definitions, and provides case vignettes of patients with AD with clinical presentations of dominating anxiety, depressed mood or mixed symptom presentations. The available clinical assessments and diagnostic tools are described in detail, together with findings on their psychometric properties.
RESULTS
The current AD definitions are consistent with a new nosological grouping of AD with posttraumatic stress disorder in the chapter on trauma- and stressor-related disorders, or stress response syndromes.
CONCLUSIONS
This nosological specification opens new avenues for neurobiological and psychological research on AD and for developing novel therapies.

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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
Language:English
Date:2018
Deposited On:29 Jan 2019 16:04
Last Modified:25 Sep 2019 00:15
Publisher:Informa Healthcare
ISSN:1562-2975
OA Status:Green
Publisher DOI:https://doi.org/10.1080/15622975.2018.1449967
PubMed ID:30204562

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