IntroductionAdjustment disorder (AD) is a common diagnosis, but there are relatively few studies, in part because the current definition is still poorly specified, inadequate and controversial. Some clinicians and researchers have pointed out that a psychiatric diagnosis should present a clinical description, as well as date based on psychological, biological and/or sociofamiliar studies, and follow-up investigation about outcome and prognosis, to increase the reliability and validity diagnosis and permits exclusion of other possible disorders and normality. There is much empirical evidence to indicate that AD is a transient disorder with a tendency to spontaneous remission. However, some studies have shown that patients with AD often develop major psychiatric disorders, presenting a higher rate of psychiatric morbidity, e.g., higher suicide rates.AimThe aim of this study was to analyze the clinical and sociodemographic characteristics, as well as some possible personal vulnerability factors in patients with AD.MethodThis longitudinal study was carried out on 80 outpatients diagnoses with AD at a Mental Health Unit, who were followed up for 3 years. It was analyzed different clinical and sociodemographic characteristics.ResultsSignificant differences between groups were found in some of the variables considered.ConclusionsThe results add empirical evidence to a controversial and little-researched diagnostic category and provide guidelines for assessment and intervention. They also may contribute to improve diagnostic classifications.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Chapter 15 discusses how IPT relates depressive symptoms to interpersonal difficulties, with the goals of diminishing the depressive symptoms and improving the patient’s interpersonal functioning. It describes therapeutic work with a woman presenting with two medical illnesses: breast cancer and major depressive disorder (MDD).
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