Selection of psychotherapeutic treatment for adjustment disorder with depressive mood due to acute myocardial infarction

Jaimes, Elvira Ivone González; Plaza, Bernardo Turnbull

doi:10.1016/s0188-4409(03)00051-1

Cited by 33 publications

(10 citation statements)

References 15 publications

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“…Ego enhancing therapy was found to be useful during periods of transition in older patients 69. “Mirror therapy”, a therapy including psychocorporeal, cognitive, and neurolinguistic components, was effective in patients with adjustment disorder secondary to myocardial infarction 70. Cognitive therapy was helpful when administered to patients with adjustment disorder who experienced work‐related stress 71 and among army conscripts with adjustment disorder 72.…”

Section: Management Of Adjustment Disordermentioning

confidence: 99%

Adjustment disorders: the state of the art

2011

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Adjustment disorders are common, yet under-researched mental disorders. The present classifications fail to provide specific diagnostic criteria and relegate them to sub-syndromal status. They also fail to provide guidance on distinguishing them from normal adaptive reactions to stress or from recognized mental disorders such as depressive episode or post-traumatic stress disorder. These gaps run the risk of pathologizing normal emotional reactions to stressful events on the one hand and on the other of overdiagnosing depressive disorder with the consequent unnecessary prescription of antidepressant treatments. Few of the structured interview schedules used in epidemiological studies incorporate adjustment disorders. They are generally regarded as mild, notwithstanding their prominence as a diagnosis in those dying by suicide and their poor prognosis when diagnosed in adolescents. There are very few intervention studies.

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Section: Management Of Adjustment Disordermentioning

confidence: 99%

Adjustment disorders: the state of the art

2011

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“…A few studies have focussed on the elderly who are particularly vulnerable to AD's. One utilised ego enhancing therapy during periods of transition 51 while another used "mirror therapy," 52 in those with AD secondary to myocardial infarction, both with benefit.…”

Section: Altering the Response To The Stressor -Symptom Reduction/behmentioning

confidence: 99%

Adjustment Disorder

Casey

2009

CNS Drugs

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Adjustment disorder (AD) was introduced into the psychiatric classification systems almost thirty years ago although the concept was recognised for many years before that. Six subtypes are described based on the predominant symptoms but no further diagnostic criteria are offered to assist the clinician. These are common conditions especially in primary care and in consultation liaison psychiatry where the prevalence ranges from 11-18% and 10-35% respectively. Yet they are under-researched, possibly due to the failure of some of the common diagnostic tools to allow for the diagnosis of AD. Among those to incorporate AD, the concordance between the clinical and interview diagnosis is very poor with the diagnosis being made more commonly in clinical practice than the diagnostic tools allow for. AD is found in all cultures and in all age groups.

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“…A study by Gonzales-Jaimes and Turnbull-Plaza [74] compared three different treatment types against AD in patients with acute myocardial infarction (AMI). Authors used a quasi-experimental design for four groups with three evaluations each, and conducted a random test of 144 patients of both genders between 30 and 60 years of age diagnosed with AMI and AD.…”

Section: Introductionmentioning

confidence: 99%

Adjustment Disorder: epidemiology, diagnosis and treatment

Carta

Balestrieri

Murru

et al. 2009

Clin Pract Epidemiol Ment Health

138

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BackgroundAdjustment Disorder is a condition strongly tied to acute and chronic stress. Despite clinical suggestion of a large prevalence in the general population and the high frequency of its diagnosis in the clinical settings, there has been relatively little research reported and, consequently, very few hints about its treatments.Methodsthe authors gathered old and current information on the epidemiology, clinical features, comorbidity, treatment and outcome of adjustment disorder by a systematic review of essays published on PUBMED.ResultsAfter a first glance at its historical definition and its definition in the DSM and ICD systems, the problem of distinguishing AD from other mood and anxiety disorders, the difficulty in the definition of stress and the implied concept of 'vulnerability' are considered. Comorbidity of AD with other conditions, and outcome of AD are then analyzed. This review also highlights recent data about trends in the use of antidepressant drugs, evidence on their efficacy and the use of psychotherapies.ConclusionAD is a very common diagnosis in clinical practice, but we still lack data about its rightful clinical entity. This may be caused by a difficulty in facing, with a purely descriptive methods, a "pathogenic label", based on a stressful event, for which a subjective impact has to be considered. We lack efficacy surveys concerning treatment. The use of psychotropic drugs such as antidepressants, in AD with anxious or depressed mood is not properly supported and should be avoided, while the usefulness of psychotherapies is more solidly supported by clinical evidence. To better determine the correct course of therapy, randomized-controlled trials, even for the combined use of drugs and psychotherapies, are needed vitally, especially for the resistant forms of AD.

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Selection of psychotherapeutic treatment for adjustment disorder with depressive mood due to acute myocardial infarction

Cited by 33 publications

References 15 publications

Adjustment disorders: the state of the art

Adjustment disorders: the state of the art

Adjustment Disorder

Adjustment Disorder: epidemiology, diagnosis and treatment

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