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Gepubliceerd in: Journal of Abnormal Child Psychology 2/2014

01-02-2014

The Factor Structure of Anxiety and Depressive Disorders in a Sample of Clinic-Referred Adolescents

Auteurs: Rapson Gomez, Alasdair Vance, Rashika Miranjani Gomez

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 2/2014

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Abstract

The current study used confirmatory factor analysis (CFA) to examine the factor structure of anxiety and depressive disorders in a sample of clinic-referred adolescents, aged between 12 and 18 years, for diagnoses based on parent (N = 655; male = 441) and adolescent (N = 626; male = 417) interviews. Three models were examined: a 1-factor model, with all anxiety and depressive disorders in a single factor; a DSM-based 2-factor model, with anxiety disorders in one factor, and depressive disorders in another factor; and an alternate 2-factor model, with fear related anxiety disorders in one factor, and other anxiety and depressive disorders in another factor. The findings indicated support for all three models. Also, ADHD and ODD/CD were associated with only the shared variances between the latent factors in the 2-factor models, and not their unique variance. The implications of the findings for taxonomy, comorbidity, and clinical practice are discussed.
Literatuur
go back to reference American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders IV. Washington, DC: American Psychiatric Association. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders IV. Washington, DC: American Psychiatric Association.
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders – IV text revised. Washington, DC: American Psychiatric Association. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders – IV text revised. Washington, DC: American Psychiatric Association.
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders – 5. Washington, DC: American Psychiatric Association. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders – 5. Washington, DC: American Psychiatric Association.
go back to reference Angold, A., Costello, E. J., & Erkanli, A. (1999). Comorbidity. Journal of Child Psychology and Psychiatry, 40, 57–87.PubMedCrossRef Angold, A., Costello, E. J., & Erkanli, A. (1999). Comorbidity. Journal of Child Psychology and Psychiatry, 40, 57–87.PubMedCrossRef
go back to reference Beesdo-Baum, K., Höfler, M., Gloster, A. T., Klotsche, J., Lieb, R., Beauducel, A., et al. (2009). The structure of common mental disorders: a replication study in a community sample of adolescents and young adults. International Journal of Methods in Psychiatric Research, 18, 204–220.PubMed Beesdo-Baum, K., Höfler, M., Gloster, A. T., Klotsche, J., Lieb, R., Beauducel, A., et al. (2009). The structure of common mental disorders: a replication study in a community sample of adolescents and young adults. International Journal of Methods in Psychiatric Research, 18, 204–220.PubMed
go back to reference Brown, T. A. (2006). Confirmatory factor analysis for applied research. New York: Guilford Press. Brown, T. A. (2006). Confirmatory factor analysis for applied research. New York: Guilford Press.
go back to reference Brown, T. A., Chorpita, B. F., & Barlow, D. H. (1998). Structured relationships among dimensions of the DSM–IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal. Journal of Abnormal Psychology, 107, 179–192.PubMedCrossRef Brown, T. A., Chorpita, B. F., & Barlow, D. H. (1998). Structured relationships among dimensions of the DSMIV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal. Journal of Abnormal Psychology, 107, 179–192.PubMedCrossRef
go back to reference Burnham, K. P., & Anderson, D. R. (2004). Multimodel inference: understanding AIC and BIC in model selection. Sociological Methods & Research, 33, 261–304.CrossRef Burnham, K. P., & Anderson, D. R. (2004). Multimodel inference: understanding AIC and BIC in model selection. Sociological Methods & Research, 33, 261–304.CrossRef
go back to reference Cantwell, D. P., Lewinsohn, P. M., Rohde, P., & Seeley, J. R. (1997). Correspondence between adolescent report and parent report of psychiatric diagnostic data. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 610–619.PubMedCrossRef Cantwell, D. P., Lewinsohn, P. M., Rohde, P., & Seeley, J. R. (1997). Correspondence between adolescent report and parent report of psychiatric diagnostic data. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 610–619.PubMedCrossRef
go back to reference Clark, L. A., & Watson, D. (1991). Tripartite model of anxiety and depression: psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100, 316–336.PubMedCrossRef Clark, L. A., & Watson, D. (1991). Tripartite model of anxiety and depression: psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100, 316–336.PubMedCrossRef
go back to reference Clark, L. A., & Watson, D. (2006). Distress and fear disorders: an alternative empirically based taxonomy of the “mood” and “anxiety” disorders. The British Journal of Psychiatry, 189, 481–483.PubMedCrossRef Clark, L. A., & Watson, D. (2006). Distress and fear disorders: an alternative empirically based taxonomy of the “mood” and “anxiety” disorders. The British Journal of Psychiatry, 189, 481–483.PubMedCrossRef
