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Journal of Psychopathology and Behavioral Assessment

Gepubliceerd in:

21-07-2021

Examining the Dimensionality of Anxiety and Depression: a Latent Profile Approach to Modeling Transdiagnostic Features

Auteurs: Julia S. Yarrington, Craig K. Enders, Richard E. Zinbarg, Susan Mineka, Michelle G. Craske

Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment | Uitgave 1/2022

Abstract

Depression and anxiety are highly prevalent psychological disorders; our understanding of these conditions remains limited. Efforts to explain anxiety and depression have been constrained in part by binary classification systems. Dimensional approaches to understanding psychopathology may be more effective. The present study used latent profile analysis (LPA) to assess whether unique subgroups exist within a tri-level model of anxiety and depression. Participants (N = 627) completed self-report questionnaires from which tri-level model factors were derived. LPA was conducted on those factors. A 4-profile model offered optimal fit to the data at baseline. This model was replicated at a second time point. Models derived included profiles labelled ‘Mixed Fears,’ ‘Anxious Arousal,’ ‘Low Mood/Anhedonia,’ and ‘Sub-Clinical.’ Profiles were validated at Time 1 using diagnostic status and clinical severity ratings associated with mood and anxiety presentations. Profiles demonstrated flexibility in accommodating breadth in clinical presentations and common comorbidities. Latent variable models may offer more ecologically valid approaches to understanding psychopathology.

vorige artikel Perfectionism and Stressful Perseveration in the Psychophysiological Experience of Stress: A 7-Day Multi-Method Study

volgende artikel Monoamine Oxidase-A and Conduct Problems in Children: The Role of Affective Decision-Making

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American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub.

Asparouhov, T., & Muthén, B. (2014). Auxiliary variables in mixture modeling: Three-step approaches using Mplus. Structural Equation Modeling: A Multidisciplinary Journal, 21(3), 329–341.

Au, T. M., Dickstein, B. D., Comer, J. S., Salters-Pedneault, K., & Litz, B. T. (2013). Co-occurring posttraumatic stress and depression symptoms after sexual assault: A latent profile analysis. Journal of Affective Disorders, 149(1–3), 209–216.PubMed

Berlin, K. S., Williams, N. A., & Parra, G. R. (2014). An introduction to latent variable mixture modeling (part 1): Overview and cross-sectional latent class and latent profile analyses. Journal of Pediatric Psychology, 39(2), 174–187.PubMed

Bolck, A., Croon, M., & Hagenaars, J. (2004). Estimating latent structure models with categorical variables: One-step versus three-step estimators. Political Analysis, 3–27.

Carver, C. S., & White, T. L. (1994). Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: The BIS/BAS scales. Journal of Personality and Social Psychology, 67, 319–333.

Caspi, A., Houts, R. M., Ambler, A., Danese, A., Elliott, M. L., Hariri, A., & Moffitt, T. E. (2020). Longitudinal assessment of mental health disorders and comorbidities across 4 decades among participants in the Dunedin Birth Cohort Study. JAMA Network Open, 3(4), e203221–e203221.PubMedPubMedCentral

Cohen, J. (1960). A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20(1), 37-46.

Cohen, J. R., Spiro, C. N., Young, J. F., Gibb, B. E., Hankin, B. L., & Abela, J. R. (2015). Interpersonal risk profiles for youth depression: A person-centered, multi-wave, longitudinal study. Journal of Abnormal Child Psychology, 43(8), 1415–1426.PubMedPubMedCentral

Contractor, A. A., Elhai, J. D., Fine, T. H., Tamburrino, M. B., Cohen, G., Shirley, E., & Calabrese, J. R. (2015). Latent profile analyses of posttraumatic stress disorder, depression and generalized anxiety disorder symptoms in trauma-exposed soldiers. Journal of Psychiatric Research, 68, 19–26.PubMed

Conway, C. C., Craske, M. G., Zinbarg, R. E., & Mineka, S. (2016). Pathological personality traits and the naturalistic course of internalizing disorders among high-risk young adults. Depression and Anxiety, 33(1), 84–93.PubMed

DiStefano, C., & Kamphaus, R. W. (2006). Investigating subtypes of child development: A comparison of cluster analysis and latent class cluster analysis in typology creation. Educational and Psychological Measurement, 66(5), 778–794.

