II. Epidemiology

  1. Accounts for 5% of mental health visits in U.S.

III. Types

  1. Adjustment Disorder with Depressed Mood
  2. Adjustment Disorder with Anxiety
  3. Adjustment Disorder with Mixed Anxiety and Depression
  4. Adjustment Disorder with Disturbance of Conduct
  5. Adjustment Disorder with Mixed Emotions and Conduct
  6. Adjustment Disorder not otherwise specified

IV. Diagnosis

  1. Reaction to stressful event or situation
    1. Emotional response
      1. Depressed mood
      2. Anxiety Disorder
    2. Conduct response
      1. Truancy
      2. Vandalism
      3. Reckless driving
      4. Fighting
    3. Miscellaneous responses
      1. Withdrawal or inhibition
      2. Somatic symptoms (Abdominal Pain, Headaches)
  2. Follows stressor within 3 months
  3. Duration
    1. Acute: <6 months
    2. Chronic: >6 months

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Ontology: Adjustment Disorders (C0001546)

Definition (NCI) A category of psychiatric disorders which are characterized by emotional or behavioral symptoms that develop within 3 months of a stressor and do not persist for more than an additional 6 months after the stressor is no longer present.
Definition (NCI_NCI-GLOSS) A condition in which a person responds to a stressful event (such as an illness, job loss, or divorce) with extreme emotions and actions that cause problems at work and home.
Definition (MSH) Maladaptive reactions to identifiable psychosocial stressors occurring within a short time after onset of the stressor. They are manifested by either impairment in social or occupational functioning or by symptoms (depression, anxiety, etc.) that are in excess of a normal and expected reaction to the stressor.
Definition (PSY) Maladaptive reaction to psychosocial stressors which impairs social or occupational functioning. Usually a temporary condition that remits after new levels of adaptation are obtained or stressors have been removed.
Concepts Mental or Behavioral Dysfunction (T048)
MSH D000275
ICD10 F43.2 , F43.20
SnomedCT 17226007, 154942003, 192416004, 192041001, 63608001, 367487002
DSM4 309.9
English Adjustment disorder NOS, Adjustment Disorder, Disorder, Reactive, Disorders, Adjustment, Disorders, Reactive, Reactive Disorder, Reactive Disorders, Adjustment Disorder Unspecified, Disorder, Adjustment, Adjustment disorders, ADJUSTMENT DIS, REACTIVE DIS, adjustment disorder, adjustment disorder (diagnosis), Adjustment disorder, unspecified, Adjustment Disorders [Disease/Finding], Disorder;adjustment, adjustment disorders, reactive disorder, [X]Adjustment disorders, Brief situational non-psychotic disorder, Adjustment disorder, Adjustment disorder (disorder), disorder; adjustment, Brief situational non-psychotic disorder, NOS, Adjustment disorder, NOS, Adjustment Disorders
Italian Disturbi di adattamento, Disturbo da adattamento, Disturbo di adattamento, NAS, Disturbo d'adattamento, Disturbi reattivi, Disturbi d'adattamento
Dutch aanpassingsstoornis NAO, stoornis; aanpassing, Aanpassingsstoornissen, aanpassingsstoornissen, aanpassingsstoornis, Aanpassingsstoornis, Stoornissen, reactieve
French Trouble de l'adaptation SAI, Trouble de l'adaptation, Troubles de l'adaptation
German Anpasssungstoerung NNB, Anpassungsstoerungen, Anpassungsstoerung, Anpassungsstörungen, Reaktive Störungen
Portuguese Perturbação da adaptação NE, Reação de Aniversário de Eventos Passados, Distúrbios Reativos, Transtornos de Ajustamento, Perturbação da adaptação, Perturbações de adaptação, Transtornos de Adaptação, Transtornos Reativos
Spanish Trastorno de ajuste NEOM, perturbación circunstancial transitoria, trastorno no psicótico situacional breve, perturbación circunstancial aguda, reacción de ajustamiento, reacción de adaptación, Trastornos de Ajuste, trastorno adaptativo, trastorno de adaptación (trastorno), trastorno de adaptación, trastorno situacional breve no psicótico, Trastorno de ajuste, Trastornos de adaptación, Trastornos de Adaptación, Trastornos Reactivos
Japanese 適応障害NOS, テキオウショウガイNOS, テキオウショウガイ, うつ病-反応性, 反応性うつ病, 反応性憂欝病, 反応性抑うつ, 過渡的状況障害, 反応性抑うつ病, 記念日反応, 反応抑うつ状態, 反応性障害, 適応障害, Anniversary反応
Swedish Anpassningssvårigheter
Finnish Sopeutumishäiriöt
Czech Porucha přizpůsobení NOS, Porucha přizpůsobení, Poruchy přizpůsobení, reaktivní poruchy, poruchy přizpůsobení, přizpůsobování - poruchy
Korean 적응 장애
Polish Depresja reaktywna, Zaburzenia adaptacji społecznej, Nieprzystosowanie społeczne, Niedostosowanie społeczne, Zaburzenia przystosowania
Hungarian Alkalmazkodási zavarok, Alkalmazkodási zavar, Alkalmazkodási zavar k.m.n.
Norwegian Tilpasningsvansker, Tilpasningsforstyrrrelser, Reaktiv forstyrrelse