Adjustment disorder and life events

Doruk, A. (2008) Adjustment disorder and life events. Anatolian Journal of Psychiatry (Anadolu Psikiyatri Dergisi), 9 (4). pp. 197-202. ISSN 1302-6631

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Abstract

Objective: Various studies conducted on the military personnel have indicated that adjustment disorder (AD) is an important mental health problem in this population. This disorder seriously impairs social and occupational functioning in military service. The aim of this study was to investigate the possible association between life events and adjustment disorder in a sample of soldier in the year prior to the onset of military service. Methods: Our sample comprised of 71 soldiers with a diagnosis of AD and 69 healthy soldiers without any adaptation problems during the first six months of military service. The diagnosis of adjustment disorder was confirmed by the Structured Clinical Interview for DSM-IV. The level of adjustment disorder was assessed by using the Clinical Global Impressions. The life events were investigated using the Sorias’ Life Events List. Results: The prevalenceof subtypes of adjustment disorder in this sample were 45.1% for anxiety 19.7% for mixed disturbance of emotions and conduct 15.5% for depressed mood 8.5% for mixed anxiety and depressed mood and 7% for unspecified subtypes. The mean number of life events in patients with AD (8.2±6.0 events) was significantly higher than the control group (3.0±3.7 events). 35.2% of patients with AD reported their number of life events between 1-5, 32.4% between 6-10 events and 29.6% had 11 or higher life events. The patients with a history of lifetime suicide attempt were higher in AD group than control group (38% vs 33.8% respectively) whereas the percentage of patient s with a lifetime substance abuse was higher in control group (1.4%vs 4.3% respectively). In addition, patients with a history of suicide attempt and substance use had higher number of life events than those without any history of sucidie attempt and substance use. Discussion: These findings suggest that life events have a substantial causal relationship with AD. Special attention should be given to soldiers who have experienced an accumulation of stressful events, because of higher vulnerability risk.

EPrint Type:Article
Uncontrolled Keywords:Adjustment disorder, Soldier, Life Events, Military Service, Adaptation Problems, Life Events, Mental Health
Subjects:Behavior and Behavior Mechanisms > Psychology, Social
-Journal Repositories > Anatolian Journal of Psychiatry
Persons > Occupational Groups
Pathological Conditions, Signs and Symptoms > Pathologic Processes > Stress
Mental Disorders > Adjustment Disorders
Psychological Phenomena and Processes > Mental Health
Behavior and Behavior Mechanisms > Adaptation, Psychological
ID Code:3155
Deposited By:Dr. Lut Tamam
Deposited On:18 November 2008

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