Lorenz, Louisa, Hyland, Philip, Perkonigg, Axel and Maercker, Andreas (2018) Is adjustment disorder unidimensional or multidimensional? Implications for ICD‐11. International Journal of Methods in Psychiatric Research, 27 (e1591). ISSN 1049-8931
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Abstract
In preparation for ICD‐11, the adjustment disorder (AjD) diagnosis has undergone considerable
revisions; however, the latent structure of AjD remains uncertain. It is unclear whether AjD is best
represented as a unidimensional or multidimensional construct. This study performed a
comprehensive assessment of the latent structure of AjD symptomatology and assessed its
concurrent and discriminant validity. Individuals who experienced involuntary job loss (N = 333)
completed a self‐report measure of AjD symptoms. Seven alternative models of AjD were tested
using confirmatory factor analysis. General psychological distress, impairment in social functioning, occupational self‐efficacy, and sense of coherence were used as criterion variables for
construct validity. In the confirmatory factor analysis, a bifactor solution with one dominant
general AjD factor and 5 correlated group factors (preoccupation, failure‐to‐adapt, avoidance,
affective reaction, and impulsivity) provided optimal fit. As expected, the AjD factor showed
strong positive associations with general psychological distress and impairments in social
functioning and moderately negative associations with occupational self‐efficacy and sense of
coherence. With regard to unidimensionality or multidimensionality of AjD symptoms, the
current results indicate the plausibility of a unidimensional conceptualization. Future research
should focus on essential key characteristics and a reduction of symptoms for the AjD definition.
Item Type: | Article |
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Additional Information: | Cite as: Lorenz, L, Hyland, P, Perkonigg, A, Maercker, A. Is adjustment disorder unidimensional or multidimensional? Implications for ICD‐11. Int J Methods Psychiatr Res. 2018; 27:e1591. https://doi-org.jproxy.nuim.ie/10.1002/mpr.1591 |
Keywords: | ICD-11; adjustment disorder; bifactor model; confirmatory factor analysis (CFA); |
Academic Unit: | Faculty of Science and Engineering > Psychology |
Item ID: | 13294 |
Identification Number: | 10.1002/mpr.1591 |
Depositing User: | Philip Hyland |
Date Deposited: | 25 Sep 2020 14:40 |
Journal or Publication Title: | International Journal of Methods in Psychiatric Research |
Publisher: | John Wiley & Sons Ltd |
Refereed: | Yes |
Related URLs: | |
URI: | https://mural.maynoothuniversity.ie/id/eprint/13294 |
Use Licence: | This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here |
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