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Relationship between adjustment disorder symptoms and probable diagnosis before and after second lockdown in Israel : longitudinal symptom network analysis

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Levin, Y., Bachem, R., Goodwin, Robin, Hamama-Raz, Y., Leshem, E. and Ben-Ezra, M. (2022) Relationship between adjustment disorder symptoms and probable diagnosis before and after second lockdown in Israel : longitudinal symptom network analysis. BJPsych Open, 8 (6). e186. doi:10.1192/bjo.2022.588 ISSN 2056-4724.

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Official URL: https://doi.org/10.1192/bjo.2022.588

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Abstract

Background
There is cumulative evidence of the importance of exploring the change of dynamics between symptoms over time as reflective of consolidation of psychopathology.

Aims
To explore the interactions between symptoms of ICD-11 adjustment disorder before and after the second lockdown of the COVID-19 pandemic in Israel and identify the most central symptoms and their concurrent and prospective associations with probable adjustment disorder.

Method
This is a population-based study drawn from a probability-based internet panel. A representative sample of the adult Israeli population was assessed at two time points (T1, pre-second lockdown, n = 1029, response rate 76.17%; T2, post-second lockdown, n = 764, response rate 74.24%). Symptoms of adjustment disorder were assessed by the International Adjustment Disorder Questionnaire (IADQ).

Results
Although the overall strength of associations at the two measurement points was similar and two same communities were found, there was a significant change in their structure, with a more consolidated network at T2. The most central item was ‘difficult to relax’ in both networks. Cross-sectionally, all symptoms of failure to adapt significantly predicted adjustment disorder. ‘Worry a lot more’ (preoccupation) and ‘difficult to adapt to life’ (failure to adapt) at T1 significantly predicted this diagnosis at T2.

Conclusions
Adjustment disorder symptoms consolidated during the second lockdown of the pandemic. In line with the ICD-11 conceptualisation of adjustment disorder, both preoccupation and failure-to-adapt symptoms have prognostic validity. This highlights the importance of identifying and targeting adjustment disorder symptoms during a period of stress such as the COVID-19 pandemic.

Item Type: Journal Article
Subjects: B Philosophy. Psychology. Religion > BF Psychology
H Social Sciences > HM Sociology
R Medicine > RA Public aspects of medicine
R Medicine > RC Internal medicine
Divisions: Faculty of Science, Engineering and Medicine > Science > Psychology
Library of Congress Subject Headings (LCSH): COVID-19 Pandemic, 2020- , COVID-19 Pandemic, 2020- -- Israel, COVID-19 Pandemic, 2020- -- Israel -- Psychological aspects, Adjustment disorders , Psychology, Pathological , Social isolation -- Israel -- Psychological aspects
Journal or Publication Title: BJPsych Open
Publisher: Cambridge University Press
ISSN: 2056-4724
Official Date: November 2022
Dates:
DateEvent
November 2022Published
18 October 2022Available
11 September 2022Accepted
Volume: 8
Number: 6
Article Number: e186
DOI: 10.1192/bjo.2022.588
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Copyright Holders: Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists
Date of first compliant deposit: 1 November 2022
Date of first compliant Open Access: 1 November 2022
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
RA2000000302Ariel Universityhttp://dx.doi.org/10.13039/501100013043
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