The Course of Adjustment Disorder Following Involuntary Job Loss and Its Predictors of Latent Change
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Adjustment disorders (AjDs) usually resolve after the precipitating life event and its consequences are terminated. However, they bear the risk for the development of severe mental illness. The present study investigates the natural course of AjD as defined for International Classification of Diseases, 11th version (ICD-11). A total of 303 individuals who involuntarily lost their jobs were assessed initially after the job loss and 6 months later. Latent class latent change analysis and multinomial logistic regression were performed. Two groups showed low ( n = 149, 49.2%) and medium ( n = 108, 35.6%) symptom severity at initial assessment that declined over time. The third group ( n = 46, 15.2%) showed a high initial response and a small effect of worsening of symptoms. Female gender, higher age, first dismissal, impaired social functioning, dysfunctional disclosure, less social support, and less social acknowledgment were associated with belonging to the latter group. It might be beneficial to target individuals at high risk with interventions that aim at the improvement of skills relevant for stress management.
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Adjustment disorder, if undetected and untreated, may lead to more severe mental disorders or an elevated risk of suicide.
“if it goes undetected and untreated it may lead to more severe mental disorders or an elevated risk of suicide [67, 68]”
From Mental, behavioral and neurodevelopmental disorders in the ICD-11: an international perspective on key changes and controversies (2020) · cites this paper as [68]
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- Authors
- Lorenz, L., Perkonigg, A., & Maercker, A.
- Affiliations
- University of Zurich (CH)
- Department of Psychology, University of Zurich
- Corresponding author
- Lorenz, Louisa
- Venue
- Clinical Psychological Science
- Publisher
- SAGE Publications
- Published
- 2018-04-18
- Volume
- 6
- Issue
- 5
- Pages
- 647-657
- ISSN
- 2167-7026 (ISSN-L)
- 2167-7034
- OpenAlex
- W2801767139
- Cited by
- 33
- References
- 9
- Citations by year
- 2026: 4 · 2025: 2 · 2024: 2 · 2023: 5 · 2022: 6 · 2021: 6 · 2020: 5 · 2019: 3
- FWCI
- 5.37
- Type
- journal article
- Language
- en
- Open access
- green
- www.zora.uzh.ch
- Locations
- Clinical Psychological Science (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)
- Funders
- Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (#100019_159436)
- Jacobs Foundation
- Topics
- Health Sciences › Health Professions › General Health Professions › Employment and Welfare Studies
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Keywords
- adjustment disorder, involuntary job loss, ICD-11, social functioning, social support, stress management, risk factors
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