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Therapeutic Interventions for Adjustment Disorder: A Systematic Review
Dan Constantin1, Eleonora A Dinu, Liliana Rogozea
1Basic, Preventive and Clinical Sciences Department, Transilvania University of Brasov, Faculty of Medicine, Brasov, Romania.
American Journal of Therapeutics
|June 11, 2020
Summary
Evidence-based guidelines are lacking for adjustment disorder treatment. Psychotherapy is suitable for mild cases, while severe symptoms may warrant psychotropic medications like benzodiazepines or antidepressants.
Area of Science:
- Psychiatry
- Clinical Psychology
- Pharmacology
Background:
- Adjustment disorder requires intervention due to suicide risk.
- Evidence-based therapeutic guidelines are currently unavailable.
- Optimal treatment strategies for adjustment disorder remain unclear.
Purpose of the Study:
- To review randomized controlled trials on therapeutic interventions for adjustment disorder in adults.
- To identify optimal therapeutic approaches for adjustment disorder.
Main Methods:
- A comprehensive search of PubMed from January 1980 to June 2019 was conducted.
- Included clinical trials investigated psychological or pharmacological treatments for adult adjustment disorder.
- Outcome data for therapeutic interventions were analyzed.
Main Results:
- Twenty-three studies met the inclusion criteria.
- Eleven studies focused on pharmacotherapy with various medications (e.g., benzodiazepines, antidepressants, plant extracts) involving 1020 patients.
- Twelve studies explored psychotherapy interventions including CBT, mindfulness, and yoga meditation.
Conclusions:
- Psychotherapy appears indicated for adjustment disorder with mild symptoms.
- For severe adjustment disorder, especially with suicidal ideation, psychotropic agents (benzodiazepines, antidepressants, etifoxine) may be beneficial.
- Further research is needed to establish definitive evidence-based guidelines.
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