Jäger Markus, Frasch Karel, Becker Thomas
Klinik für Psychiatrie und psychotherapie II der Universität Ulm, Bezirkskrankenhaus Günzburg.
Psychiatr Prax. 2008 Jul;35(5):219-25. doi: 10.1055/s-2007-986289.
To provide an overview of empirical findings with regard to adjustment disorders.
Literature was identified by searches in Medline and Cochrane Database of Systematic reviews.
Adjustment disorder is a common diagnosis in clinical samples (5% to 24%). There is a high frequency of comorbid somatic and mental disorders, especially of personality disorders (15% to 73%). The diagnostic stability of adjustment disorders in the long-term courses seems to be low. It is unclear to what extent adjustment disorders can be differentiated from affective or anxiety disorders with regard to psychopathological symptoms and course. With respect to treatment, as yet only a small empirical database exists.
A psychopathological revision of the current nosological concept of adjustment disorders should be taken into consideration. Such a revision could lead either to an extension or to a narrowing of the diagnostic group "adjustment disorders".
概述关于适应障碍的实证研究结果。
通过检索Medline和Cochrane系统评价数据库来识别文献。
适应障碍在临床样本中是常见诊断（5%至24%）。共病躯体和精神障碍的频率较高，尤其是人格障碍（15%至73%）。长期病程中适应障碍的诊断稳定性似乎较低。在心理病理症状和病程方面，适应障碍在多大程度上可与情感或焦虑障碍相区分尚不清楚。关于治疗，目前仅有少量实证数据库。
应考虑对当前适应障碍疾病分类概念进行心理病理学修订。这样的修订可能导致“适应障碍”诊断组的扩大或缩小。
