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Journal of Negative and No Positive Results
On-line version ISSN 2529-850X
Abstract
LUCAS OLIVER, Elvira; TARRAGA LOPEZ, Pedro Juan and TARRAGA MARCOS, Almudena. Adaptive disorders and their management in primary care. JONNPR [online]. 2023, vol.8, n.3, pp.568-585. Epub Dec 04, 2023. ISSN 2529-850X. https://dx.doi.org/10.19230/jonnpr.4909.
Introduction:
Adjustment disorder describes a disproportionate emotional and behavioral response to one or more identifiable psychosocial stressors. There are multiple situations capable of generating an acute stressful situation. However, one of the requirements to be able to speak of an adaptive disorder is that the stressor(s) in question should lead to an impairment of the individual's normal functioning.
Objectives:
The main objective of this work is to analyze , through a literature review, the diagnosis and approach to the diagnosis and management of adaptive disorders in the Primary Care setting. The secondary objective is to emphasize the importance of early detection and treatment, as well as multidisciplinary management and mental health promotion.
Results:
The main risk factors for adjustment disorders are unemployment, low income, low social support, physical illness, and personal history of mental health. The International Questionnaire of Adaptive Disorders is currently the principal diagnostic tool, as it establishes its diagnostic criteria based on the theoretical definition established by the ICD-11. The management of these disorders is mainly through cognitive behavioural therapy.
Conclusions:
Adjustment disorders arise as abnormal responses to certain stressful situations. The role of primary care physicians in dealing with this disorder is essential, and early detection and management are necessary to reduce the levels of dysfunctional anxiety that patients present.
Keywords : Adaptive disorder; primary care; mental health; ADNM; CITA; psychotherapy; pharmacological treatment.