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Adjustment disorder diagnosis: Improving clinical utility.

Andreas Maercker1, Louisa Lorenz1

  • 1a Department of Psychology , University of Zurich , Zurich , Switzerland.

The World Journal of Biological Psychiatry : the Official Journal of the World Federation of Societies of Biological Psychiatry
|September 12, 2018
PubMed
Summary

Adjustment disorder (AD) research is revitalized by new diagnostic models. Updated classifications, including ICD-11, are improving clinical practice and guiding future research for stress response syndromes.

Keywords:
Adjustment disorderICD-11diagnosisdiagnostic criteriastress-related disorders

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Area of Science:

  • Psychiatry
  • Psychology
  • Mental Health

Background:

  • Adjustment disorder (AD) is a common clinical diagnosis.
  • Historically, AD has received limited research attention.
  • Recent updates to diagnostic criteria (DSM-5, ICD-11) aim to stimulate research and clinical application.

Purpose of the Study:

  • To outline the clinical features of AD across ICD-10, ICD-11, and DSM-5.
  • To present case vignettes illustrating diverse AD presentations (anxiety, depression, mixed).
  • To review available clinical assessments and diagnostic tools for AD, including their psychometric properties.

Main Methods:

  • Comparative analysis of AD definitions (ICD-10, ICD-11, DSM-5).
  • Inclusion of case vignettes for clinical illustration.
  • Detailed description and psychometric evaluation of diagnostic tools.

Main Results:

  • Current AD definitions align with a new classification grouping it with trauma- and stressor-related disorders.
  • This grouping includes posttraumatic stress disorder and stress response syndromes.

Conclusions:

  • The revised nosological classification of AD offers new opportunities for research.
  • This includes neurobiological and psychological investigations.
  • It also paves the way for the development of innovative therapeutic interventions.