适应障碍：当前的诊断状况。
Adjustment disorder: current diagnostic status.
作者信息
Patra Bichitra Nanda, Sarkar Siddharth
机构信息
Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, Haryana and Punjab, India.
出版信息
Indian J Psychol Med. 2013 Jan;35(1):4-9. doi: 10.4103/0253-7176.112193.
Abstract
Adjustment disorder is a common diagnosis in psychiatric settings and carries a significant rate of morbidity. However, diagnostic criteria are vague and not much helpful in clinical practice. Also there has been relatively little research done on this disorder. In this article, we review the information that is available on the epidemiology, clinical features, validity, and current diagnostic status of adjustment disorder. In this article, the controversy surrounding the diagnosis is also highlighted. It also discusses the differential and comorbid diagnosis. The various recommendations for DSM-V and ICD-11 conclude the article.
摘要
适应障碍是精神科环境中常见的诊断，具有较高的发病率。然而，诊断标准模糊，在临床实践中帮助不大。而且关于这种障碍的研究相对较少。在本文中，我们回顾了关于适应障碍的流行病学、临床特征、效度和当前诊断状况的现有信息。本文还突出了围绕该诊断的争议。它还讨论了鉴别诊断和共病诊断。文章最后给出了针对《精神疾病诊断与统计手册》第五版（DSM-V）和《国际疾病分类》第11版（ICD-11）的各种建议。
相似文献
1
Adjustment disorder: current diagnostic status.适应障碍：当前的诊断状况。
Indian J Psychol Med. 2013 Jan;35(1):4-9. doi: 10.4103/0253-7176.112193.
2
Adult adjustment disorder: a review of its current diagnostic status.
J Psychiatr Pract. 2001 Jan;7(1):32-40. doi: 10.1097/00131746-200101000-00004.
3
Adjustment disorder: a review of diagnostic pitfalls.适应障碍：诊断陷阱综述
Isr Med Assoc J. 2005 Nov;7(11):726-31.
4
Adjustment Disorder: Current Developments and Future Directions.适应障碍：最新进展与未来方向。
Int J Environ Res Public Health. 2019 Jul 16;16(14):2537. doi: 10.3390/ijerph16142537.
5
Adjustment disorder: current perspectives.适应障碍：当前观点
Neuropsychiatr Dis Treat. 2018 Jan 25;14:375-381. doi: 10.2147/NDT.S121072. eCollection 2018.
6
Schizoaffective disorder: diagnostic issues and future recommendations.分裂情感性障碍：诊断问题及未来建议。
Bipolar Disord. 2008 Feb;10(1 Pt 2):215-30. doi: 10.1111/j.1399-5618.2007.00564.x.
7
[Diagnostic structured interviews in child and adolescent's psychiatry].[儿童和青少年精神病学中的诊断性结构化访谈]
Encephale. 2004 Mar-Apr;30(2):122-34. doi: 10.1016/s0013-7006(04)95422-x.
8
Is the distinction between adjustment disorder with depressed mood and adjustment disorder with mixed anxious and depressed mood valid?伴有抑郁情绪的适应障碍与伴有混合性焦虑和抑郁情绪的适应障碍之间的区别是否有效？
Ann Clin Psychiatry. 2013 Nov;25(4):257-65.
9
A controlled prospective study of DSM-III adjustment disorder in childhood. Short-term prognosis and long-term predictive validity.儿童期DSM-III适应障碍的对照前瞻性研究。短期预后和长期预测效度。
Arch Gen Psychiatry. 1994 Jul;51(7):535-41. doi: 10.1001/archpsyc.1994.03950070027007.
10
Schizoaffective disorder--an ongoing challenge for psychiatric nosology.分裂情感性障碍——精神医学分类学的持续挑战。
Eur Psychiatry. 2011 Apr;26(3):159-65. doi: 10.1016/j.eurpsy.2010.03.010. Epub 2010 Jun 19.
引用本文的文献
1
Racial differences in the incidence of mental health illness among ovarian cancer patients: An analysis of SEER-Medicare data.卵巢癌患者心理健康疾病发病率的种族差异：基于监测、流行病学和最终结果计划（SEER）-医疗保险数据的分析
SSM Ment Health. 2024 Dec;6. doi: 10.1016/j.ssmmh.2024.100323. Epub 2024 May 24.
2
The adjustment disorder is not a wastebasket diagnosis: a grounded theory study of psychiatrists' and psychologists' clinical reasoning.适应障碍不是一个“垃圾桶”诊断：精神科医生和心理学家临床推理的扎根理论研究。
Eur J Psychotraumatol. 2024;15(1):2390332. doi: 10.1080/20008066.2024.2390332. Epub 2024 Aug 21.
3
Youth mental health care use during the COVID-19 pandemic in Alberta, Canada: an interrupted time series, population-based study.加拿大艾伯塔省新冠疫情期间青少年心理健康护理的使用情况：一项基于人群的中断时间序列研究
Child Adolesc Psychiatry Ment Health. 2024 Aug 10;18(1):101. doi: 10.1186/s13034-024-00785-1.
4
Being a parent, emotional stability, and adjustment disorder symptoms in the face of COVID-19.为人父母、情绪稳定性以及面对新冠疫情时的适应障碍症状。
Fam Relat. 2022 Jul 25. doi: 10.1111/fare.12745.
