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适应障碍:当前观点

Adjustment disorder: current perspectives.

作者信息

Zelviene Paulina, Kazlauskas Evaldas

机构信息

Department of Clinical and Organizational Psychology, Vilnius University, Vilnius, Lithuania.

出版信息

Neuropsychiatr Dis Treat. 2018 Jan 25;14:375-381. doi: 10.2147/NDT.S121072. eCollection 2018.

Abstract

Adjustment disorder (AjD) is among the most often diagnosed mental disorders in clinical practice. This paper reviews current status of AjD research and discusses scientific and clinical issues associated with AjD. AjD has been included in diagnostic classifications for over 50 years. Still, the diagnostic criteria for AjD remain vague and cause difficulties to mental health professionals. Controversies in definition resulted in the lack of reliable and valid measures of AjD. Epidemiological data on prevalence of AjD is scarce and not reliable because prevalence data are biased by the diagnostic algorithm, which is usually developed for each study, as no established diagnostic standards for AjD are available. Considerable changes in the field of AjD could follow after the release of the 11th edition of International Classification of Diseases (ICD-11). A new AjD symptom profile was introduced in ICD-11 with 2 main symptoms as follows: 1) preoccupation and 2) failure to adapt. However, differences between the , Fifth Edition and ICD-11 AjD diagnostic criteria could result in diverse research findings in the future. The best treatment approach for AjD remains unclear, and further treatment studies are needed to provide AjD treatment guidelines to clinicians.

摘要

适应障碍(AjD)是临床实践中最常被诊断出的精神障碍之一。本文回顾了AjD的研究现状,并讨论了与AjD相关的科学和临床问题。AjD已被纳入诊断分类五十多年。然而,AjD的诊断标准仍然模糊,给心理健康专业人员带来困难。定义上的争议导致缺乏可靠且有效的AjD测量方法。由于患病率数据受到通常为每项研究制定的诊断算法的影响(因为尚无既定的AjD诊断标准),AjD患病率的流行病学数据稀少且不可靠。《国际疾病分类》(ICD)第11版发布后,AjD领域可能会发生重大变化。ICD - 11引入了一种新的AjD症状概况,有以下两种主要症状:1)全神贯注和2)适应失败。然而,《精神障碍诊断与统计手册》第五版(DSM - 5)与ICD - 11的AjD诊断标准之间的差异可能会在未来导致不同的研究结果。AjD的最佳治疗方法仍不明确,需要进一步的治疗研究为临床医生提供AjD治疗指南。

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