دانلود مقاله ISI انگلیسی شماره 71797
عنوان فارسی مقاله

اختلال سازگاری پیشنهادی برای ICD-11 : ابعاد و نشانه تمایز

کد مقاله سال انتشار مقاله انگلیسی ترجمه فارسی تعداد کلمات
71797 2015 9 صفحه PDF سفارش دهید محاسبه نشده
خرید مقاله
پس از پرداخت، فوراً می توانید مقاله را دانلود فرمایید.
عنوان انگلیسی
Adjustment disorder as proposed for ICD-11: Dimensionality and symptom differentiation
منبع

Publisher : Elsevier - Science Direct (الزویر - ساینس دایرکت)

Journal : Psychiatry Research, Volume 229, Issue 3, 30 October 2015, Pages 940–948

کلمات کلیدی
اختلال سازگاری؛ ICD-11؛ معیارهای تشخیصی؛ علائم؛ روش بعدی
پیش نمایش مقاله
پیش نمایش مقاله اختلال سازگاری پیشنهادی برای ICD-11 : ابعاد و نشانه تمایز

چکیده انگلیسی

Although Adjustment Disorder as a diagnostic category is widely used in clinical practice it is critically discussed that it has not been conceptualized as a category with unique symptoms. Hence, the conceptualization of Adjustment Disorder is subject to substantive change in ICD-11 including core symptoms and additional features in a uni-faceted concept. Adjustment Disorder was assessed with a self-rating instrument in a representative sample of the German general population (N=2512). Confirmatory factor analyses (CFA) were applied to test the dimensionality of symptoms according to the new diagnostic concept. Latent class analysis (LCA) was applied to test whether there are distinguishable subgroups with respect to symptomatology. 2.0% of the sample were diagnosed with Adjustment Disorder according to the new diagnostic algorithm. The proposed six factor model shows best fit with good reliability of the factors in the CFA compared to competing models. However the factors are highly correlated and not distinguishable. The LCA identified three latent classes, reflecting low, mild and moderate to severe symptoms. The findings support the uni-faceted concept of Adjustment Disorder as it is conceptualized in the new diagnostic concept in ICD-11 in a general population sample. This clearer diagnostic concept will inform research as well as clinical practice.

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