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  • 标题:Adjustment Disorders Are Uniquely Suited for eHealth Interventions: Concept and Case Study
  • 本地全文:下载
  • 作者:Andreas Maercker ; Rahel C Bachem ; Louisa Lorenz
  • 期刊名称:JMIR Mental Health
  • 电子版ISSN:2368-7959
  • 出版年度:2015
  • 卷号:2
  • 期号:2
  • 页码:15-25
  • DOI:10.2196/mental.4157
  • 出版社:JMIR Publications Inc., Toronto, Canada
  • 摘要:Background: Adjustment disorders (also known as mental distress in response to a stressor) are among the most frequently diagnosed mental disorders in psychiatry and clinical psychology worldwide. They are also commonly diagnosed in clients engaging in deliberate self-harm and in those consulting general practitioners. However, their reputation in research-oriented mental health remains weak since they are largely underresearched. This may change when the International Statistical Classification of Diseases-11 (ICD-11) by the World Health Organization is introduced, including a new conceptualization of adjustment disorders as a stress-response disorder with positively defined core symptoms. Objective: This paper provides an overview of evidence-based interventions for adjustment disorders. Methods: We reviewed the new ICD-11 concept of adjustment disorder and discuss the the rationale and case study of an unguided self-help protocol for burglary victims with adjustment disorder, and its possible implementation as an eHealth intervention. Results: Overall, the treatment with the self-help manual reduced symptoms of adjustment disorder, namely preoccupation and failure to adapt, as well as symptoms of depression, anxiety, and stress. Conclusions: E-mental health options are considered uniquely suited for offering early intervention after the experiences of stressful life events that potentially trigger adjustment disorders.
  • 关键词:adjustment disorders;intervention;e; mental health;unguided self; help
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