Development and cross‐cultural validation of the Japanese version of the Adjustment Disorder‐New Module‐20

Abstract Aim Adjustment disorder (AjD) is a prevalent mental disorder with evolving definitions in the International Classification of Diseases, 11th Revision (ICD‐11). The Adjustment Disorder‐New Module‐20 (ADNM‐20) assesses six AjD symptom clusters based on the ICD‐11 criteria and has demonstrated...

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Main Authors: Atsuo Nakagawa, Dai Mitsuda, Yusuke Umegaki, Rahel Bachem, Waka Nogami, Ryotaro Higuchi, Aoi Ito, Hiroki Kocha
Format: Article
Language:English
Published: Wiley 2025-06-01
Series:PCN Reports
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Online Access:https://doi.org/10.1002/pcn5.70104
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author Atsuo Nakagawa
Dai Mitsuda
Yusuke Umegaki
Rahel Bachem
Waka Nogami
Ryotaro Higuchi
Aoi Ito
Hiroki Kocha
author_facet Atsuo Nakagawa
Dai Mitsuda
Yusuke Umegaki
Rahel Bachem
Waka Nogami
Ryotaro Higuchi
Aoi Ito
Hiroki Kocha
author_sort Atsuo Nakagawa
collection DOAJ
description Abstract Aim Adjustment disorder (AjD) is a prevalent mental disorder with evolving definitions in the International Classification of Diseases, 11th Revision (ICD‐11). The Adjustment Disorder‐New Module‐20 (ADNM‐20) assesses six AjD symptom clusters based on the ICD‐11 criteria and has demonstrated strong psychometric validity. This study aimed to develop and validate a Japanese version of the ADNM‐20 in the general population. Methods A forward–backward translation approach was used to develop the Japanese version of the ADNM‐20. Psychometric properties were assessed through a web‐based survey of 1314 participants, examining factorial validity, construct validity, and internal consistency. Results Confirmatory factor analysis supported the theoretical six‐factor model (comparative fit index = 0.923, root‐mean‐square error of approximation = 0.079), with strong correlations between the ADNM‐20 subscales and external measures (e.g., depression PHQ‐9, r = 0.71; anxiety GAD‐7, r = 0.72). The total ADNM‐20 showed excellent internal consistency (Cronbach's α = 0.953). Conclusion The Japanese ADNM‐20 is a valid and reliable scale for assessing AjD symptoms in the Japanese general population. Further studies involving clinical populations are warranted to confirm its applicability in clinical settings.
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spelling doaj-art-8bd81ed94dfb44d8aecb5539b22a2fda2025-08-20T03:27:57ZengWileyPCN Reports2769-25582025-06-0142n/an/a10.1002/pcn5.70104Development and cross‐cultural validation of the Japanese version of the Adjustment Disorder‐New Module‐20Atsuo Nakagawa0Dai Mitsuda1Yusuke Umegaki2Rahel Bachem3Waka Nogami4Ryotaro Higuchi5Aoi Ito6Hiroki Kocha7Department of Neuropsychiatry St. Marianna University School of Medicine Kawasaki JapanDepartment of Neuropsychiatry St. Marianna University School of Medicine Kawasaki JapanFaculty of Human Life and Environment Nara Women's University Nara JapanDepartment of Psychology, Psychology and Clinical Intervention University of Zurich Zurich SwitzerlandDepartment of Neuropsychiatry St. Marianna University School of Medicine Kawasaki JapanDepartment of Neuropsychiatry St. Marianna University School of Medicine Kawasaki JapanDepartment of Neuropsychiatry St. Marianna University School of Medicine Kawasaki JapanDepartment of Neuropsychiatry St. Marianna University School of Medicine Kawasaki JapanAbstract Aim Adjustment disorder (AjD) is a prevalent mental disorder with evolving definitions in the International Classification of Diseases, 11th Revision (ICD‐11). The Adjustment Disorder‐New Module‐20 (ADNM‐20) assesses six AjD symptom clusters based on the ICD‐11 criteria and has demonstrated strong psychometric validity. This study aimed to develop and validate a Japanese version of the ADNM‐20 in the general population. Methods A forward–backward translation approach was used to develop the Japanese version of the ADNM‐20. Psychometric properties were assessed through a web‐based survey of 1314 participants, examining factorial validity, construct validity, and internal consistency. Results Confirmatory factor analysis supported the theoretical six‐factor model (comparative fit index = 0.923, root‐mean‐square error of approximation = 0.079), with strong correlations between the ADNM‐20 subscales and external measures (e.g., depression PHQ‐9, r = 0.71; anxiety GAD‐7, r = 0.72). The total ADNM‐20 showed excellent internal consistency (Cronbach's α = 0.953). Conclusion The Japanese ADNM‐20 is a valid and reliable scale for assessing AjD symptoms in the Japanese general population. Further studies involving clinical populations are warranted to confirm its applicability in clinical settings.https://doi.org/10.1002/pcn5.70104adjustment disorderAdjustment Disorder‐New Module‐20 (ADNM‐20)dimensional approachICD‐11psychometric validation
spellingShingle Atsuo Nakagawa
Dai Mitsuda
Yusuke Umegaki
Rahel Bachem
Waka Nogami
Ryotaro Higuchi
Aoi Ito
Hiroki Kocha
Development and cross‐cultural validation of the Japanese version of the Adjustment Disorder‐New Module‐20
PCN Reports
adjustment disorder
Adjustment Disorder‐New Module‐20 (ADNM‐20)
dimensional approach
ICD‐11
psychometric validation
title Development and cross‐cultural validation of the Japanese version of the Adjustment Disorder‐New Module‐20
title_full Development and cross‐cultural validation of the Japanese version of the Adjustment Disorder‐New Module‐20
title_fullStr Development and cross‐cultural validation of the Japanese version of the Adjustment Disorder‐New Module‐20
title_full_unstemmed Development and cross‐cultural validation of the Japanese version of the Adjustment Disorder‐New Module‐20
title_short Development and cross‐cultural validation of the Japanese version of the Adjustment Disorder‐New Module‐20
title_sort development and cross cultural validation of the japanese version of the adjustment disorder new module 20
topic adjustment disorder
Adjustment Disorder‐New Module‐20 (ADNM‐20)
dimensional approach
ICD‐11
psychometric validation
url https://doi.org/10.1002/pcn5.70104
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