Contribución del Neuroticismo, Rasgos Patológicos de Personalidad y Afrontamiento en la Predicción de la Evolución Clínica: Estudio de Seguimiento a los 5 Años de una Muestra de Pacientes con Trastorno Adaptativo

Abstract

Numerous studies have found that both personality and the coping strategies used to manage stress have an important role in the development of mental health problems, particularly adjustment disorder (AD). The aim of this study was, firstly, to differences in neuroticism, comorbidity and coping between a group of patients with AD with a favorable clinical course (n = 58) and another with unfavorable evolution (n = 20); and secondly, to whether these variables could predict clinical evolution 5 years later. The group with unfavorable clinical evolution showed a greater neuroticism, more presence of comorbid personality pathological traits, and a greater use of maladaptive coping strategies. Furthermore, the main risk factors to belong to the group with unfavorable evolution were greater euroticism, presence of comorbidity and the use of denial coping, as the use of planning and instrumental support strategies lowered this risk.