Adjustment disorder: Difference between revisions
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==Overview== | ==Overview== | ||
Adjustment disorder refers to a psychological disturbance that develops in response to a stressor. Adjustment disorders are caused by specific sources of [[stress (medicine)|stress]], such as severe personal crisis (divorce, death of loved one, recent abuse, recent job changes) or major unexpected negative events (tornado or fire destroys a person's home). The usual symptoms mimic [[clinical depression|depression]], [[anxiety]], or [[sleep disorder]]; however the disturbance disorder is short-term and can usually be treated with counseling or mild short-term medication. If the problem persists more than six months after removal of the stressor, the person may have a more permanent problem, such as a chronic mood or sleep disorder. | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
*Acute stress disorder | *[[Acute stress disorder]] | ||
*Major depressive disorder | *[[Major depressive disorder]] | ||
*Normative stress reactions | * Normative stress reactions | ||
*Personality disorders | *[[Personality disorders]] | ||
*Post traumatic stress disorder | *[[Post traumatic stress disorder]]<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref> | ||
==Epidemiology and Demographics== | ==Epidemiology and Demographics== | ||
===Prevalence=== | ===Prevalence=== | ||
The prevalence of adjustment disorder is: | Adjustment disorder is a common condition. The prevalence of adjustment disorder is: | ||
*5,000-20,000 per 100,000 in outpatient mental health | *5,000-20,000 per 100,000 (5-20%) in the outpatient mental health treatment setting. | ||
*50,000 per 100,000 in hospital psychiatric consultation | *Up to 50,000 per 100,000 in the hospital psychiatric consultation setting of the overall population.<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref> | ||
==Risk Factors== | ==Risk Factors== | ||
*Stressors | * Stressors (divorce, death of loved one, recent abuse, recent job changes)<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref> | ||
* Major unexpected negative events (tornado or fire destroys a person's home) | |||
==Diagnostic Criteria== | ==Natural History, Complications and Prognosis== | ||
===DSM-V Diagnostic Criteria for Adjustment Disorder<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>=== | Adjustment disorder is short-term and can usually be treated with counseling or mild short-term medication. If the problem persists more than six months after removal of the stressor, the person may have a more permanent problem, such as a chronic mood or sleep disorder. | ||
==Diagnosis== | |||
===Diagnostic Criteria=== | |||
====DSM-V Diagnostic Criteria for Adjustment Disorder<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>==== | |||
{{cquote| | {{cquote| | ||
*A. The development of emotional or behavioral symptoms in response to an identifiable stressor(s) occurring within 3 months of the onset of the stressor(s). | *A.The development of emotional or behavioral symptoms in response to an identifiable stressor(s) occurring within 3 months of the onset of the stressor(s). | ||
*B. These symptoms or behaviors are clinically significant, as evidenced by one or both of the following: | |||
:*1. Marked distress that is out of proportion to the severity or intensity of the stressor,taking into account the external context and the cultural factors that might influence | '''''AND''''' | ||
symptom severity and presentation. | *B.These symptoms or behaviors are clinically significant, as evidenced by one or both of the following: | ||
:*1. Marked distress that is out of proportion to the severity or intensity of the stressor,taking into account the external context and the cultural factors that might influence symptom severity and presentation. | |||
:*2.Significant impairment in social, occupational, or other important areas of functioning. | :*2.Significant impairment in social, occupational, or other important areas of functioning. | ||
'''''AND''''' | |||
*C.The stress-related disturbance does not meet the criteria for another mental disorder and is not merely an exacerbation of a preexisting mental disorder. | *C.The stress-related disturbance does not meet the criteria for another mental disorder and is not merely an exacerbation of a preexisting mental disorder. | ||
