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Adjustment disorders: Fault line in the psychiatric glossary
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Adjustment disorder entered the DSM–II nomenclature in 1968 and was recognized in ICD–9 in 1978. Before then the term ‘transient situational disturbance’ was applied to such conditions. The addition of adjustment disorder to the ICD classification was in response to the confusion generated by the older concepts of reactive and endogenous depression. Both DSM–IV (American Psychiatric Association, 1994) and ICD–10 (World Health Organization, 1992) retain the category of adjustment disorder, which has utility as a clinical concept. However, it has been eclipsed by the focus on mood disorder among research and policy-makers. A consequence of this is the danger of exaggerating the need for expensive and sometimes unpredictable mental health interventions in those whose problems are likely to resolve spontaneously.
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“In outpatient care, adjustment disorders are diagnosed very often: between 5 and 20 % of patients in outpatient care have an adjustment disorder as their main diagnosis [7].”
From Immediate help through group therapy for patients with somatic diseases and depressive or adjustment disorders in outpatient care: study protocol for a randomized controlled trial. (2015) · cites this paper as [7]
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Metadata
- Authors
- Casey, P., Dowrick, C., & Wilkinson, G.
- Affiliations
- University College Dublin (IE)
- Corresponding author
- Casey, Patricia
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2001-12
- Volume
- 179
- Issue
- 6
- Pages
- 479-481
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2015241758
- Cited by
- 153
- References
- 28
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 5 · 2023: 2 · 2022: 5 · 2021: 1 · 2020: 1 · 2019: 8 · 2018: 10 · 2017: 10 · 2016: 6 · 2015: 9 · 2014: 8 · 2013: 5 · 2012: 10
- FWCI
- 39.40
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- adjustment disorder, psychiatric classification, DSM-IV, ICD-10, reactive depression, endogenous depression, mood disorders, mental health service utilization, spontaneous recovery
- MeSH terms
- Adjustment Disorders, Depressive Disorder, Humans, Terminology as Topic
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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