Estabrook, R., & Neale, M. (2013). A comparison of factor score estimation methods in the presence of missing data: Reliability and an application to nicotine dependence. Multivariate Behavioral Research, 48(1), 1–27.PubMedPubMedCentral

Eysenck, H. J., & Eysenck, S. B. G. (1975). Manual of the Eysenck Personality Questionnaire. Hodder and Stoughton.

Ferdinand, R. F., de Nijs, P. F., van Lier, P., & Verhulst, F. C. (2005). Latent class analysis of anxiety and depressive symptoms in referred adolescents. Journal of Affective Disorders, 88(3), 299–306.PubMed

First, M. B., Spitzer, R. L, Gibbon, M., & Williams, J. B. W. (2002). Structured Clinical Interview for DSM-IV-TR Axis I Disorders, research version, non-patient edition (SCID-I/NP). New York, NY: Biometrics Research, New York State Psychiatric Institute.

Geer, J. H. (1965). The development of a scale to measure fear. Behaviour Research and Therapy, 3(1), 45–53.PubMed

Goldberg, L. R. (1999). A broad-bandwidth, public domain, personality inventory measuring the lower-level facets of several five-factor models. Personality Psychology in Europe, 7(1), 7–28.

Gunlicks-Stoessel, M., Eckshtain, D., Lee, S., Reigstad, K., Mufson, L., & Weisz, J. (2019). Latent profiles of cognitive and interpersonal risk factors for adolescent depression and implications for personalized treatment. Journal of Abnormal Child Psychology, 1–11.

Herman, K. C., Ostrander, R., Walkup, J. T., Silva, S. G., & March, J. S. (2007). Empirically derived subtypes of adolescent depression: Latent profile analysis of co-occurring symptoms in the Treatment for Adolescents with Depression Study (TADS). Journal of Consulting and Clinical Psychology, 75(5), 716–728.PubMed

Hetrick, S. E., Parker, A. G., Hickie, I. B., Purcell, R., Yung, A. R., & McGorry, P. D. (2008). Early identification and intervention in depressive disorders: Towards a clinical staging model. Psychotherapy and Psychosomatics, 77(5), 263–270.PubMed

Hickie, I. B., Scott, E. M., Hermens, D. F., Naismith, S. L., Guastella, A. J., Kaur, M., & McGorry, P. D. (2013). Applying clinical staging to young people who present for mental health care. Early Intervention in Psychiatry, 7(1), 31–43.PubMed

Hughes, A. A., Heimberg, R. G., Coles, M. E., Gibb, B. E., Liebowitz, M. R., & Schneier, F. R. (2006). Relations of the factors of the tripartite model of anxiety and depression to types of social anxiety. Behaviour Research and Therapy, 44(11), 1629–1641.PubMed

Kessler, R. C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K. R., & Wang, P. S. (2003). The epidemiology of major depressive disorder: Results from the National Comorbidity Survey Replication (NCS-R). JAMA, 289(23), 3095–3105.PubMed

Kessler, R. C., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Wittchen, H. U. (2012). Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. International Journal of Methods in Psychiatric Research, 21(3), 169–184.PubMedPubMedCentral

Kim, Y. K., Na, K. S., Myint, A. M., & Leonard, B. E. (2016). The role of pro-inflammatory cytokines in neuroinflammation, neurogenesis and the neuroendocrine system in major depression. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 64, 277–284.PubMed

