文章基本信息

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 等
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