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Cited by 202Posttraumatic Stress Disorder ResearchPsychosomatic Disorders and Their TreatmentsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

The DOI matches its Crossref record; 46 of the 46 references it cites were found in a registry or an index.

Adjustment Disorders as Stress Response Syndromes: A New Diagnostic Concept and Its Exploration in a Medical Sample

Open access
Maercker, Andreas, Einsle, Franziska, Köllner, Volker·2007·Psychopathology
DOI 10.1159/000099290
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Abstract

Objective: Adjustment disorders (AD) are an ill-defined category in the present diagnostic nomenclature. We propose a new diagnostic model that describes AD as particular forms of stress response syndrome, in which intrusions, avoidance of reminders and failure to adapt are the central processes and symptoms. In line with the existing classification, the description of AD subtypes is included. Backgrounds on existing psychopathological models of stress response disorders are outlined. Methods: Data from a clinical sample of patients with an automatic implantable cardioverter defibrillator (n = 160, mean age 63 years, 90% males) are investigated. Results: The items tapping the individual symptoms meet psychometric requirements for diagnostic applications. The diagnostic algorithm chosen indicates a 17% prevalence of AD in the sample. The subtype most commonly diagnosed is AD with mixed emotional features (41%). In a subsample, diagnostic sensitivity was 0.58 and specificity 0.81 in relation to traditional AD cases diagnosed by the Structured Clinical Interview for DSM-IV. By applying the most strongly conservative exclusion rule analogous to the Structured Clinical Interview for DSM-IV, the AD prevalence was reduced to 9%. Conclusion: The new AD concept is theory driven and shows methodological soundness. Its application to further samples is recommended.

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  1. 10.1016%2FS0272-7358%2803%2900033-3 · DOI · Paper page
  2. 10.1037%2F0021-843X.101.3.452 · DOI
  3. 10.1056%2FNEJMra012941 · DOI · Paper page

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Metadata

Authors
Maercker, A., Einsle, F., & Köllner, V.
Affiliations
  • University Hospital Carl Gustav Carus (DE)
  • Universitätsklinikum des Saarlandes (DE)
ORCID
Köllner, Volker
Venue
Psychopathology
Publisher
S. Karger AG
Published
2007
Volume
40
Issue
3
Pages
135-146
ISSN
  • 0254-4962 (ISSN-L)
  • 1423-033X
DOI
10.1159/000099290
OpenAlex
W2042418558
Cited by
202
References
46
Citations by year
2026: 7 · 2025: 9 · 2024: 5 · 2023: 6 · 2022: 13 · 2021: 9 · 2020: 10 · 2019: 16 · 2018: 19 · 2017: 14 · 2016: 12 · 2015: 12 · 2014: 10 · 2013: 8 · 2012: 13
FWCI
10.15
Type
journal article
Language
en
Open access
Licence
Locations
  • Psychopathology (publishedVersion)
  • PubMed (publishedVersion)
  • Zurich Open Repository and Archive (University of Zurich) (acceptedVersion, other-oa)
  • Zurich Open Repository and Archive (University of Zurich) (submittedVersion, other-oa)
  • Zurich Open Repository and Archive (University of Zurich)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
adjustment disorder, stress response syndromes, diagnostic model, intrusion symptoms, prevalence, sensitivity and specificity, psychometric validation
MeSH terms
Adjustment Disorders, Adolescent, Adult, Aged, Aged, 80 and over, Depression, Diagnosis, Differential, Female, Heart Diseases, Humans, Male, Middle Aged, Terminology as Topic, Psychological Theory, Psychometrics, Surveys and Questionnaires, Stress Disorders, Post-Traumatic, Reproducibility of Results, Comorbidity, Defibrillators, Implantable, Empirical Research

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