Adjustment reactions: a long-term prospective and retrospective follow-up of former patients in a crisis intervention ward.
The results of a 5-year follow-up study of 76 patients in a crisis intervention ward who were suffering from an adjustment reaction (brief or prolonged depressive reaction) according to ICD-9 criteria indicate a rather favorable course and outcome using standardized instruments. Only 17% developed a chronic or severe course of primarily depressive symptoms and only 1 (2%) patient committed suicide after discharge, whereas 64% had a very favorable and 18% a favorable course and outcome. This result is reflected in a rather low use of psychiatric and psychotherapeutic outpatient services during the follow-up period.
Max Planck Institute of Psychiatry, Munich, Federal Republic of Germany.
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D000275:Adjustment Disorders / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D000328:Adult; D000553:Ambulatory Care / Q000706:statistics & numerical data; D016000:Cluster Analysis; D003419:Crisis Intervention; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006760:Hospitalization; D006801:Humans; D008297:Male; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D012189:Retrospective Studies; D012917:Social Adjustment; D013405:Suicide / Q000706:statistics & numerical data