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  1. Adjustment disorder : A multisite study of its utilization and interventions in the consultation-liaison psychiatry setting.

    Article - En anglais

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0381815

    Code Inist : 002B18C14. Création : 25/01/1999.