5
Factors Related to 30-day Readmission following Hospitalization for Any Medical Reason among Patients with Mental Disorders: Facteurs liés à la réhospitalisation à 30 jours suivant une hospitalisation pour une raison médicale chez des patients souffrant de troubles mentaux.精神障碍患者因任何医疗原因住院后 30 天内再入院的相关因素：Facteurs liés à la réhospitalisation à 30 jours suivant une hospitalisation pour une raison médicale chez des patients souffrant de troubles mentaux.
Can J Psychiatry. 2021 Jan;66(1):43-55. doi: 10.1177/0706743720963905. Epub 2020 Oct 16.
6
Prevalence and correlates of ICD-11 adjustment disorder: Findings from the Zurich Adjustment Disorder Study.国际疾病分类第11版适应障碍的患病率及其相关因素：苏黎世适应障碍研究的结果
Int J Clin Health Psychol. 2018 Sep-Dec;18(3):209-217. doi: 10.1016/j.ijchp.2018.05.001. Epub 2018 Jun 2.
7
Criminalization Through Transinstitutionalization: A Critical Review of the Penrose Hypothesis in the Context of Compensation Imprisonment.通过跨机构化实现刑事定罪：对赔偿监禁背景下彭罗斯假说的批判性审视。
Front Psychiatry. 2018 Oct 25;9:534. doi: 10.3389/fpsyt.2018.00534. eCollection 2018.
8
Posttraumatic Stress Disorder and Related Disorders among Female Yazidi Refugees following Islamic State of Iraq and Syria Attacks-A Case Series and Mini-Review.伊拉克和叙利亚伊斯兰国袭击后女性雅兹迪难民中的创伤后应激障碍及相关障碍——病例系列与综述
Front Psychiatry. 2017 Dec 13;8:282. doi: 10.3389/fpsyt.2017.00282. eCollection 2017.
9
Utilizing a medical questionnaire to predict anxiety and depression in outpatients.利用医学问卷预测门诊患者的焦虑和抑郁。
Int J Gen Med. 2016 Jun 11;9:199-204. doi: 10.2147/IJGM.S101556. eCollection 2016.
10
Demographic variables, clinical aspects, and medicolegal implications in a population of patients with adjustment disorder.适应障碍患者群体中的人口统计学变量、临床特征及法医学意义
Neuropsychiatr Dis Treat. 2016 Apr 1;12:737-43. doi: 10.2147/NDT.S92637. eCollection 2016.
本文引用的文献
1
Adjustment disorder: implications for ICD-11 and DSM-5.适应障碍：对 ICD-11 和 DSM-5 的影响。
Br J Psychiatry. 2012 Aug;201:90-2. doi: 10.1192/bjp.bp.112.110494.
2
Adjustment disorders in primary care: prevalence, recognition and use of services.初级保健中的适应障碍：患病率、识别和服务利用。
Br J Psychiatry. 2012 Aug;201:137-42. doi: 10.1192/bjp.bp.111.096305. Epub 2012 May 10.
3
Adjustment disorders: prevalence in a representative nationwide survey in Germany.适应障碍：德国一项具有代表性的全国性调查中的患病率。
Soc Psychiatry Psychiatr Epidemiol. 2012 Nov;47(11):1745-52. doi: 10.1007/s00127-012-0493-x. Epub 2012 Mar 11.
4
Quality of life in medically ill persons with comorbid mental disorders: a systematic review and meta-analysis.患有共病精神障碍的医学疾病患者的生活质量：系统评价和荟萃分析。
Psychother Psychosom. 2011;80(5):275-86. doi: 10.1159/000323404. Epub 2011 Jun 1.
5
Prevalence of depression, anxiety, and adjustment disorder in oncological, haematological, and palliative-care settings: a meta-analysis of 94 interview-based studies.在肿瘤、血液和姑息治疗环境中，基于访谈的 94 项研究的荟萃分析：抑郁、焦虑和适应障碍的患病率。
Lancet Oncol. 2011 Feb;12(2):160-74. doi: 10.1016/S1470-2045(11)70002-X. Epub 2011 Jan 19.
6
(Post-traumatic) embitterment disorder: critical evaluation of its stressor criterion and a proposed revised classification.（创伤后）痛苦障碍：对其应激源标准的批判性评估及修订分类建议
Nord J Psychiatry. 2010 May 4;64(3):147-52. doi: 10.3109/08039480903398185.
7
Risk factors for suicide in rural south India.印度南部农村地区自杀的风险因素。
Br J Psychiatry. 2010 Jan;196(1):26-30. doi: 10.1192/bjp.bp.108.063347.
8
Adjustment disorder: epidemiology, diagnosis and treatment.适应障碍：流行病学、诊断与治疗
CNS Drugs. 2009 Nov;23(11):927-38. doi: 10.2165/11311000-000000000-00000.
9
Adjustment Disorder: epidemiology, diagnosis and treatment.适应障碍：流行病学、诊断与治疗
Clin Pract Epidemiol Ment Health. 2009 Jun 26;5:15. doi: 10.1186/1745-0179-5-15.
10
The adjustment disorders: the conundrums of the diagnoses.适应障碍：诊断难题
Compr Psychiatry. 2008 Mar-Apr;49(2):121-30. doi: 10.1016/j.comppsych.2007.10.002. Epub 2007 Dec 21.
Zotero 插件