Testing Structural Models of DSM-IV Symptoms of Common Forms of Child and Adolescent Psychopathology
Abstract
Confirmatory factor analyses were conducted of Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) symptoms of common mental disorders derived from structured interviews of a representative sample of 4,049 twin children and adolescents and their adult caretakers. A dimensional model based on the assignment of symptoms to syndromes in DSM-IV fit better than alternative models, but some dimensions were highly correlated. Modest sex and age differences in factor loadings and correlations were found that suggest that the dimensions of psychopathology are stable across sex and age, but slightly more differentiated at older ages and in males. The dimensions of symptoms were found to be hierarchically organized within higher-order "externalizing" and "internalizing" dimensions, which accounted for much of their variance. Major depression and generalized anxiety disorder were substantially correlated with both the "externalizing" dimension and the "internalizing" dimension, however, suggesting the need to reconceptualize the nature of these higher-order dimensions.
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A small number of studies have formally tested the fit of ADHD in the externalizing spectrum.
“A small number of studies have formally tested the fit of ADHD in the externalizing spectrum [15–20].”
From ADHD and the externalizing spectrum: direct comparison of categorical, continuous, and hybrid models of liability in a nationally representative sample (2014) · cites this paper as [18]
Studies that tested ADHD in the externalizing spectrum largely assumed an underlying latent trait or a combination of latent traits and latent classes.
“these studies were largely based on a priori assumptions about underlying latent structure; i.e., they assumed an underlying latent trait [15–18] or a combination of latent traits and latent classes [19].”
From ADHD and the externalizing spectrum: direct comparison of categorical, continuous, and hybrid models of liability in a nationally representative sample (2014) · cites this paper as [18]
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References 68 · Cited by 286
- Authors
- Lahey, B. B., Rathouz, P. J., Van Hulle, C., Urbano, R. C., Krueger, R. F., Applegate, B., Garriock, H. A., Chapman, D. A., & Waldman, I. D.
- Affiliations
- University of Chicago (US)
- Vanderbilt University (US)
- University of Minnesota (US)
- Western Michigan University (US)
- University of Arizona (US)
- Virginia Commonwealth University (US)
- Emory University (US)
- Corresponding author
- Lahey, Benjamin B.
- ORCID
- Venue
- Journal of Abnormal Child Psychology
- Published
- 2007-10-03
- Volume
- 36
- Issue
- 2
- Pages
- 187-206
- ISSN
- 0091-0627 (ISSN-L)
- 1573-2835
- OpenAlex
- W2111662787
- Cited by
- 286
- References
- 68
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 6 · 2023: 10 · 2022: 11 · 2021: 15 · 2020: 15 · 2019: 11 · 2018: 16 · 2017: 25 · 2016: 25 · 2015: 20 · 2014: 24 · 2013: 26 · 2012: 17
- FWCI
- 12.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Research on Child and Adolescent Psychopathology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (K01MH001818, R01MH059111)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- child and adolescent psychopathology, symptom dimensions, externalizing problems, internalizing problems, major depressive disorder, generalized anxiety disorder, sex differences, age differences, symptom structure
- MeSH terms
- Adolescent, Psychology, Adolescent, Mental Disorders, Child, Psychology, Child, Factor Analysis, Statistical, Female, Humans, Internal-External Control, Interview, Psychological, Male, Tennessee, Models, Statistical, Caregivers, Age Distribution, Sex Distribution, Diagnostic and Statistical Manual of Mental Disorders
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