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https://hdl.handle.net/2440/105977
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dc.contributor.author | O'Donnell, M.L. | - |
dc.contributor.author | Alkemade, N. | - |
dc.contributor.author | Creamer, M. | - |
dc.contributor.author | McFarlane, A.C. | - |
dc.contributor.author | Silove, D. | - |
dc.contributor.author | Bryant, R.A. | - |
dc.contributor.author | Felmingham, K. | - |
dc.contributor.author | Steel, Z. | - |
dc.contributor.author | Forbes, D. | - |
dc.date.issued | 2016 | - |
dc.identifier.citation | American Journal of Psychiatry, 2016; 173(12):1231-1238 | - |
dc.identifier.issn | 0002-953X | - |
dc.identifier.issn | 1535-7228 | - |
dc.identifier.uri | http://hdl.handle.net/2440/105977 | - |
dc.description.abstract | Objective: Adjustment disorder has been recategorized as a trauma- and stressor-related disorder in DSM-5. The aim of this study was to determine the prevalence of adjustment disorder in the first 12 months after severe injury; to determine whether adjustment disorder was a less severe disorder compared with other disorders in terms of disability and quality of life; to investigate the trajectory of adjustment disorder; and to examine whether the subtypes described in DSM-5 are distinguishable. Method: In a multisite, cohort study, injury patients were assessed during hospitalization and at 3 and 12 months postinjury (N=826). Structured clinical interviews were used to assess affective, anxiety, and substance use disorders, and self-report measures of disability, anxiety, depression, and quality of life were administered. Results: The prevalence of adjustment disorder was 19% at 3 months and 16% at 12 months. Participants with adjustment disorder reported worse outcomes relative to those with no psychiatric diagnosis but better outcomes compared with those diagnosed with other psychiatric disorders. Participants with adjustment disorder at 3 months postinjury were significantly more likely to meet criteria for a psychiatric disorder at 12 months (odds ratio=2.67, 95% CI=1.59−4.49). Latent-profile analysis identified a three-class model that was based on symptom severity, not the subtypes identified by DSM-5. Conclusions: Recategorization of adjustment disorder into the trauma- and stressor-related disorders is supported by this study. However, further description of the phenomenology of the disorder is required. | - |
dc.description.statementofresponsibility | Meaghan L. O’Donnell, Nathan Alkemade, Mark Creamer, Alexander C. McFarlane, Derrick Silove, Richard A. Bryant, Kim Felmingham, Zachery Steel, David Forbes | - |
dc.language.iso | en | - |
dc.publisher | American Psychiatric Association | - |
dc.rights | Copyright © American Psychiatric Association. All rights reserved. | - |
dc.source.uri | http://dx.doi.org/10.1176/appi.ajp.2016.16010071 | - |
dc.subject | Humans | - |
dc.subject | Wounds and Injuries | - |
dc.subject | Disability Evaluation | - |
dc.subject | Prognosis | - |
dc.subject | Prevalence | - |
dc.subject | Longitudinal Studies | - |
dc.subject | Adjustment Disorders | - |
dc.subject | Psychiatric Status Rating Scales | - |
dc.subject | Quality of Life | - |
dc.subject | Diagnostic and Statistical Manual of Mental Disorders | - |
dc.subject | Adult | - |
dc.subject | Australia | - |
dc.subject | Female | - |
dc.subject | Male | - |
dc.subject | Young Adult | - |
dc.title | A longitudinal study of adjustment disorder after trauma exposure | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1176/appi.ajp.2016.16010071 | - |
dc.relation.grant | http://purl.org/au-research/grants/nhmrc/1073041 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | McFarlane, A.C. [0000-0002-3829-9509] | - |
Appears in Collections: | Aurora harvest 8 Psychology publications |
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