A hierarchical causal taxonomy of psychopathology across the life span.
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of each first-order dimension: Different persons exhibiting similar symptoms may be influenced by different combinations of etiologic influences from each of the 3 levels of the etiologic hierarchy. Furthermore, we relate the proposed causal taxonomy to transdimensional psychobiological processes, which also impact the heterogeneity of each psychopathology dimension. This causal taxonomy implies the need for changes in strategies for studying the etiology, psychobiology, prevention, and treatment of psychopathology. (PsycINFO Database Record
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Models of psychopathology implicate neuroticism as a key contributor to most psychopathologies, more clearly with internalizing than externalizing psychopathologies.
“Models of psychopathology implicate neuroticism as a key contributor to most psychopathologies, though more clearly with internalizing than with externalizing psychopathologies (Kotov et al., 2017; Lahey et al., 2017).”
From Sluggish Cognitive Tempo and Personality: Links to BIS/BAS Sensitivity and the Five Factor Model (2018) · cites this paper as Lahey et al., 2017
In “Dispositions and the Hierarchical Structure of Psychopathology” (page unavailable), the paper equates neuroticism with negative emotionality and describes robust links to common internalizing and externalizing psychopathologies. It does not establish that the link is clearer for internalizing psychopathologies; in one bifactor analysis discussed there, the residual internalizing correlation was small while the externalizing correlation was significant. (LLM, conf=0.85)
Experimental — accuracy not yet measuredAt least 5 of 9 symptoms were needed to identify an adult with SCT.
“whereas at least 5 of 9 symptoms were needed to identify an adult with SCT [25].”
From Advancing the study of sluggish cognitive tempo via DSM, RDoC, and hierarchical models of psychopathology (2019) · cites this paper as [25]
Empirically based SCT scales have been developed and validated.
“empirically-based SCT scales have been developed and validated [7,9,25-28].”
From Advancing the study of sluggish cognitive tempo via DSM, RDoC, and hierarchical models of psychopathology (2019) · cites this paper as [25]
Adults with SCT, with or without ADHD, earned less annual income and had greater self-organization/problem-solving difficulties than controls or adults with ADHD only.
“Barkley found that adults with SCT (with or without ADHD) earned less annual income and also had greater difficulties self-organization/problem-solving than controls or adults with ADHD-only [25].”
From Advancing the study of sluggish cognitive tempo via DSM, RDoC, and hierarchical models of psychopathology (2019) · cites this paper as [25]
Three persistent problems in categorical diagnosis-demarcating a likely dimensional construct, heterogeneity within diagnoses, and excessive comorbidity-are likely to affect SCT as they do most current DSM-based diagnoses.
“Barkley’s nationally representative studies of SCT in children and adults [25,26] were landmark studies but nevertheless underscore three long-standing issues in categorical-based diagnosis that will likely apply to SCT just as they do to most current DSM-based diagnoses: categorical demarcation of a likely dimensional construct, within-diagnosis heterogeneity, and excessive comorbidity [21,24,105”
From Advancing the study of sluggish cognitive tempo via DSM, RDoC, and hierarchical models of psychopathology (2019) · cites this paper as [25]
The etiology of mental disorders is highly multifactorial and largely unspecific.
“In line with its symptomatology, the etiology of mental disorders also is highly multifactorial and largely unspecific [7, 8].”
