{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T18:10:59Z","timestamp":1792087859971,"version":"4.4.0"},"reference-count":62,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000090","name":"Congressionally Directed Medical Research Programs","doi-asserted-by":"publisher","award":["W81XWH\u201020\u20102\u20100030"],"award-info":[{"award-number":["W81XWH\u201020\u20102\u20100030"]}],"id":[{"id":"10.13039\/100000090","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Methods Psych Res"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Adjustment disorder (AjD) is a highly prevalent diagnosis in the U.S. military. Psychometric evaluation of the AjD assessment tool, the Adjustment Disorder New Module\u2010Military (ADNM\u201020\u2010MIL), improves the accuracy of AjD assessment for military service members.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study investigated the internal reliability, convergent, and divergent validity of the ADNM\u201020\u2010MIL as well as its factor structure. U.S. active duty service members (\n                      <jats:italic>N<\/jats:italic>\n                      \u00a0=\u00a0149) with and without a recent AjD diagnosis completed the ADNM\u201020\u2010MIL, Depression Anxiety Stress Scales 21 (DASS\u201021), Posttraumatic Stress Disorder Checklist for DSM\u20105 (PCL\u20105), and General Well\u2010Being Schedule (GWB).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      ADNM\u201020\u2010MIL scores were significantly worse in the AjD\u2010positive group; there were no AjD severity differences by sex, military rank, or past recent deployment status. The ADNM\u201020\u2010MIL demonstrated robust internal reliability (Cronbach's \u03b1\u00a0=\u00a00.96, 95% CI [0.95\u20130.97]). It had strong positive associations with with the PCL\u20105 (rs (145)\u00a0=\u00a00.81,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001) and the DASS\u201021 (rs (146)\u00a0=\u00a00.83,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001), indicating convergent validity; and moderately negative associations with the GWB subdomains that reflect positive health (rs ranging from \u22120.5 to \u22120.63),\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.001, indicating divergent validity. Confirmatory Factor Analysis indicated a unidimensional structure for AjD symptoms.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Longitudinal studies are needed to evaluate the effectiveness of the ADNM\u201020\u2010MIL in assessing the trajectory of AjD in the military.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/mpr.70063","type":"journal-article","created":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T08:52:01Z","timestamp":1770627121000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Evaluating a Tool for Assessment of Adjustment Disorder in the U.S. Military: The Adjustment Disorder\u2013New Module 20 for Military (ADNM\u201020\u2010MIL)"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6492-1149","authenticated-orcid":false,"given":"Jouhayna","family":"Bajjani\u2010Gebara","sequence":"first","affiliation":[{"name":"Daniel K. Inouye Graduate School of Nursing Uniformed Services University of the Health Sciences School of Medicine  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joan","family":"Wasserman","sequence":"additional","affiliation":[{"name":"Daniel K. Inouye Graduate School of Nursing Uniformed Services University of the Health Sciences School of Medicine  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"King","sequence":"additional","affiliation":[{"name":"Henry\u00a0M. Jackson Foundation for the Advancement of Military Medicine, Inc.  Bethesda Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Kegel","sequence":"additional","affiliation":[{"name":"Henry\u00a0M. Jackson Foundation for the Advancement of Military Medicine, Inc.  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