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A Journal on Psychiatry, Psychology and Psychopharmacology
Official Journal of the Italian Society of Social Psychiatry
Indexed/Abstracted in: EMBASE, e-psyche, PsycINFO, Scopus, Emerging Sources Citation Index
Minerva Psichiatrica 2015 June;56(2):51-9
Descriptive, demographic and clinical aspects of a sample of patients with adjustment disorder
Anastasìa A. 1, Colletti C. 1, Ratti F. 1, Marconi M. 1, Cuoco V. 1, Rinaldi R. 2, Bersani G. 1
1 Dipartimento di Scienze e Biotecnologie Medico‑Chirurgiche, Facoltà di Farmacia e Medicina, ‘’Sapienza Università di Roma’’ Polo Pontino, UOD Universitaria “Ospedale A. Fiorini“, Terracina, DSM ASL, Latina, Italia;
2 Dipartimento di Scienze Anatomiche, Istologiche Medico‑Legali e dell’Apparato Locomotore, “Sapienza Università di Roma”, Roma, Italia
AIM: Despite being considered a transient disorder and being used as a residual diagnostic category, the adjustment disorder (AD) plays an important role in clinical practice, both for the high frequency with which such diagnosis is placed and because it is a disabling disorder.
METHODS: Fifty-nine patients diagnosed with AD recruited from University Unit of Psychiatry “A. Fiorini” Hospital, Terracina (DSM ALS LT), were included in the study during the period between November 2009 and February 2011. Through anamnestic investigation, the following issues were highlighted: the main socio-demographic variables (gender, age, education, employment), remote history of psychopathology, types of stressful events that led to the development of AD, specific subtype of AD, any forensic aspects. Subsequently, a comparison of gender in respect to the type of stressful life events and the specific subtype of AD was made.
RESULTS: The sample examined was characterized by men and women (52.5% vs. 47.5%) with a mean age of 50.1 years (age range 23-79 y), with a high-medium level of education (high school diploma 39%), mainly employed (86.4%), with a negative history of remote psychopathology in most cases (77.97%). The disorder occurred associated with more mixed symptoms (anxious-depressive 58%), with similar frequencies in both men and women, most frequently in response to stressful events at work (27.12%), especially for men, problems in the family (16.95%), especially for women, presence of somatic diseases (13.56%). 35.59% of the patients carried the request of medical records for forensic purposes.
CONCLUSION: The present study offers several suggestions for further research. For example, it could be interesting to make a correlation between the clinical subtypes of AD and stressors identified as the cause of the disorder. Moreover, the aspect that concerns forensic purposes, given the high prevalence of the diagnosis of AD in this regard, deserves to be explored.