The consultation-liaison (C-L) psychiatry services of seven university teaching hospitals in the United States, Canada, and Australia (the MICRO-CARES Consortium) used a common clinical database to examine 1039 consecutive referrals.
A diagnosis of adjustment disorder (AD) was made in 125 patients (12.0%) ; as the sole diagnosis, in 81 (7.8%) ; and comorbidly with other Axis I and II diagnoses in 44 (4.2%). It had been considered as a rule-out diagnosis in a further 110 (10.6%). AD with depressed mood, anxious mood, or mixed emotions were the commonest subcategories used.
AD was diagnosed comorbidly most frequently with personality disorder and organic mental disorder.
Sixly-seven patiem (6.4%) were assigned a V code diagnosis only.
Patients with AD were referred significantly more often for problems of anxiety, coping, and depression ; had less past psychiatric illness ; and were rated as functioning better-all consistent with the construct of AD as a maladaptation to a psychosocial stressor.
Interventions were similar to those for other Axis I and II diagnoses, in particular, the prescription of antidepressants.
Patients with AD required a similar amount of clinical time and resident supervision.
It is concluded that AD is an important and time-consuming dingnostic category in C-L psychiatry practice.
Mots-clés Pascal : Trouble adaptation, Diagnostic, Service hospitalier, Psychiatrie liaison, Prévalence, Epidémiologie, Etats Unis, Amérique du Nord, Amérique, Canada, Australie, Océanie, Santé mentale, Homme
Mots-clés Pascal anglais : Adaptation disorder, Diagnosis, Hospital ward, Liaison psychiatry, Prevalence, Epidemiology, United States, North America, America, Canada, Australia, Oceania, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0381815
Code Inist : 002B18C14. Création : 25/01/1999.