Kotov, R., Krueger, R. F., Watson, D., Achenbach, T. M., Althoff, R. R., Bagby, R. M., Brown, T. A., Carpenter, W. T., Caspi, A., Clark, L. A., Eaton, N. R., Forbes, M. K., Forbush, K. T., Goldberg, D., Hasin, D., Hyman, S. E., Ivanova, M. Y., Lynam, D. R., Markon, K., . . . Zimmerman, M. (2017). The Hierarchical Taxonomy of Psychopathology (HiTOP): A dimensional alternative to traditional nosologies. Journal of Abnormal Psychology, 126(4), 454–477. https://doi.org/10.1037/abn0000258

Lai, B. S., Kelley, M. L., Harrison, K. M., Thompson, J. E., & Self-Brown, S. (2015). Posttraumatic stress, anxiety, and depression symptoms among children after Hurricane Katrina: A latent profile analysis. Journal of Child and Family Studies, 24(5), 1262–1270.PubMed

Lake, J. I., Yee, C. M., & Miller, G. A. (2017). Misunderstanding RDoC. Zeitschrift Für Psychologie, 225(3), 170–174.PubMedPubMedCentral

Liu, R. T. (2016). Taxometric evidence of a dimensional latent structure for depression in an epidemiological sample of children and adolescents. Psychological Medicine, 46(6), 1265–1275.PubMedPubMedCentral

Magidson, J., & Vermunt, J. K. (2002). A nontechnical introduction to latent class models. Statistical Innovations White Paper, #1.

Masyn, K. E. (2013). 25 latent class analysis and finite mixture modeling. The Oxford Handbook of Quantitative Methods, 551–611.

Mattick, R. P., & Clarke, J. C. (1998). Development and validation of measures of social phobia scrutiny fear and social interaction anxiety. Behaviour Research and Therapy, 36(4), 455–470.PubMed

McGorry, P. D., Purcell, R., Hickie, I. B., Yung, A. R., Pantelis, C., & Jackson, H. J. (2007). Clinical staging: A heuristic model for psychiatry and youth mental health. Medical Journal of Australia, 187(S7), S40–S42.

Muthén, L. K., & Muthén, B. O. (1998–2007). Mplus user’s guide (5th ed.). Los Angeles, CA: Muthén & Muthén.

Muthén, L. K., & Muthén, B. O. (1998–2017). Mplus user’s guide (8th ed.). Los Angeles, CA: Muthén & Muthén.

Najjar, S., Pearlman, D. M., Alper, K., Najjar, A., & Devinsky, O. (2013). Neuroinflammation and psychiatric illness. Journal of Neuroinflammation, 10(1), 816–840.

Naragon-Gainey, K., Prenoveau, J. M., Brown, T. A., & Zinbarg, R. E. (2016). A comparison and integration of structural models of depression and anxiety in a clinical sample: Support for and validation of the tri-level model. Journal of Abnormal Psychology, 125(7), 853–867.PubMedPubMedCentral

Nivard, M. G., Dolan, C. V., Kendler, K. S., Kan, K. J., Willemsen, G., Van Beijsterveldt, C. E. M., & Middeldorp, C. M. (2015). Stability in symptoms of anxiety and depression as a function of genotype and environment: A longitudinal twin study from ages 3 to 63 years. Psychological Medicine, 45(5), 1039–1049.PubMed

Pastor, D. A., Barron, K. E., Miller, B. J., & Davis, S. L. (2007). A latent profile analysis of college students’ achievement goal orientation. Contemporary Educational Psychology, 32(1), 8–47.

