Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

14-12-2017 | Original Article | Uitgave 4/2018 Open Access

Child Psychiatry & Human Development 4/2018

Should Clinicians Split or Lump Psychiatric Symptoms? The Structure of Psychopathology in Two Large Pediatric Clinical Samples from England and Norway

Tijdschrift:
Child Psychiatry & Human Development > Uitgave 4/2018
Auteurs:
Lorena Fernández de la Cruz, Pablo Vidal-Ribas, Nada Zahreddine, Børge Mathiassen, Per Håkan Brøndbo, Emily Simonoff, Robert Goodman, Argyris Stringaris
Belangrijke opmerkingen

Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s10578-017-0777-1) contains supplementary material, which is available to authorized users.
Lorena Fernández de la Cruz and Pablo Vidal-Ribas are joint first authors.

Abstract

It has been suggested that the structure of psychiatric phenomena can be reduced to a few symptom dimensions. These proposals, mainly based on epidemiological samples, may not apply to clinical populations. We tested the structure of psychiatric symptoms across two pediatric clinical samples from England (N = 8434) and Norway (N = 5866). Confirmatory factor analyses of the parent-reported Strengths and Difficulties Questionnaire (SDQ) evaluated the relative fit of several models, including a first-order model, a second-order model with the widely-established broad symptom dimensions of internalizing-externalizing, and two bi-factor models capturing a general psychopathology factor. Predictive value of the SDQ subscales for psychiatric disorders was examined. A first-order five-factor solution better fit the data. The expected SDQ subscale(s) related best to the corresponding psychiatric diagnosis. In pediatric clinical samples, a granular approach to psychiatric symptoms where several dimensions are considered seems to fit the data better than models based on lumping symptoms into internalizing/externalizing dimensions.

Onze productaanbevelingen

BSL Psychologie Totaal

Met BSL Psychologie Totaal blijft u als professional steeds op de hoogte van de nieuwste ontwikkelingen binnen uw vak. Met het online abonnement heeft u toegang tot een groot aantal boeken, protocollen, vaktijdschriften en e-learnings op het gebied van psychologie en psychiatrie. Zo kunt u op uw gemak en wanneer het u het beste uitkomt verdiepen in uw vakgebied.

Extra materiaal
Supplementary material 1 (DOCX 33 KB)
10578_2017_777_MOESM1_ESM.docx
Literatuur
Over dit artikel

Andere artikelen Uitgave 4/2018

Child Psychiatry & Human Development 4/2018 Naar de uitgave