'''''AND''''' | |||
*D.The symptoms do not represent normal bereavement. | *D.The symptoms do not represent normal bereavement. | ||
'''''AND''''' | |||
*E.Once the stressor or its consequences have terminated, the symptoms do not persist for more than an additional 6 months. | *E.Once the stressor or its consequences have terminated, the symptoms do not persist for more than an additional 6 months. | ||
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*With depressed mood: Low mood, tearfulness, or feelings of hopelessness are predominant. | *With depressed mood: Low mood, tearfulness, or feelings of hopelessness are predominant. | ||
*With anxiety: Nervousness, worry, jitteriness, or separation anxiety is predominant. | *With [[anxiety]]: Nervousness, worry, jitteriness, or separation anxiety is predominant. | ||
*With mixed anxiety and depressed mood: A combination of depression and anxiety is predominant. | *With mixed anxiety and depressed mood: A combination of [[depression]] and [[anxiety]] is predominant. | ||
*With disturbance of conduct: Disturbance of conduct is predominant. | *With disturbance of conduct: Disturbance of conduct is predominant. | ||
*With mixed disturbance of emotions and conduct: Both emotional symptoms (e.g., depression, anxiety) and a disturbance of conduct are predominant. | *With mixed disturbance of emotions and conduct: Both emotional symptoms (e.g., [[depression]], [[anxiety]]) and a disturbance of conduct are predominant. | ||
*Unspecified: For maladaptive reactions that are not classifiable as one of the specific subtypes of adjustment disorder. | *Unspecified: For maladaptive reactions that are not classifiable as one of the specific subtypes of adjustment disorder. | ||
}} | |||
===Symptoms=== | |||
The usual symptoms of adjustment disorder mimic [[clinical depression|depression]], [[anxiety]], or [[sleep disorder]]. | |||
}} | ==References== | ||
{{reflist|2}} | |||
{{Mental and behavioural disorders}} | {{Mental and behavioural disorders}} | ||
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[[Category:Mental illness diagnosis by DSM and ICD]] | [[Category:Mental illness diagnosis by DSM and ICD]] | ||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} |
Latest revision as of 17:33, 23 October 2014
For patient information click here
Adjustment disorder | |
ICD-10 | F43.2 |
---|---|
ICD-9 | 309 |
DiseasesDB | 33765 |
MedlinePlus | 000932 |
MeSH | D000275 |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]
Overview
Adjustment disorder refers to a psychological disturbance that develops in response to a stressor. Adjustment disorders are caused by specific sources of stress, such as severe personal crisis (divorce, death of loved one, recent abuse, recent job changes) or major unexpected negative events (tornado or fire destroys a person's home). The usual symptoms mimic depression, anxiety, or sleep disorder; however the disturbance disorder is short-term and can usually be treated with counseling or mild short-term medication. If the problem persists more than six months after removal of the stressor, the person may have a more permanent problem, such as a chronic mood or sleep disorder.
Differential Diagnosis
- Acute stress disorder
- Major depressive disorder
- Normative stress reactions
- Personality disorders
- Post traumatic stress disorder[1]
Epidemiology and Demographics
Prevalence
Adjustment disorder is a common condition. The prevalence of adjustment disorder is:
- 5,000-20,000 per 100,000 (5-20%) in the outpatient mental health treatment setting.
- Up to 50,000 per 100,000 in the hospital psychiatric consultation setting of the overall population.[1]
Risk Factors
- Stressors (divorce, death of loved one, recent abuse, recent job changes)[1]
- Major unexpected negative events (tornado or fire destroys a person's home)
Natural History, Complications and Prognosis
Adjustment disorder is short-term and can usually be treated with counseling or mild short-term medication. If the problem persists more than six months after removal of the stressor, the person may have a more permanent problem, such as a chronic mood or sleep disorder.
Diagnosis
Diagnostic Criteria
DSM-V Diagnostic Criteria for Adjustment Disorder[1]
“ |
AND
AND
AND
AND
Specify whether:
|
” |
Symptoms
The usual symptoms of adjustment disorder mimic depression, anxiety, or sleep disorder.
References