Prenoveau, J. M., Zinbarg, R. E., Craske, M. G., Mineka, S., Griffith, J. W., & Epstein, A. M. (2010). Testing a hierarchical model of anxiety and depression in adolescents: A tri-level model. Journal of Anxiety Disorders, 24(3), 334–344.PubMed

Rapee, R. M., Craske, M. G., & Barlow, D. H. (1994). Assessment instrument for panic disorder that includes fear of sensation-producing activities: The Albany Panic and Phobia Questionnaire. Anxiety, 1(3), 114–122.PubMed

Ruscio, J., & Ruscio, A. M. (2000). Informing the continuity controversy: A taxometric analysis of depression. Journal of Abnormal Psychology, 109(3), 473–487.PubMed

Ruscio, A. M., Borkovec, T. D., & Ruscio, J. (2001). A taxometric investigation of the latent structure of worry. Journal of Abnormal Psychology, 110(3), 413–422.PubMed

Saucier, G. (1994). Mini-markers: A brief version of Goldberg’s unipolar big-five markers. Journal of Personality Assessment, 63, 506–516.PubMed

Saunders, R., Cape, J., Fearon, P., & Pilling, S. (2016). Predicting treatment outcome in psychological treatment services by identifying latent profiles of patients. Journal of Affective Disorders, 197, 107–115.PubMed

Tabak, N. T., & de Mamani, A. G. W. (2013). Latent profile analysis of healthy schizotypy within the extended psychosis phenotype. Psychiatry Research, 210(3), 1008–1013.PubMedPubMedCentral

Tein, J. Y., Coxe, S., & Cham, H. (2013). Statistical power to detect the correct number of classes in latent profile analysis. Structural Equation Modeling: A Multidisciplinary Journal, 20(4), 640–657.

Uliaszek, A., Hauner, K., Zinbarg, R., Mineka, S., Craske, M., Griffith, J., & Rose, R. (2009). An examination of content overlap and disorder-specific predictions in the associations of neuroticism with anxiety and depression. Journal of Research in Personality, 43, 785–794. https://doi.org/10.1016/j.jrp.2009.05.009CrossRefPubMedPubMedCentral

Vermunt, J. K. (2010). Latent class modeling with covariates: Two improved three-step approaches. Political Analysis, 450–469.

Vermunt, J. K., & Magidson, J. (2002). Latent class cluster analysis. Applied Latent Class Analysis, 11, 89–106.

Wadsworth, M. E., Hudziak, J. J., Heath, A. C., & Achenbach, T. M. (2001). Latent class analysis of child behavior checklist anxiety/depression in children and adolescents. Journal of the American Academy of Child & Adolescent Psychiatry, 40(1), 106–114.

Watson, D., Weber, K., Assenheimer, J. S., Clark, L. A., Strauss, M. E., & McCormick, R. A. (1995). Testing a tripartite model: I. Evaluating the convergent and discriminant validity of anxiety and depression symptom scales. Journal of Abnormal Psychology, 104(1), 3–14.PubMed

Westen, D. (2012). Prototype diagnosis of psychiatric syndromes. World Psychiatry, 11(1), 16–21.PubMedPubMedCentral

Wetherell, J. L., Gatz, M., & Pedersen, N. L. (2001). A longitudinal analysis of anxiety and depressive symptoms. Psychology and Aging, 16(2), 187–195.PubMed

Yee, C. M., Javitt, D. C., & Miller, G. A. (2015). Replacing DSM categorical analyses with dimensional analyses in psychiatry research: The research domain criteria initiative. JAMA Psychiatry, 72(12), 1159–1160.PubMed

Zimmerman, M., Coryell, W., Corenthal, C., & Wilson, S. (1986). A self-report scale to diagnose major depressive disorder. Archives of General Psychiatry, 43(11), 1076–1081.PubMed

Titel: Examining the Dimensionality of Anxiety and Depression: a Latent Profile Approach to Modeling Transdiagnostic Features
Auteurs: Julia S. Yarrington
Craig K. Enders
Richard E. Zinbarg
Susan Mineka
Michelle G. Craske
Publicatiedatum: 21-07-2021
Uitgeverij: Springer US
Gepubliceerd in: Journal of Psychopathology and Behavioral Assessment / Uitgave 1/2022
Print ISSN: 0882-2689
Elektronisch ISSN: 1573-3505
DOI: https://doi.org/10.1007/s10862-021-09913-z

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