Diagnosis of adjustment disorder: reliability of its clinical use and long-term stability.
Psychopathology
; 45(5): 305-9, 2012.
Article
en En
| MEDLINE
| ID: mdl-22797565
ABSTRACT
BACKGROUND:
Adjustment disorder is a common diagnosis in mental health services. However, the diagnostic reliability and stability of this nosological construct are unclear. SAMPLING ANDMETHODS:
Clinical chart records of patients who had been discharged with a clinical diagnosis of adjustment disorder were re-evaluated by two independent raters using ICD-10 criteria. On the basis of the chart material, the frequency of readmissions and diagnostic changes were recorded.RESULTS:
Of 142 patients with a clinical diagnosis of adjustment disorder, only 91 (64.1%) retrospectively met ICD-10 criteria for this diagnosis. Eighteen of these 91 patients (19.8%) were readmitted to a mental health hospital within a 5-year period and 9 (9.9%) showed a diagnostic change at readmission, 5 of them to substance use disorders (5.5%).CONCLUSIONS:
The dramatic divergence between the clinical diagnosis and ICD-10 criteria challenges the validity and usefulness of the current nosological concept of adjustment disorder.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Trastornos de Adaptación
/
Trastornos Relacionados con Sustancias
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
Límite:
Adult
/
Humans
Idioma:
En
Revista:
Psychopathology
Año:
2012
Tipo del documento:
Article
País de afiliación:
Alemania