Open AccessSymptome einer Anpassungsstörung nach einer Unfallverletzung: Risiko- und Schutzfaktoren
Author(s) -
Sabine Weimert,
Sebastian Kühn,
Pol Maria Rommens,
Manfred E. Beutel,
Iris Reiner
Publication year - 2021
Publication title -
zeitschrift für psychosomatische medizin und psychotherapie
Language(s) - German
Resource type - Journals
eISSN - 2196-8349
pISSN - 1438-3608
DOI - 10.13109/zptm.2021.67.oa9
Subject(s) - gynecology , psychology , medicine , clinical psychology , physical therapy
Symptoms of Adjustment Disorder after an accidental injury: risk and protective factors Objectives: The identification of protective and risk factors for symptoms of adjustment disorder (AD) after an accident injury. Methods: In this prospective long-term study, data from 73 patients with ankle and lower leg fractures were analyzed. Symptoms of AD were assessed at enrollment (T0), 1 month (T1) and 12 months (T2) after injury. In addition, questionnaires regarding adverse childhood experiences, coping strategies and the number of stressors during the last year were obtained. The Structured Clinical Interview for DSM-IV (SCID) was conducted at T1 and T2. Results: 4.1 % of patients met the criteria for AD at T1 and 2.7 % at T2. Acceptance coping predicted a lower level of AD symptoms 1 year after the injury (β = -.42, p <.001). Conclusions: It could be confirmed that the selection of coping strategies predicts the level of AD symptoms 12 months after the injury. The results show that acceptance is a protective factor for AD and contribute to a better understanding of a little-researched diagnosis.