Adjustment disorders: The state of the art
Open accessAbstract
Adjustment disorders are common, yet under-researched mental disorders. The present classifications fail to provide specific diagnostic criteria and relegate them to sub-syndromal status. They also fail to provide guidance on distinguishing them from normal adaptive reactions to stress or from recognized mental disorders such as depressive episode or post-traumatic stress disorder. These gaps run the risk of pathologizing normal emotional reactions to stressful events on the one hand and on the other of overdiagnosing depressive disorder with the consequent unnecessary prescription of antidepressant treatments. Few of the structured interview schedules used in epidemiological studies incorporate adjustment disorders. They are generally regarded as mild, notwithstanding their prominence as a diagnosis in those dying by suicide and their poor prognosis when diagnosed in adolescents. There are very few intervention studies.
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Children newly diagnosed with a health condition may suffer from an adjustment disorder comprising emotional and/or behavioral responses beyond what is expected given a specific stressor.
“Given the stressful nature of hospital admissions, children newly diagnosed with a health condition may also suffer from an adjustment disorder, comprising emotional and/or behavioral responses beyond what is expected given a specific stressor [7,8].”
From Psychological and Psychiatric Comorbidities in Youth with Serious Physical Illness (2022) · cites this paper as [8]
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References 89 · Cited by 160
Research works printed but not linked: 5
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- Authors
- CASEY, P., & BAILEY, S.
- Affiliations
- Mater Misericordiae University Hospital (IE)
- University of Lancashire (GB)
- ORCID
- BAILEY, SUSAN
- Venue
- World Psychiatry
- Publisher
- Wiley
- Published
- 2011-02
- Volume
- 10
- Issue
- 1
- Pages
- 11-18
- ISSN
- 1723-8617 (ISSN-L)
- 2051-5545
- PMC
- PMC3048515
- OpenAlex
- W1890073398
- Cited by
- 160
- References
- 89
- Citations by year
- 2026: 4 · 2025: 11 · 2024: 5 · 2023: 11 · 2022: 9 · 2021: 30 · 2020: 5 · 2019: 10 · 2018: 13 · 2017: 13 · 2016: 12 · 2015: 10 · 2014: 5 · 2013: 10 · 2012: 5
- FWCI
- 8.95
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- World Psychiatry (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Research Repository UCD (University College Dublin) (submittedVersion, cc-by-nc-nd)
- Arrow@dit (Dublin Institute of Technology) (submittedVersion, cc-by-nc-nd)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- adjustment disorder, diagnostic criteria, psychiatric classification, depressive episodes, post-traumatic stress disorder, suicide, adolescents, prognosis, intervention research
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