Exhaustion Disorder in Primary Care: A Comparison With Major Depressive Disorder and Adjustment Disorder.

IF 1.8 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Scandinavian journal of psychology Pub Date : 2024-12-08 DOI:10.1111/sjop.13087
Victoria Sennerstam, Erik Hedman-Lagerlöf, Gustav Nilsonne, Mats Lekander, Christian Rück, John Wallert, Erland Axelsson, Elin Lindsäter
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Abstract

Exhaustion disorder (ED) was introduced to the Swedish version of the International Classification of Diseases, 10th edition (ICD-10) 2005. Primarily characterized by general fatigue and cognitive deficits, ED has become one of the most common mental health diagnoses in Sweden. Little is still known regarding the discriminative validity of the ED diagnosis and how it relates to other diagnostic constructs. The study aimed to investigate the discriminative validity of ED compared with two similar diagnoses, major depressive disorder (MDD) and adjustment disorder (AD). Using data from a sample of patients with a principal diagnosis of either ED (n = 352), MDD (n = 99), or AD (n = 302), we compared demographic and clinical variables and scores on self-report symptom scales. Results showed that ED patients were of a higher age and had a higher frequency of sickness absence than MDD and AD patients. There was a substantial overlap of symptoms between ED and MDD, only differing on two of nine self-report symptom scales, with ED patients rating lower work ability d = -0.37 and alcohol consumption d = -0.57. Compared with AD patients, ED patients reported more severe symptoms in every symptom domain. Given the prevalent use of ED diagnosis, its diagnostic validity and clinical usefulness merit further attention.

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初级保健中的衰竭障碍:与重度抑郁障碍和适应障碍的比较。
2005年《国际疾病分类》第10版(ICD-10)瑞典版引入了衰竭障碍(ED)。ED主要以全身疲劳和认知缺陷为特征,已成为瑞典最常见的心理健康诊断之一。关于ED诊断的鉴别有效性以及它与其他诊断结构的关系,我们仍然知之甚少。本研究旨在探讨ED与两种相似诊断——重度抑郁障碍(MDD)和适应障碍(AD)的鉴别效度。使用主要诊断为ED (n = 352), MDD (n = 99)或AD (n = 302)的患者样本的数据,我们比较了人口统计学和临床变量以及自我报告症状量表的得分。结果显示,ED患者比MDD和AD患者年龄更大,缺勤频率更高。ED和MDD之间的症状有很大的重叠,只有9个自我报告症状量表中的2个不同,ED患者的工作能力评分较低d = -0.37,酒精消耗评分较低d = -0.57。与AD患者相比,ED患者在各个症状领域的症状都更严重。鉴于ED诊断的普遍使用,其诊断有效性和临床应用值得进一步关注。
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来源期刊
Scandinavian journal of psychology
Scandinavian journal of psychology PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
4.20
自引率
0.00%
发文量
102
期刊介绍: Published in association with the Nordic psychological associations, the Scandinavian Journal of Psychology publishes original papers from Scandinavia and elsewhere. Covering the whole range of psychology, with a particular focus on experimental psychology, the journal includes high-quality theoretical and methodological papers, empirical reports, reviews and ongoing commentaries.Scandinavian Journal of Psychology is organised into four standing subsections: - Cognition and Neurosciences - Development and Aging - Personality and Social Sciences - Health and Disability
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