Symptoms of Adjustment Disorder after an accidental injury: risk and protective factors

被引:0
|
作者
Weimert, Sabine [1 ]
Kuhn, Sebastian [2 ]
Rommens, Pol M. [2 ]
Beutel, Manfred E. [1 ]
Reiner, Iris C. [1 ]
机构
[1] Johannes Gutenberg Univ Mainz, Univ Med, Klin & Poliklin Psychosomat Med & Psychotherapie, Mainz, Germany
[2] Johannes Gutenberg Univ Mainz, Univ Med, Zentrum Orthopadie & Unfallchirurg, Mainz, Germany
关键词
Adjustment Disorder; Adjustment; Protective Factor; Risk Factor; Coping Strategy; ACCEPTANCE; STRESS; TRAUMA; MINDFULNESS; PERSONALITY; SUPPRESSION; DEPRESSION; SERVICE;
D O I
暂无
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objectives: The identification of protective and risk factors for symptoms of adjustment disorder (AD) after an accident injury. Methods: In this prospective long-term study, data from 73 patients with ankle and lower leg fractures were analyzed. Symptoms of AD were assessed at enrollment (TO), 1 month (T1) and 12 months (T2) after injury. In addition, questionnaires regarding adverse childhood experiences, coping strategies and the number of stressors during the last year were obtained. The Structured Clinical Interview for DSM-IV (SCID) was conducted at T1 and T2. Results: 4.1 % of patients met the criteria for AD at T1 and 2.7 % at T2. Acceptance coping predicted a lower level of AD symptoms 1 year after the injury (beta= -.42, p <.001). Discussion: It could be confirmed that the selection of coping strategies predicts the level of AD symptoms 12 months after the injury. The results show that acceptance is a protective factor for AD and contribute to a better understanding of a little-researched diagnosis.
引用
收藏
页码:403 / 415
页数:13
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