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Adjustment disorder: current perspectives.

Paulina Zelviene1, Evaldas Kazlauskas1

  • 1Department of Clinical and Organizational Psychology, Vilnius University, Vilnius, Lithuania.

Neuropsychiatric Disease and Treatment
|February 9, 2018
PubMed
Summary

Adjustment disorder (AjD) research faces challenges due to vague diagnostic criteria, impacting prevalence data and treatment guidelines. The upcoming ICD-11 revision may introduce changes, but further studies are essential for clarity.

Keywords:
DSMICDadjustment disorderdiagnosisprevalencereviewtreatment

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Area of Science:

  • Psychiatry
  • Mental Health Research
  • Clinical Psychology

Background:

  • Adjustment disorder (AjD) is frequently diagnosed in clinical settings.
  • Existing diagnostic criteria for AjD are vague, leading to clinical difficulties and a lack of reliable measures.
  • Epidemiological data on AjD prevalence is scarce and unreliable due to inconsistent diagnostic algorithms.

Purpose of the Study:

  • To review the current state of research on Adjustment Disorder.
  • To discuss scientific and clinical challenges associated with AjD diagnosis and measurement.
  • To examine the potential impact of the upcoming ICD-11 revisions on AjD research and practice.

Main Methods:

  • Literature review of current Adjustment Disorder research.
  • Analysis of diagnostic criteria in current classifications (DSM-5) and the upcoming ICD-11.
  • Discussion of implications for clinical practice, epidemiology, and treatment.

Main Results:

  • Diagnostic criteria for AjD remain problematic, hindering reliable measurement and epidemiological studies.
  • The ICD-11 introduces a new symptom profile for AjD, potentially differing from DSM-5 criteria.
  • The optimal treatment for AjD is not yet established, necessitating further research.

Conclusions:

  • Significant challenges persist in the definition, diagnosis, and measurement of Adjustment Disorder.
  • The ICD-11 revision may alter AjD classification, but potential discrepancies with DSM-5 require careful consideration.
  • Further research is crucial to establish clear diagnostic standards and evidence-based treatment guidelines for AjD.