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ArticleClinical psychology in Europe2024

Exploring Characteristics of Preoccupation and Failure to Adapt Among Patients Suffering From Adjustment Disorder: A Qualitative Study.

Alexis Vancappel, Rania Chkili, David J Eberle, Andreas Maercker, Wissam El-Hage, Rahel Bachem

Abstract read
In one paragraph

Article in Clinical psychology in Europe, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Alexis VancappelCHRU de Tours, Pôle de Psychiatrie-Addictologie, Centre Régional de Psychotraumatologie CVL, Tours, France.ORCID https://orcid.org/0000-0002-3206-2009
Rania ChkiliDépartement de Psychologie, QualiPsy, Qualité de Vie et santé Psychologique, Université de Tours, Tours, France.
David J EberleDepartment of Psychology, Universität Zürich, Zurich, Switzerland.ORCID https://orcid.org/0000-0002-9578-667X
Andreas MaerckerDepartment of Psychology, Universität Zürich, Zurich, Switzerland.ORCID https://orcid.org/0000-0001-6925-3266
Wissam El-HageCHRU de Tours, Pôle de Psychiatrie-Addictologie, Centre Régional de Psychotraumatologie CVL, Tours, France.ORCID https://orcid.org/0000-0003-3877-0855
Rahel BachemDepartment of Psychology, Universität Zürich, Zurich, Switzerland.ORCID https://orcid.org/0000-0002-9586-6020

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Adjustment Disorder (AjD) is a frequent diagnosis in psychological and psychiatric consultations. Recently, the ICD-11 has introduced preoccupation and failure to adapt as core symptoms of AjD. However, empirical research that explores the various possible manifestations of preoccupation and failure to adapt in AjD patients is sparse. Therefore, the study aimed to explore patients' experiences of the core symptoms of AjD in a qualitative study. Method: We recruited 16 patients suffering from ICD-11 AjD who filled in self-report questionnaires to assess sociodemographic information, adjustment disorder symptoms, anxiety and depression. Then, they participated in a semi-structured interview with a trained psychologist to explore the determinants and characteristics of their preoccupation and failure to adapt symptoms. Thematic analysis was applied to analyze the responses. Results: Six themes were identified in our analysis 1) Preoccupation triggers, 2) Preoccupations and negative emotions, 3) Strategies to stop preoccupation, 4) Consequences of preoccupation, 5) Manifestation of difficulties/failure to adapt and 6) Strategies to address difficulties/failure to adapt. Conclusion: We found partial congruence between our data and previous conceptualizations of AjD. Preoccupations seem to be time-consuming, center around stressors and their consequences, and be associated with negative emotions. Some preoccupations reported by the patients could also be labeled as ruminations or worries. The failure to adapt symptoms seemed to be broader than the exemplary symptoms highlighted in current measures of AjD.

Indexed as

adjustment disordercoping strategiesfailure to adaptICD-11preoccupations

Identifiers

PMID39119050
PMCPMC11303921

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