Cited by 850Personality Disorders and PsychopathologyAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesPersonality Traits and Psychology

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The Nature, Diagnosis, and Treatment of Neuroticism: Back to the Future

Barlow, David H., Sauer-Zavala, Shannon, Carl, Jenna R., Bullis, Jacqueline R., Ellard, Kristen K.·2014·Clinical Psychological Science

DOI 10.1177/2167702613505532

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Abstract

We highlight the role of neuroticism in the development and course of emotional disorders and make a case for shifting the focus of intervention to this higher-order dimension of personality. Recent decades have seen great emphasis placed on differentiating disorders into Diagnostic and Statistical Manual of Mental Disorders diagnoses; however, evidence has suggested that splitting disorders into such fine categories may be highlighting relatively trivial differences. Emerging research on the latent structure of anxiety and mood disorders has indicated that trait neuroticism, cultivated through genetic, neurobiological, and psychological factors, underscores the development of these disorders. We raise the possibility of a new approach for conceptualizing these disorders—as emotional disorders. From a service-delivery point of view, we explore the possibility that neuroticism may be more malleable than previously thought and may possibly be amenable to direct intervention. The public-health implications of directly treating and even preventing the development of neuroticism would be substantial.

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Authors: Barlow, D. H., Sauer-Zavala, S., Carl, J. R., Bullis, J. R., & Ellard, K. K.
Affiliations: Boston University (US)
Harvard University (US)
Corresponding author: Barlow, David H.
ORCID: Barlow, David H.
Sauer-Zavala, Shannon
Carl, Jenna R.
Bullis, Jacqueline R.
Ellard, Kristen K.
Venue: Clinical Psychological Science
Publisher: SAGE Publications
Published: 2013-10-14
Volume: 2
Issue: 3
Pages: 344-365
ISSN: 2167-7026 (ISSN-L)
2167-7034
DOI: 10.1177/2167702613505532
OpenAlex: W2030238393
Semantic Scholar: c2529746b7cc11c8c7d746b6b02015245fcddee3
Cited by: 850
References: 228
Citations by year: 2026: 40 · 2025: 57 · 2024: 87 · 2023: 78 · 2022: 92 · 2021: 65 · 2020: 111 · 2019: 48 · 2018: 60 · 2017: 73 · 2016: 67 · 2015: 44 · 2014: 24 · 2013: 2
FWCI: 50.73
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Clinical Psychological Science (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Social Sciences › Psychology › Clinical Psychology › Personality Traits and Psychology
Keywords: neuroticism, emotional disorders, anxiety disorders, mood disorders, personality traits, public health implications

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