Can adjustment disorder and depressive episode be distinguished? Results from ODIN

Casey, Patricia; Maracy, Mohammad Reza; Kelly, Brendan D.; Lehtinen, Ville; Ayuso-Mateos, José Luís; Dalgard, Odd Steffen; Dowrick, Christopher

doi:10.1016/j.jad.2006.01.021

Cited by 89 publications

(70 citation statements)

References 18 publications

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“…How this compares to the prevalence of adjustment disorders in the general population is difficult to gauge, however, because to our knowledge large-scale epidemiologic surveys of psychiatric disorder have typically not included adjustment disorders. 59 Adjustment disorders are generally mild and transitory and are particularly likely in the immediate aftermath of a cancer diagnosis or relatively early in the cancer trajectory. Such adjustment disorders should not, however, be considered psychological long-term or late effects of cancer unless they persist (ie, long-term effect) or initially appear (ie, late effect) well beyond the conclusion of treatment.…”

Section: Psychological Long-term Effects Of Cancer: Prevalencementioning

confidence: 99%

Physical and psychological long-term and late effects of cancer

Stein

Syrjala

Andrykowski

2008

Cancer

545

401

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The number of long-term cancer survivors (5 years after diagnosis) in the U.S.continues to rise, with more than 10 million Americans now living with a history of cancer. Along with such growth has come increasing attention to the continued health problems and needs of this population. Many cancer survivors return to normal functioning after the completion of treatment and are able to live relatively symptom-free lives. However, cancer and its treatment can also result in a wide range of physical and psychological problems that do not recede with time.Some of these problems emerge during or after cancer treatment and persist in a chronic, long-term manner. Other problems may not appear until months or even years later. Regardless of when they present, long-term and late effects of cancer can have a negative effect on cancer survivors' quality of life. This article describes the physical and psychological long-term and late effects among adult survivors of pediatric and adult cancers. The focus is on the prevalence and correlates of long-term and late effects as well as the associated deficits in physical and emotional functioning. In addition, the emergence of public health initiatives and large-scale research activities that address the issues of long-term cancer survivorship are discussed. Although additional research is needed to fully understand and document the long-term and late effects of cancer, important lessons can be learned from existing knowledge. Increased awareness of these issues is a key component in the development of follow-up care plans that may allow for adequate surveillance, prevention, and the management of long-term and late effects of cancer. T he number of long-term cancer survivors (5 years after diagnosis) in the U.S. is increasing because of advances in cancer screening, early detection, treatment strategies, and management of acute treatment toxicities. Indeed, the 5-year survival rate for all cancers combined has risen to 66%, up from approximately 50% in the 1970s, 1 and it is estimated that there are now more than 10 million Americans living with a history of cancer.2 Furthermore, based partly on the overall growth and increasing average age of the U.S. population, researchers are predicting that the number of persons over the age of 65 years diagnosed with cancer each year will double by the year 2050, and will quadruple among those aged 85 years in the same time frame.3 Considered together, these factors suggest that the number of cancer survivors in this country will continue to grow and that their long-term heath problems and resulting needs will demand increasing attention.

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Section: Psychological Long-term Effects Of Cancer: Prevalencementioning

confidence: 99%

Physical and psychological long-term and late effects of cancer

Stein

Syrjala

Andrykowski

2008

Cancer

545

401

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“…AD is a diagnostic category that is ring-fenced in a particular way -on one side is the differentiation from other psychiatric disorders such as major depression 28 , somatisation 29 or minor depression although there have been no studies comparing the latter with AD. The terms minor depression and AD may be used interchangeably since both are characterised by cognitive and mood related symptoms 30 , rather than vegetative symptoms and both are also viewed as sub-syndromes on the trajectory to other disorders.…”

Section: Issues In the Classification Of Admentioning

confidence: 99%

Adjustment Disorder

Casey

2009

CNS Drugs

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Adjustment disorder (AD) was introduced into the psychiatric classification systems almost thirty years ago although the concept was recognised for many years before that. Six subtypes are described based on the predominant symptoms but no further diagnostic criteria are offered to assist the clinician. These are common conditions especially in primary care and in consultation liaison psychiatry where the prevalence ranges from 11-18% and 10-35% respectively. Yet they are under-researched, possibly due to the failure of some of the common diagnostic tools to allow for the diagnosis of AD. Among those to incorporate AD, the concordance between the clinical and interview diagnosis is very poor with the diagnosis being made more commonly in clinical practice than the diagnostic tools allow for. AD is found in all cultures and in all age groups.

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“…2 In community samples comparing AD and DE the prevalence of suicidal ideation is similar. 3 Suicidal behaviour in AD (self-harm irrespective of motivation or intent) is common, varying between 25% and 60%, depending on age. 4,5 Compared to those with DE, suicidal behaviour in AD is associated with lower levels of education, single marital status, lower socio-economic status, more familial instability, emotional deprivation in childhood and less planning of the attempt 6 .…”

Section: Introductionmentioning

confidence: 99%

Suicidal behaviours in adjustment disorder and depressive episode

Casey

Jabbar

O’Leary³

et al. 2015

Journal of Affective Disorders

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Publication informationJournal of Affective Disorders, Publisher Elsevier Item record/more information http://hdl.handle.net/10197/6642 Publisher's statementThis is the author's version of a work that was accepted for publication in Journal of Affective Disorders. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Affective Disorders (VOL 174, ISSUE 2015, (2015 AbstractBackground: Little is known about suicidal ideation and behaviours in adjustment disorder (AD). In

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Can adjustment disorder and depressive episode be distinguished? Results from ODIN

Cited by 89 publications

References 18 publications

Physical and psychological long-term and late effects of cancer

Physical and psychological long-term and late effects of cancer

Adjustment Disorder

Suicidal behaviours in adjustment disorder and depressive episode

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