See also MedlinePlus Medical Encyclopedia Adjustment disorder:
Adjustment disorder is a group of symptoms, such as stress, anxiety, feeling sad or hopeless, and physical symptoms that can occur after you go through a stressful life event.
The symptoms occur because you are having a hard time coping. Your reaction is stronger than expected for the type of event that occurred.
Causes
Many different events may trigger symptoms of an adjustment disorder. Whatever the trigger is, the event may become too much for you.
Today I link to Adjustment Disorder – New Module 20 [link is to the PDF].
The ADNM-20 (Adjustment Disorder–New Module 20) is a 20-item self-report questionnaire used to screen for and assess the severity of Adjustment Disorder (AjD) based on ICD-11 diagnostic criteria.Download and Official SourcesResearchers and clinical practitioners can find official versions and descriptions of the ADNM-20 through university and research repositories:
- English Version (Direct PDF): The University of Zurich Department of Psychology provides a direct link to the ADNM-20 English PDF.
- Spanish Version: Available via the Psychothema Journal as part of validation studies.
- Short Form: A briefer ADNM-8 English PDF is also available for rapid screening.
Structure of the ADNM-20The assessment is divided into two primary parts:
- Stressor List: A list of 18 life events (e.g., divorce, financial problems, illness) that may have occurred in the past two years.
- Item List (Symptoms): 20 items assessing reactions to the most distressing event. It uses a 4-point Likert scale (1 = “never” to 4 = “often”).
Symptom SubscalesThe tool measures two “core” symptoms and four “accessory” symptoms:
- Core Symptoms: Preoccupation (4 items) and Failure to Adapt (4 items).
- Accessory Symptoms: Avoidance (4 items), Depressive Mood (3 items), Anxiety (2 items), and Impulse Disturbance (3 items).
Scoring and Interpretation
- Sum Score: Total scores range from 20 to 80.
- Cut-off: A sum score of >47.5 is often used as a threshold to identify individuals at high risk for Adjustment Disorder.
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