Clarke University Psychology Department PSYC 221 Abnormal Psychology Spring 2013 Assessment Two Learning Objectives Chapters 5, 6, 7, & 9 Chapter 5: Stress, Psychological Factors, and Health Stress, Psychological Factors, and Health Health psychologist – A psychologist who studies the interrelationships between psychological factors in physical illness. Stress – A demand made on an organism to adapt or adjust. Stressor – A source of stress. Copyright (c) 2011 Pearson Education. All rights reserved. nevid spine.jpg Adjustment Disorders Adjustment disorder – A maladaptive reaction to an identified stressor, characterized by impaired functioning or emotional distress that exceeds what would normally be expected. According to the DSM, the maladaptive reaction is characterized by significant impairment in social, occupational, or academic functioning or by states of emotional distress that exceed those normally induced by the stressor. Copyright (c) 2011 Pearson Education. All rights reserved. nevid spine.jpg Adjustment Disorder The development of emotional or behavioral symptoms in response to an identifiable stressor(s) occurring within 3 months of the onset of the stressor(s) These symptoms or behaviors are clinically significant as evidenced by either of the following: 1. Marked distress that is in excess of what would be expected from exposure to the stressor 2. Significant impairment in social or occupational academic functioning The stress-related disturbance does not meet the criteria for another specific Axis I disorder and is not merely an exacerbation of a preexisting Axis I or Axis II disorder. The symptoms do not represent Bereavement. Once the stressor (or its consequence) has terminated, the symptoms do not persist for more than an additional 6 months. Adjustment Disorder Specify if: Acute: if the disturbance lasts less than 6 months. Chronic: if the disturbance lasts for 6 months or longer. Adjustment Disorders are coded based on the subtype, which is selected according to the predominant symptoms. The specific stressor(s) can be specified on Axis IV. 309.0 With Depressed Mood 309.24 With Anxiety 309.28 With Mixed Anxiety and Depressed Mood 309.3 With Disturbance of Conduct 309.4 With Mixed Disturbance of Emotions and Conduct 309.9 Unspecified Adjustment Disorder The development of emotional or behavioral symptoms in response to an identifiable stressor(s) occurring within 3 months of the onset of the stressor(s) These symptoms or behaviors are clinically significant as evidenced by either of the following: 1. Marked distress that is in excess of what would be expected from exposure to the stressor 2. Significant impairment in social or occupational academic functioning The stress-related disturbance does not meet the criteria for another specific Axis I disorder and is not merely an exacerbation of a preexisting Axis I or Axis II disorder. The symptoms do not represent Bereavement. Once the stressor (or its consequence) has terminated, the symptoms do not persist for more than an additional 6 months. Adjustment Disorder Specify if: Acute: if the disturbance lasts less than 6 months. Chronic: if the disturbance lasts for 6 months or longer. Adjustment Disorders are coded based on the subtype, which is selected according to the predominant symptoms. The specific stressor(s) can be specified on Axis IV. 309.0 With Depressed Mood 309.24 With Anxiety 309.28 With Mixed Anxiety and Depressed Mood 309.3 With Disturbance of Conduct 309.4 With Mixed Disturbance of Emotions and Conduct 309.9 Unspecified Angela/Adjustment Disorder Clip Adjustment Disorder msotw9_temp0 Adjustment Disorder msotw9_temp0 pe03513_