Kazlauskas Evaldas, Zelviene Paulina, Lorenz Louisa, Quero Soledad, Maercker Andreas
Department of Clinical and Organizational Psychology, Vilnius University, Vilnius, Lithuania.
Department of Psychology, Division of Psychopathology and Clinical Intervention, University of Zurich, Zurich, Switzerland.
Eur J Psychotraumatol. 2018 Jan 18;8(sup7):1421819. doi: 10.1080/20008198.2017.1421819. eCollection 2017.
: Adjustment disorder (AjD) is one of the most used mental disorder diagnoses among mental health professionals. Important revisions of the AjD definition in the 11th edition of the International Classification of Diseases (ICD-11) are proposed. AjD is included in a chapter of disorders specifically associated with stress in ICD-11. : This paper aims to review recent developments in ICD-11 AjD research, and to discuss the available ICD-11 AjD diagnosis validation studies, AjD measures, treatment studies, and outline the future perspectives for AjD research and clinical practice. : In total, 10 empirical studies of AjD ICD-11 were identified and included in this review. We searched for studies in Embase, PubMed, PsycINFO, Scopus, PILOTS, SocINDEX, and via additional search by contacting authors of published empirical studies and reference screening. : Review of the studies revealed a lack of validation studies of the ICD-11 AjD symptom structure. AjD validation study findings are ambiguous, and there is still little support for the proposed two symptom structure of AjD for the ICD-11. A self-report AjD measure 'Adjustment Disorder New Module' (ADNM) based on the ICD-11 definition has been developed and used in all 10 reviewed studies. Two self-help interventions have been developed for the ICD-11 AjD, and findings from these studies indicate that self-help low-intensity cognitive-behavioural interventions, delivered via bibliography or internet-based, might be effective treatment of AjD. : The AjD definition in ICD-11 with a description of a new symptom profile facilitates AjD measurement and AjD-focused treatment developments. More studies and insights from clinical practice are needed to move the field of AjD research and practice forward.
适应障碍(AjD)是心理健康专业人员最常用的精神障碍诊断之一。《国际疾病分类》(ICD - 11)第11版对AjD定义提出了重要修订。在ICD - 11中,AjD被纳入与压力特别相关的障碍章节。 本文旨在回顾ICD - 11中AjD研究的最新进展,并讨论现有的ICD - 11中AjD诊断验证研究、AjD测量方法、治疗研究,并概述AjD研究和临床实践的未来前景。 总共确定了10项关于ICD - 11中AjD的实证研究并纳入本综述。我们在Embase、PubMed、PsycINFO、Scopus、PILOTS、SocINDEX中进行检索,并通过联系已发表实证研究的作者进行额外检索以及参考文献筛选。 对这些研究的综述表明,缺乏对ICD - 11中AjD症状结构的验证研究。AjD验证研究结果不明确,对于ICD - 11中提议的AjD的两种症状结构仍然几乎没有支持。一种基于ICD - 11定义的自我报告AjD测量方法“适应障碍新模块”(ADNM)已被开发出来,并在所有10项综述研究中使用。已经为ICD - 11中的AjD开发了两种自助干预措施,这些研究的结果表明,通过书目或基于互联网提供的低强度自助认知行为干预可能是治疗AjD的有效方法。 ICD - 11中对AjD的定义以及对新症状特征的描述有助于AjD的测量和以AjD为重点的治疗发展。需要更多的研究和来自临床实践的见解,以推动AjD研究和实践领域的发展。