From Using person-specific networks in psychotherapy: challenges, limitations, and how we could use them anyway (2020) · cites this paper as [7]
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Criterion A of the AMPD in HiTOP
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A critical evaluation of the p-factor literature
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Modeling assortative mating and genetic similarities between partners, siblings, and in-laws
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What Is the General Factor of Psychopathology? Consistency of the p Factor Across Samples
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Measuring the hierarchical general factor model of psychopathology in young adults
Lahey, B. B., Zald, D. H., Perkins, S. F., Villalta‐Gil, V., Werts, K. B., Hulle, C. A. V., Rathouz, P. J., Applegate, B. E., Class, Q. A., Poore, H. E., et al. (2017) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.1593 · Cited by 61 · see citing works
Self-citationTransdiagnostic pathways from early social stress to psychopathology: a 20‐year prospective study
Conway, C. C., Raposa, E. B., Hammen, C., & Brennan, P. A. (2018) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12862 · Cited by 60 · see citing works
Deutz, M. H. F., Geeraerts, S. B., Belsky, J., Deković, M., van Baar, A. L., Prinzie, P., & Patalay, P. (2019) · Child Psychiatry & Human Development · doi:10.1007/s10578-019-00916-2 · Cited by 62 · see citing works
Karcher, N. R., Michelini, G., Kotov, R., & Barch, D. M. (2021) · Biological Psychiatry: Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2020.09.008 · Cited by 55 · see citing works
Durham, E. L., Jeong, H. J., Moore, T. M., Dupont, R. M., Cardenas‐Iniguez, C., Cui, Z., Stone, F. E., Berman, M. G., Lahey, B. B., & Kaczkurkin, A. N. (2021) · Neuropsychopharmacology · doi:10.1038/s41386-020-00952-w · Cited by 62 · see citing works
Self-citationWhite Matter Microstructure and the General Psychopathology Factor in Children
Neumann, A., Muetzel, R. L., Lahey, B. B., Bakermans‐Kranenburg, M. J., van IJzendoorn, M. H., Jaddoe, V. W. V., Hillegers, M. H. J., White, T. J. H., & Tiemeier, H. W. (2020) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2019.12.006 · Cited by 60 · see citing works
Self-citationCui, Z., Pines, A. R., Larsen, B., Sydnor, V. J., Li, H., Adebimpe, A., Alexander‐Bloch, A. F., Bassett, D. S., Bertolero, M. A., Calkins, M. E., et al. (2022) · Biological Psychiatry · doi:10.1016/j.biopsych.2022.05.014 · Cited by 55 · see citing works
Romer, A. L., Knodt, A. R., Sison, M. L., Ireland, D. R., Houts, R., Ramrakha, S., Poulton, R., Keenan, R. J., Melzer, T. R., Moffitt, T. E., et al. (2019) · Molecular Psychiatry · doi:10.1038/s41380-019-0621-z · Cited by 52 · see citing works
Gluschkoff, K., Jokela, M. M., & Rosenström, T. H. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00594 · Cited by 53 · see citing works
Using Genetics to Examine a General Liability to Childhood Psychopathology
Riglin, L., Thapar, A. K., Leppert, B., Martin, J., Richards, A. L., Anney, R., Smith, G. D., Tilling, K. M., Stergiakouli, E., Lahey, B. B., et al. (2019) · Behavior Genetics · doi:10.1007/s10519-019-09985-4 · Cited by 53 · see citing works
Self-citationExternal validation of a bifactor model of oppositional defiant disorder
Waldman, I. D., Rowe, R., Boylan, K., & Burke, J. D. (2018) · Molecular Psychiatry · doi:10.1038/s41380-018-0294-z · Cited by 50 · see citing works
Self-citationVariability in emotion regulation strategy use is negatively associated with depressive symptoms
Wang, X., Blain, S. D., Meng, J., Liu, Y., & Qiu, J. (2020) · Cognition & Emotion · doi:10.1080/02699931.2020.1840337 · Cited by 49 · see citing works
Higher-order dimensions of psychopathology in a neurodevelopmental transdiagnostic sample.
Holmes, J., Mareva, S., Bennett, M., Black, M., & Guy, J. (2021) · Journal of Abnormal Psychology · doi:10.1037/abn0000710 · Cited by 47 · see citing works
Greene, A. L., Watts, A. L., Forbes, M. K., Kotov, R., Krueger, R. F., & Eaton, N. R. (2022) · Psychological Methods · doi:10.1037/met0000465 · Cited by 47 · see citing works
Self-citationDefining the p-factor: an empirical test of five leading theories
Southward, M. W., Cheavens, J., & Coccaro, E. (2022) · Psychological Medicine · doi:10.1017/s0033291722001635 · Cited by 32 · see citing works
- Authors
- Lahey, B. B., Krueger, R. F., Rathouz, P. J., Waldman, I. D., & Zald, D. H.
- Affiliations
- University of Chicago (US)
- University of Minnesota (US)
- University of Wisconsin–Madison (US)
- Emory University (US)
- Vanderbilt University (US)
- Venue
- Psychological Bulletin
- Published
- 2017-02
- Volume
- 143
- Issue
- 2
- Pages
- 142-186
- ISSN
- 0033-2909 (ISSN-L)
- 1939-1455
- PMC
- PMC5269437
- OpenAlex
- W2561015403
- Cited by
- 443
- References
- 447
- Citations by year
- 2026: 35 · 2025: 31 · 2024: 44 · 2023: 46 · 2022: 44 · 2021: 48 · 2020: 78 · 2019: 53 · 2018: 49 · 2017: 14
- FWCI
- 54.89
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Psychological Bulletin (publishedVersion, other-oa)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01-MH098098)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- psychopathology, lifespan development, symptom heterogeneity, etiology of mental disorders
- MeSH terms
- Age Factors, Mental Disorders, Classification, Humans, Models, Psychological, Sex Factors, Social Environment, Causality, Multivariate Analysis, Genetic Predisposition to Disease
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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