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Cited by 180Psychosomatic Disorders and Their TreatmentsMental Health Treatment and AccessPersonality Disorders and Psychopathology

The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.

Adjustment Disorder: A Multisite Study of its Utilization and Interventions in the Consultation-Liaison Psychiatry Setting

Strain, J·1998·General Hospital Psychiatry
DOI 10.1016/s0163-8343(98)00020-6
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Abstract

The consultation-liaison (C-L) psychiatry services of seven university teaching hospitals in the United States, Canada, and Australia (the MICRO-CARES Consortium) used a common clinical database to examine 1039 consecutive referrals. A diagnosis of adjustment disorder (AD) was made in 125 patients (12.0%); as the sole diagnosis, in 81 (7.8%); and comorbidly with other Axis I and II diagnoses in 44 (4.2%). It had been considered as a rule-out diagnosis in a further 110 (10.6%). AD with depressed mood, anxious mood, or mixed emotions were the commonest subcategories used. AD was diagnosed comorbidly most frequently with personality disorder and organic mental disorder. Sixty-seven patients (6.4%) were assigned a V code diagnosis only. Patients with AD were referred significantly more often for problems of anxiety, coping, and depression; had less past psychiatric illness; and were rated as functioning better--all consistent with the construct of AD as a maladaptation to a psychosocial stressor. Interventions were similar to those for other Axis I and II diagnoses, in particular, the prescription of antidepressants. Patients with AD required a similar amount of clinical time and resident supervision. It is concluded that AD is an important and time-consuming diagnostic category in C-L psychiatry practice.

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Crossref · 10.1016/s0163-8343(98)00020-6

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Metadata

Authors
Strain, J.
Affiliations
Mount Sinai Hospital (US)
Corresponding author
Strain, J
ORCID
Strain, J
Venue
General Hospital Psychiatry
Publisher
Elsevier BV
Published
1998-05
Volume
20
Issue
3
Pages
139-149
ISSN
0163-8343 (ISSN-L)
DOI
10.1016/s0163-8343(98)00020-6
OpenAlex
W1978541970
Cited by
180
References
27
Citations by year
2026: 1 · 2025: 8 · 2024: 5 · 2023: 3 · 2022: 11 · 2021: 3 · 2020: 4 · 2019: 6 · 2018: 10 · 2017: 8 · 2016: 4 · 2015: 7 · 2014: 5 · 2013: 11 · 2012: 15
FWCI
2.74
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • General Hospital Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Keywords
adjustment disorder, psychosomatic medicine, hospital psychiatric services, diagnostic patterns, comorbidities, antidepressant prescribing, psychosocial stressors, clinical utilization, resident supervision
MeSH terms
Adjustment Disorders, Adult, Aged, Australia, Canada, Demography, Diagnosis, Differential, Factor Analysis, Statistical, Female, Humans, Male, Middle Aged, Personality Disorders, Psychiatric Status Rating Scales, Referral and Consultation, Stress, Psychological, United States, Cohort Studies, Comorbidity, Chi-Square Distribution, Age Distribution, Sex Distribution, Neurocognitive Disorders, Substance-Related Disorders

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