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Military Healthcare Providers' Intent to Diagnose Adjustment Disorder
Candy Wilson1, Angela K Phillips2, Dawnkimberly Hopkins3
1Christine E. Lynn College of Nursing, Florida Atlantic University, Boca Raton, FL 33431, United States.
Military Medicine
|September 27, 2025
Summary
Healthcare providers are confident diagnosing Adjustment Disorder (AjD) in Active Duty Service Members (ADSMs) but need more training. Military policies and leadership influence AjD diagnosis, highlighting unique military mental health considerations.
Area of Science:
- Mental Health Research
- Military Psychology
- Diagnostic Practices
Background:
- Explores healthcare providers' intentions to diagnose Adjustment Disorder (AjD).
- Focuses on Active Duty Service Members (ADSMs) within the U.S. military.
- Utilizes the Theory of Planned Behavior (TPB) framework.
Purpose of the Study:
- Enhance understanding of AjD diagnostic practices in the military.
- Investigate factors influencing providers' intent to diagnose AjD.
- Identify specific challenges and considerations in military mental healthcare.
Main Methods:
- Conducted interviews with 50 healthcare providers experienced with ADSMs.
- Applied Theory of Planned Behavior constructs: attitudes, subjective norms, perceived behavioral control.
- Utilized thematic analysis (inductive and deductive) for data interpretation.
Main Results:
- Attitudes: Spectrum of patient- and clinician-focused views.
- Perceived Behavioral Control: Influenced by diagnostic criteria, military policies, and command.
- Subjective Norms: Shaped by training, patient motivation, and military duty.
Conclusions:
- Providers express confidence in diagnosing AjD but need ongoing education.
- Younger, enlisted members at first duty station are frequently diagnosed.
- Military policies, leadership, and career implications significantly impact diagnostic intent.
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