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

Background/Objective: 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. Method: Three hundred thirty person...

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Autores principales: Perkonigg, Axel, Lorenz, Louisa, Maercker, Andreas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Asociacion Espanola de Psicologia Conductual 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224856/
https://www.ncbi.nlm.nih.gov/pubmed/30487926
http://dx.doi.org/10.1016/j.ijchp.2018.05.001
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author Perkonigg, Axel
Lorenz, Louisa
Maercker, Andreas
author_facet Perkonigg, Axel
Lorenz, Louisa
Maercker, Andreas
author_sort Perkonigg, Axel
collection PubMed
description Background/Objective: 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. Method: 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. Results: 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. Conclusions: 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.
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spelling pubmed-62248562018-11-28 Prevalence and correlates of ICD-11 adjustment disorder: Findings from the Zurich Adjustment Disorder Study Perkonigg, Axel Lorenz, Louisa Maercker, Andreas Int J Clin Health Psychol Original article Background/Objective: 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. Method: 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. Results: 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. Conclusions: 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. Asociacion Espanola de Psicologia Conductual 2018 2018-06-02 /pmc/articles/PMC6224856/ /pubmed/30487926 http://dx.doi.org/10.1016/j.ijchp.2018.05.001 Text en © 2018 Asociación Española de Psicología Conductual. Published by Elsevier España, S.L.U. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original article
Perkonigg, Axel
Lorenz, Louisa
Maercker, Andreas
Prevalence and correlates of ICD-11 adjustment disorder: Findings from the Zurich Adjustment Disorder Study
title Prevalence and correlates of ICD-11 adjustment disorder: Findings from the Zurich Adjustment Disorder Study
title_full Prevalence and correlates of ICD-11 adjustment disorder: Findings from the Zurich Adjustment Disorder Study
title_fullStr Prevalence and correlates of ICD-11 adjustment disorder: Findings from the Zurich Adjustment Disorder Study
title_full_unstemmed Prevalence and correlates of ICD-11 adjustment disorder: Findings from the Zurich Adjustment Disorder Study
title_short Prevalence and correlates of ICD-11 adjustment disorder: Findings from the Zurich Adjustment Disorder Study
title_sort prevalence and correlates of icd-11 adjustment disorder: findings from the zurich adjustment disorder study
topic Original article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224856/
https://www.ncbi.nlm.nih.gov/pubmed/30487926
http://dx.doi.org/10.1016/j.ijchp.2018.05.001
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