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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

Prevalence and correlates of ICD-11 adjustment disorder: Findings from the Zurich Adjustment Disorder Study.

作者信息

Perkonigg Axel, Lorenz Louisa, Maercker Andreas

机构信息

University of Zurich, Switzerland.

出版信息

Int J Clin Health Psychol. 2018 Sep-Dec;18(3):209-217. doi: 10.1016/j.ijchp.2018.05.001. Epub 2018 Jun 2.

Abstract

The 11th revision of the International Classification of Diseases (ICD-11) will provide a new definition of adjustment disorder (AjD). The aim of the present study is to report on prevalence and correlates of ICD-11 AjD in a high-risk sample. Three hundred thirty persons who had lost their job involuntarily were sampled by local job centres. The Munich Composite International Diagnostic Interview was administered with a new AjD module. Associations between AjD and correlates were investigated with logistic regression analyses. 27.3% of the participants reported the AjD core symptom pattern. 13.8% men and 17.2% women met diagnostic guidelines of ICD-11 AjD. Prevalence increased with age and exposure to multiple stressors. The AjD core symptom pattern was associated with various sociodemographic correlates (e. g., lower financial household budget), whereas the full ICD-11 diagnosis including the exclusion algorithm was not. Regarding work-related factors, AjD occurred with a lower probability if the last job position had higher responsibilities and more general confidence for the future. ICD-11 AjD has a high prevalence among persons who lost their jobs involuntarily. Healthcare professionals should be aware of this problem. Research to investigate the ICD-11 AjD concept in the general populations and other subpopulations is needed.

摘要

《国际疾病分类》(ICD - 11)的第11次修订将对适应障碍(AjD)给出新定义。本研究旨在报告高危样本中ICD - 11适应障碍的患病率及其相关因素。当地就业中心对330名非自愿失业人员进行了抽样。使用新的适应障碍模块进行了慕尼黑综合国际诊断访谈。通过逻辑回归分析研究了适应障碍与相关因素之间的关联。27.3%的参与者报告了适应障碍的核心症状模式。13.8%的男性和17.2%的女性符合ICD - 11适应障碍的诊断标准。患病率随年龄增长以及接触多种压力源而增加。适应障碍的核心症状模式与各种社会人口统计学相关因素有关(例如,家庭财务预算较低),而包括排除算法在内的完整ICD - 11诊断则不然。关于与工作相关的因素,如果上一个工作岗位责任更大且对未来更有总体信心,适应障碍发生的可能性较低。ICD - 11适应障碍在非自愿失业人员中患病率较高。医疗保健专业人员应意识到这一问题。需要在普通人群和其他亚人群中对ICD - 11适应障碍概念进行研究。

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