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ICD-11 Adjustment Disorder among Organ Transplant Patients and Their Relatives

Author

Listed:
  • Rahel Bachem

    (I-Core Research Center for Mass Trauma, Tel Aviv University, Chaim Levanon 30, Tel Aviv 6997801, Israel
    Bob Shapell School of Social Work, Tel-Aviv University, Chaim Levanon 30, Tel Aviv 6997801, Israel)

  • Jan Baumann

    (Saarland University Medical Center, Faculty of Medicine, University of Saarland, 66421 Homburg/Saar, Germany)

  • Volker Köllner

    (Department of Psychosomatic Medicine, Rehabilitation Center Seehof, Federal German Pension Agency, 14513 Teltow, Germany
    Psychosomatic Rehabilitation Research Group, Department of Psychosomatic Medicine, Center for Internal Medicine and Dermatology Charité—Universitätsmedizin Berlin, 10098 Berlin, Germany)

Abstract

Adjustment disorder (AD) is one of the most frequent mental health conditions after stressful life experiences in the medical setting. The diagnosis has been conceptually redefined in International Classification of Diseases (ICD-11) and now includes specific symptoms of preoccupations and failure to adapt. The current study assesses the prevalence of self-reported ICD-11 AD among organ transplantation patients and their relatives, explores the association of patients’ demographic-, transplant-, and health-related characteristics and ICD-11 AD symptoms, and evaluates the role of social support in the post- transplant context. A total of N = 140 patient-relative dyads were examined cross-sectionally. Hierarchical linear regression analyses were conducted to explore potential predictive factors of AD. The results revealed an AD prevalence of 10.7% among patients and 16.4% among relatives at an average of 13.5 years after the transplantation. The time that had passed since the transplantation was unrelated to AD symptom severity. Women tended to be at a higher risk in both groups. Somatic issues were predictive for AD only among patients and social support was predictive mainly among relatives. The results suggest that ICD-11 AD is a relevant diagnosis after organ transplantations for patients and relatives and its specific symptom clusters may provide important information for developing intervention strategies.

Suggested Citation

  • Rahel Bachem & Jan Baumann & Volker Köllner, 2019. "ICD-11 Adjustment Disorder among Organ Transplant Patients and Their Relatives," IJERPH, MDPI, vol. 16(17), pages 1-16, August.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:17:p:3030-:d:259656
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    References listed on IDEAS

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    1. Louisa Lorenz & Anne Doherty & Patricia Casey, 2019. "The Role of Religion in Buffering the Impact of Stressful Life Events on Depressive Symptoms in Patients with Depressive Episodes or Adjustment Disorder," IJERPH, MDPI, vol. 16(7), pages 1-13, April.
    2. Martin Pinquart & Silvia Sörensen, 2006. "Gender Differences in Caregiver Stressors, Social Resources, and Health: An Updated Meta-Analysis," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 61(1), pages 33-45.
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