A Preliminary Assessment of Adjustment Disorder Among First-Year College Students
Abstract
Using Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (American Psychiatric Association, 2000) criteria, we investigated whether the diagnosis adjustment disorder (AD) described first-year college students' adjustment problems. We found that a substantial portion of students experienced a set of adjustment symptoms meeting the AD criteria. Another portion of students reported adjustment concerns that were problematic but did not meet the AD diagnosis threshold. Female students tended to report more symptoms than do male students. College counseling implications are presented.
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Academic adjustment problems negatively impact students' functioning, including worse grades, high university dropout rates, and poor mental health.
“Results of these studies indicate that academic adjustment problems are highly prevalent (around 50%) and negatively impact students’ functioning, including worse grades, high university dropout rates, and poor mental health [25–29].”
From Effectiveness and mediators of change of an online CBT intervention for students with adjustment disorder—study protocol for a randomized controlled trial (2023) · cites this paper as [29]
Academic adjustment problems are highly prevalent among students, at around 50%.
“Results of these studies indicate that academic adjustment problems are highly prevalent (around 50%) and negatively impact students’ functioning, including worse grades, high university dropout rates, and poor mental health [25–29].”
From Effectiveness and mediators of change of an online CBT intervention for students with adjustment disorder—study protocol for a randomized controlled trial (2023) · cites this paper as [29]
There is a significant association between academic adjustment problems and the diagnosis of AjD.
“There is also a significant association between academic adjustment problems and the diagnosis of AjD [29].”
From Effectiveness and mediators of change of an online CBT intervention for students with adjustment disorder—study protocol for a randomized controlled trial (2023) · cites this paper as [29]
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“The reason behind these issues is not only academic pressure but also many factors, such as the demands of adulthood practical life and developmental changes towards adulthood (Rodgers & Tennison, 2009).”
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- Authors
- Rodgers, L. S., & Tennison, L. R.
- Affiliations
- College of Saint Benedict and Saint John's University (US)
- Corresponding author
- Rodgers, Laura S.
- Venue
- Archives of Psychiatric Nursing
- Publisher
- Elsevier BV
- Published
- 2009-06
- Volume
- 23
- Issue
- 3
- Pages
- 220-230
- ISSN
- 0883-9417 (ISSN-L)
- OpenAlex
- W2024322568
- Cited by
- 82
- References
- 50
- Citations by year
- 2026: 3 · 2025: 8 · 2024: 9 · 2023: 6 · 2022: 7 · 2021: 13 · 2020: 2 · 2019: 6 · 2018: 8 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 3 · 2013: 6 · 2012: 1
- FWCI
- 2.33
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Psychiatric Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Developmental and Educational Psychology › Student Stress and Coping
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Education › Higher Education Research Studies
- Keywords
- adjustment disorder, first-year college students, adjustment problems, gender differences, college counseling, DSM-IV-TR diagnostic criteria, student mental health
- MeSH terms
- Adjustment Disorders, Adolescent, Adult, Attitude to Health, Factor Analysis, Statistical, Female, Humans, Life Change Events, Male, Mass Screening, Models, Psychological, Nursing Assessment, Psychiatric Nursing, Surveys and Questionnaires, Severity of Illness Index, Students, Universities, Nursing Methodology Research, Qualitative Research, Diagnostic and Statistical Manual of Mental Disorders, Young Adult
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