The Library
Relationship between adjustment disorder symptoms and probable diagnosis before and after second lockdown in Israel : longitudinal symptom network analysis
Tools
Tools
Tools
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.
|
PDF
WRAP-Relationship-adjustment-disorder-diagnosis-lockdown-Israel-analysis-22.pdf - Published Version - Requires a PDF viewer. Available under License Creative Commons Attribution 4.0. Download (449Kb) | Preview |
Official URL: https://doi.org/10.1192/bjo.2022.588
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: |
|
||||||||
| 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: |
|
||||||||
| Related URLs: |
Request changes or add full text files to a record
Repository staff actions (login required)
 |
View Item |
Downloads
Downloads per month over past year
