Citation

Zapata-Ospina JP, Sierra-Muñoz JS, Cardeño-Castro CA. Semergen 2021; 47(3): 197-206.

Copyright

(Copyright © 2021, Elsevier Publishing)

DOI

10.1016/j.semerg.2020.09.010

PMID

33214076

Abstract

Adjustment disorder (AD) corresponds to the combination of affective, cognitive and behavioral symptoms that appear after a stressful event. It is a frequent reason for consultation in primary care and is one of the most common diagnoses in suicide attempts attended in the emergency department. Its essential feature is that the symptoms must appear in direct relation to an event perceived as stressful, so it tends to be transitory if the event ceases or the patient adapts. The mainstay of treatment are psychosocial interventions, aimed at modifying the event or its consequences, supporting adaptation and optimizing resources to cope with the event. However, prescription of psychotropic drugs is favored in practice, when its use should be limited to symptomatic relief. This highlights the need to properly identify and treat it. This article presents the strategies for diagnosis and treatment of AD in primary care.

Language: es

Keywords

Adaptation, Psychological; Adjustment disorders; Adjustment Disorders; Ajuste emocional; Emotional adjustment; Humans; Primary Health Care; Psicoterapia; Psychotherapy; Psychotropic Drugs; Suicide, Attempted; Trastornos de adaptación