{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T02:41:49Z","timestamp":1791945709704,"version":"4.3.4"},"reference-count":32,"publisher":"Royal College of Psychiatrists","issue":"2","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":1980,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J\n                        Psychiatry"],"published-print":{"date-parts":[[2012,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Within the ICD and DSM review processes there is growing debate on the\n                           future classification and status of adjustment disorders, even though\n                           evidence on this clinical entity is scant, particularly outside\n                           specialised care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>To estimate the prevalence of adjustment disorders in primary care; to\n                           explore whether there are differences between primary care patients with\n                           adjustment disorders and those with other mental disorders; and to\n                           describe the recognition and treatment of adjustment disorders by general\n                           practitioners (GPs).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Participants were drawn from a cross-sectional survey of a representative\n                           sample of 3815 patients from 77 primary healthcare centres in Catalonia.\n                           The prevalence of current adjustment disorders and subtypes were assessed\n                           face to face using the Structured Clinical Interview for DSM-IV Axis I\n                           Disorders (SCID-I). Multilevel logistic regressions were conducted to\n                           assess differences between adjustment disorders and other mental\n                           disorders. Recognition and treatment of adjustment disorders by GPs were\n                           assessed through a review of patients' computerised clinical\n                           histories.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of adjustment disorders was 2.94%. Patients with\n                           adjustment disorders had higher mental quality-of-life scores than\n                           patients with major depressive disorder but lower than patients without\n                           mental disorder. Self-perceived stress was also higher in adjustment\n                           disorders compared with those with anxiety disorders and those without\n                           mental disorder. Recognition of adjustment disorders by GPs was low: only\n                           2 of the 110 cases identified using the SCID-I were detected by the GP.\n                           Among those with adjustment disorders, 37% had at least one psychotropic\n                           prescription.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Adjustment disorder shows a distinct profile as an intermediate category\n                           between no mental disorder and affective disorders (depression and\n                           anxiety disorders).<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.bp.111.096305","type":"journal-article","created":{"date-parts":[[2012,5,10]],"date-time":"2012-05-10T20:56:10Z","timestamp":1336683370000},"page":"137-142","source":"Crossref","is-referenced-by-count":82,"title":["Adjustment disorders in primary care: prevalence, recognition\n                        and use of services"],"prefix":"10.1192","volume":"201","author":[{"given":"Anna","family":"Fern\u00e1ndez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan M.","family":"Mendive","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luis","family":"Salvador-Carulla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda","family":"Rubio-Valera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Vicente","family":"Luciano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alejandra","family":"Pinto-Meza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josep Maria","family":"Haro","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego J.","family":"Palao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan A.","family":"Bell\u00f3n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoni","family":"Serrano-Blanco","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the DASMAP investigators","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S0007125000271973_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2006.01.021"},{"key":"S0007125000271973_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2007.07.002"},{"key":"S0007125000271973_ref1","article-title":"The spectrum of adjustment disorders: too broad to be clinically helpful","volume":"5","author":"Semprini","year":"2010","journal-title":"CNS Spectr"},{"key":"S0007125000271973_ref5","doi-asserted-by":"publisher","DOI":"10.2165\/11311000-000000000-00000"},{"key":"S0007125000271973_ref18","volume-title":"User's Guide for the Structured Clinical Interview for DSM\u2013IV Axis I Disorders. Research Version.","author":"First","year":"2002"},{"key":"S0007125000271973_ref24","volume-title":"Evaluation of National Health Interview Survey Diagnostic Reporting","year":"1994"},{"key":"S0007125000271973_ref15","volume-title":"International Classification of Primary Care","year":"2003"},{"key":"S0007125000271973_ref17","first-page":"29","article-title":"Financing mental health care in Spain: context and critical issues","volume":"20","author":"Salvador","year":"2006","journal-title":"Eur Psychiatry"},{"key":"S0007125000271973_ref31","volume-title":"International Statistical Classification of Diseases and Related Health Problems","year":"1992"},{"key":"S0007125000271973_ref21","volume-title":"Innovative Care for Chronic Conditions.","year":"2002"},{"key":"S0007125000271973_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(11)70002-X"},{"key":"S0007125000271973_ref25","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(98)00109-7"},{"key":"S0007125000271973_ref10","article-title":"Cross-sectional study of the prevalence of adjustment disorder with anxiety in general practice [in French]","volume":"27","author":"Semaan","year":"2001","journal-title":"Encephale"},{"key":"S0007125000271973_ref23","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(01)00493-0"},{"key":"S0007125000271973_ref16","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-009-0056-y"},{"key":"S0007125000271973_ref30","volume-title":"International Statistical Classification of Diseases and Related Health Problems","year":"1978"},{"key":"S0007125000271973_ref20","volume-title":"MINI International Neuropsychiatric Interview. (Spanish version 5.0.0.) DSM-IV","author":"Ferrando","year":"1998"},{"key":"S0007125000271973_ref26","article-title":"The Spanish version of the Short Form 36 Health Survey: a decade of experience and new developments","volume":"19","author":"Vilagut","year":"2005","journal-title":"Gac Sanit"},{"key":"S0007125000271973_ref32","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2009.11.015"},{"key":"S0007125000271973_ref28","doi-asserted-by":"publisher","DOI":"10.1097\/00004850-199606003-00015"},{"key":"S0007125000271973_ref2","article-title":"Adjustment disorders with depressed mood. A critique of its DSM-IV and ICD-10 conceptualisations and recommendations for the future","volume":"42","author":"Baumeister","year":"2009","journal-title":"Psychopathology"},{"key":"S0007125000271973_ref3","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0b013e32832cae5e"},{"key":"S0007125000271973_ref4","doi-asserted-by":"publisher","DOI":"10.1186\/1745-0179-5-15"},{"key":"S0007125000271973_ref6","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.179.6.479"},{"key":"S0007125000271973_ref7","doi-asserted-by":"publisher","DOI":"10.1002\/da.20782"},{"key":"S0007125000271973_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/S0163-8343(98)00020-6"},{"key":"S0007125000271973_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/0163-8343(90)90074-M"},{"key":"S0007125000271973_ref14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1996.tb10616.x"},{"key":"S0007125000271973_ref19","first-page":"22","article-title":"The Mini-International Neuropsychiatric Interview (M.I.N.I.): the development and validation of a structured diagnostic psychiatric interview for DSM\u2013IV and ICD\u201310","volume":"59","author":"Sheehan","year":"1998","journal-title":"J Clin Psychiatry"},{"key":"S0007125000271973_ref22","doi-asserted-by":"publisher","DOI":"10.1093\/pubmed\/23.3.179"},{"key":"S0007125000271973_ref27","article-title":"Validation of the Spanish version of the Liebowitz Social Anxiety Scale, Social Anxiety and Distress Scale and Sheehan Disability Inventory for the evaluation of social phobia [in Spanish]","volume":"112","author":"Bobes","year":"1999","journal-title":"Med Clin (Barc)"},{"key":"S0007125000271973_ref29","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2753.2009.01211.x"}],"container-title":["British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125000271973","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,4,25]],"date-time":"2019-04-25T15:14:39Z","timestamp":1556205279000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125000271973\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,8]]},"references-count":32,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2012,8]]}},"alternative-id":["S0007125000271973"],"URL":"https:\/\/doi.org\/10.1192\/bjp.bp.111.096305","relation":{},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,8]]}}}