Adjustment disorder

Adjustment disorder
Other namesStress response syndrome
SpecialtyPsychiatry, clinical psychology Edit this on Wikidata
SymptomsAnxiety, depression, and behavioral disturbances associated with a psychological stressor
ComplicationsSuicide;[1] substance abuse, progression to more serious psychiatric disorders (e.g., post-traumatic stress disorder, major depressive disorder)
Usual onsetWithin one to three months after a stressful event
DurationUp to six months unless the stressor or its consequences continue
TypesMild, moderate, severe
Risk factorsHistory of mental disorders; low social support
Differential diagnosisPost-traumatic stress disorder, mood disorders, anxiety disorders
TreatmentPsychotherapy; bibliotherapy; structured paraprofessional help
PrognosisRelatively good compared to many other mental disorders, but severity varies

Adjustment disorder is a mental and behavioral disorder defined by a maladaptive response to a psychosocial stressor.[2] The maladaptive response usually involves otherwise normal emotional and behavioral reactions that manifest more intensely than usual (considering contextual and cultural factors), causing marked distress, preoccupation with the stressor and its consequences, and functional impairment.[3][4][5][6]

Diagnosis of adjustment disorder is common, with lifetime prevalence estimates for adults ranging from 5 to 21%.[7] Adult women are diagnosed twice as often as men. Among children and adolescents, girls and boys are equally likely to be diagnosed with an adjustment disorder.[8]

Adjustment disorder was introduced into the Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III) in 1980.[9][10]

Another name for adjustment disorder is stress response syndrome, as well as situational depression, since depression is one of the most common symptoms.[11]

  1. ^ "Adjustment disorders - Symptoms and causes". Mayo Clinic. Retrieved 30 May 2019.
  2. ^ Cite error: The named reference DSM-IV was invoked but never defined (see the help page).
  3. ^ Cite error: The named reference Bolu_2012 was invoked but never defined (see the help page).
  4. ^ Cite error: The named reference Asnis_1993 was invoked but never defined (see the help page).
  5. ^ Cite error: The named reference Bronisch_1989 was invoked but never defined (see the help page).
  6. ^ Cite error: The named reference Bisson_2006 was invoked but never defined (see the help page).
  7. ^ Portzky G, Audenaert K, van Heeringen K (August 2005). "Adjustment disorder and the course of the suicidal process in adolescents". Journal of Affective Disorders. 87 (2–3): 265–270. doi:10.1016/j.jad.2005.04.009. hdl:1854/LU-337403. PMID 16005078.
  8. ^ Cite error: The named reference Patricia, C. 2009 was invoked but never defined (see the help page).
  9. ^ "DSM-5 Diagnostic Codes". Psych Central. 2021-05-13. Retrieved 2022-04-10.
  10. ^ Substance Abuse and Mental Health Services Administration (June 2016). "Table 3.19, DSM-IV to DSM-5 Adjustment Disorders Comparison". www.ncbi.nlm.nih.gov. Retrieved 2022-04-10.
  11. ^ "What Is Adjustment Disorder?". WebMD. Retrieved 2022-04-10.

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