Modification of the Adjustment Disorder New Module20 (ADNM‐20) for Use in Military Environments (ADNM‐20‐MIL): A Delphi and Pilot Study
ABSTRACT Objectives Despite its high prevalence and strong linkages with dangerous health outcomes, research on Adjustment Disorder (AjD) is hindered by lack of diagnostic clarity. AjD is categorized as a stress‐related disorder, highlighting the important role of the stressor(s) on AjD symptom onse...
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| Format: | Article |
| Language: | English |
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Wiley
2025-06-01
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| Series: | International Journal of Methods in Psychiatric Research |
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| Online Access: | https://doi.org/10.1002/mpr.70021 |
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| author | Jouhayna Bajjani‐Gebara Dawnkimberly Hopkins Joan Wasserman Ryan Landoll Margaux Keller |
| author_facet | Jouhayna Bajjani‐Gebara Dawnkimberly Hopkins Joan Wasserman Ryan Landoll Margaux Keller |
| author_sort | Jouhayna Bajjani‐Gebara |
| collection | DOAJ |
| description | ABSTRACT Objectives Despite its high prevalence and strong linkages with dangerous health outcomes, research on Adjustment Disorder (AjD) is hindered by lack of diagnostic clarity. AjD is categorized as a stress‐related disorder, highlighting the important role of the stressor(s) on AjD symptom onset and severity. The military community shows increased risk for AjD, and existing tools do not capture the stressors most relevant and appropriate to this unique community. A diagnostic assessment tool developed specifically for this specialized population may provide critical capability to clinical assessment. Methods A Delphi method was used to create a military‐specific version of the standard assessment for Adjustment Disorders (ADNM‐20), named ADNM‐20‐MIL. This tool was pilot‐tested in a sample of U.S. Active Duty Service Members (ADSMs) with AjD diagnoses. Results Throughout the Delphi process, military‐specific stressors were identified and integrated into the ADNM‐20‐MIL, then refined and validated, ensuring their applicability and relevance to the military context. Conclusions The ADNM‐20‐MIL will enable timely diagnosis and targeted treatment for AjD, which remains a highly prevalent and destabilizing diagnosis in ADSMs. |
| format | Article |
| id | doaj-art-4722e9897a5f486f82863358d9153a3e |
| institution | Kabale University |
| issn | 1049-8931 1557-0657 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Methods in Psychiatric Research |
| spelling | doaj-art-4722e9897a5f486f82863358d9153a3e2025-08-20T03:30:41ZengWileyInternational Journal of Methods in Psychiatric Research1049-89311557-06572025-06-01342n/an/a10.1002/mpr.70021Modification of the Adjustment Disorder New Module20 (ADNM‐20) for Use in Military Environments (ADNM‐20‐MIL): A Delphi and Pilot StudyJouhayna Bajjani‐Gebara0Dawnkimberly Hopkins1Joan Wasserman2Ryan Landoll3Margaux Keller4Daniel K. Inouye Graduate School of Nursing Uniformed Services University of the Health Sciences School of Medicine Bethesda Maryland USADaniel K. Inouye Graduate School of Nursing Uniformed Services University of the Health Sciences School of Medicine Bethesda Maryland USADaniel K. Inouye Graduate School of Nursing Uniformed Services University of the Health Sciences School of Medicine Bethesda Maryland USADepartment of Family Medicine Uniformed Services University of the Health Sciences School of Medicine Bethesda Maryland USAHenry M. Jackson Foundation for the Advancement of Military Medicine Inc. Bethesda Maryland USAABSTRACT Objectives Despite its high prevalence and strong linkages with dangerous health outcomes, research on Adjustment Disorder (AjD) is hindered by lack of diagnostic clarity. AjD is categorized as a stress‐related disorder, highlighting the important role of the stressor(s) on AjD symptom onset and severity. The military community shows increased risk for AjD, and existing tools do not capture the stressors most relevant and appropriate to this unique community. A diagnostic assessment tool developed specifically for this specialized population may provide critical capability to clinical assessment. Methods A Delphi method was used to create a military‐specific version of the standard assessment for Adjustment Disorders (ADNM‐20), named ADNM‐20‐MIL. This tool was pilot‐tested in a sample of U.S. Active Duty Service Members (ADSMs) with AjD diagnoses. Results Throughout the Delphi process, military‐specific stressors were identified and integrated into the ADNM‐20‐MIL, then refined and validated, ensuring their applicability and relevance to the military context. Conclusions The ADNM‐20‐MIL will enable timely diagnosis and targeted treatment for AjD, which remains a highly prevalent and destabilizing diagnosis in ADSMs.https://doi.org/10.1002/mpr.70021adjustment disorderbehavioral healthmental healthmilitary stressorsUS military |
| spellingShingle | Jouhayna Bajjani‐Gebara Dawnkimberly Hopkins Joan Wasserman Ryan Landoll Margaux Keller Modification of the Adjustment Disorder New Module20 (ADNM‐20) for Use in Military Environments (ADNM‐20‐MIL): A Delphi and Pilot Study International Journal of Methods in Psychiatric Research adjustment disorder behavioral health mental health military stressors US military |
| title | Modification of the Adjustment Disorder New Module20 (ADNM‐20) for Use in Military Environments (ADNM‐20‐MIL): A Delphi and Pilot Study |
| title_full | Modification of the Adjustment Disorder New Module20 (ADNM‐20) for Use in Military Environments (ADNM‐20‐MIL): A Delphi and Pilot Study |
| title_fullStr | Modification of the Adjustment Disorder New Module20 (ADNM‐20) for Use in Military Environments (ADNM‐20‐MIL): A Delphi and Pilot Study |
| title_full_unstemmed | Modification of the Adjustment Disorder New Module20 (ADNM‐20) for Use in Military Environments (ADNM‐20‐MIL): A Delphi and Pilot Study |
| title_short | Modification of the Adjustment Disorder New Module20 (ADNM‐20) for Use in Military Environments (ADNM‐20‐MIL): A Delphi and Pilot Study |
| title_sort | modification of the adjustment disorder new module20 adnm 20 for use in military environments adnm 20 mil a delphi and pilot study |
| topic | adjustment disorder behavioral health mental health military stressors US military |
| url | https://doi.org/10.1002/mpr.70021 |
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