go back to reference Ehrenreich-May, & Bilek. (2012). The development of a transdiagnostic, cognitive behavioral group intervention for childhood anxiety disorders and co-occurring depression symptoms. Cognitive and Behavioral Practice, 19, 41–55.CrossRef Ehrenreich-May, & Bilek. (2012). The development of a transdiagnostic, cognitive behavioral group intervention for childhood anxiety disorders and co-occurring depression symptoms. Cognitive and Behavioral Practice, 19, 41–55.CrossRef
go back to reference Fleiss, J. L. (1981). Statistical methods for rates and proportions (2nd ed.). Wiley: New York. Fleiss, J. L. (1981). Statistical methods for rates and proportions (2nd ed.). Wiley: New York.
go back to reference Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18, 39–50.CrossRef Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18, 39–50.CrossRef
go back to reference Gomez, R., & Corr, P. J. (2010). Attention-Deficit/Hyperactive Disorder symptoms: associations with Gray’s and Tellegen’s models of personality. Personality and Individual Difference, 49, 902–906.CrossRef Gomez, R., & Corr, P. J. (2010). Attention-Deficit/Hyperactive Disorder symptoms: associations with Gray’s and Tellegen’s models of personality. Personality and Individual Difference, 49, 902–906.CrossRef
go back to reference Higa-McMillan, C. K., Smith, R. L., Chorpita, B. K., & Hayashi, K. (2008). Common and unique factors associated with DSM-IV-TR internalizing disorders in children. Journal of Abnormal Child Psychology, 36, 1279–1288.PubMedCrossRef Higa-McMillan, C. K., Smith, R. L., Chorpita, B. K., & Hayashi, K. (2008). Common and unique factors associated with DSM-IV-TR internalizing disorders in children. Journal of Abnormal Child Psychology, 36, 1279–1288.PubMedCrossRef
go back to reference Hu, L. T., & Bentler, P. M. (1998). Fit indices in covariance structure modeling: sensitivity to underparameterized model misspecification. Psychological Methods, 3, 424–453.CrossRef Hu, L. T., & Bentler, P. M. (1998). Fit indices in covariance structure modeling: sensitivity to underparameterized model misspecification. Psychological Methods, 3, 424–453.CrossRef
go back to reference Kashani, J. H., & Orvaschel, H. (1990). A community study of anxiety in children and adolescents. The American Journal of Psychiatry, 147, 313–318.PubMed Kashani, J. H., & Orvaschel, H. (1990). A community study of anxiety in children and adolescents. The American Journal of Psychiatry, 147, 313–318.PubMed
go back to reference Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IVdisorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 617–627.PubMedCentralPubMedCrossRef Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IVdisorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 617–627.PubMedCentralPubMedCrossRef
go back to reference Kovacs, M., & Devlin, B. (1998). Internalizing disorders in childhood. Journal of Child Psycholgy and Psychiatry, 39, 47–63.CrossRef Kovacs, M., & Devlin, B. (1998). Internalizing disorders in childhood. Journal of Child Psycholgy and Psychiatry, 39, 47–63.CrossRef
go back to reference Krueger, R. F., & Markon, K. E. (2006). Reinterpreting comorbidity: a model-based approach to understanding and classifying psychopathology. Annual Review of Clinical Psychology, 2, 111–133.PubMedCentralPubMedCrossRef Krueger, R. F., & Markon, K. E. (2006). Reinterpreting comorbidity: a model-based approach to understanding and classifying psychopathology. Annual Review of Clinical Psychology, 2, 111–133.PubMedCentralPubMedCrossRef
go back to reference Krueger, R. F. (1999). The structure of common mental disorders. Archives of General Psychiatry, 56, 921–926.PubMedCrossRef Krueger, R. F. (1999). The structure of common mental disorders. Archives of General Psychiatry, 56, 921–926.PubMedCrossRef
go back to reference Krueger, R. F., & Finger, M. S. (2001). Using item response theory to understand comorbidity among anxiety and unipolar mood disorders. Psychological Assessment, 13, 140–151.PubMedCrossRef Krueger, R. F., & Finger, M. S. (2001). Using item response theory to understand comorbidity among anxiety and unipolar mood disorders. Psychological Assessment, 13, 140–151.PubMedCrossRef
go back to reference Krueger, R. F., Caspi, A., Moffitt, T. E., & Silva, P. A. (1998). The structure and stability of common mental disorders (DSM–III–R): a longitudinal– epidemiological study. Journal of Abnormal Psychology, 107, 216–227.PubMedCrossRef Krueger, R. F., Caspi, A., Moffitt, T. E., & Silva, P. A. (1998). The structure and stability of common mental disorders (DSM–III–R): a longitudinal– epidemiological study. Journal of Abnormal Psychology, 107, 216–227.PubMedCrossRef
go back to reference Lahey, B. B., Applegate, B., Waldman, I. D., Loft, J. D., Hankin, B. L., & Rick, J. (2004). The structure of child and adolescent psychopathology: generating new hypotheses. Journal of Abnormal Psychology, 113, 358–385.PubMedCrossRef Lahey, B. B., Applegate, B., Waldman, I. D., Loft, J. D., Hankin, B. L., & Rick, J. (2004). The structure of child and adolescent psychopathology: generating new hypotheses. Journal of Abnormal Psychology, 113, 358–385.PubMedCrossRef
go back to reference Lahey, B. B., Rathouz, P. J., Van Hulle, C., Urbano, R. C., Krueger, R. F., Applegate, B., et al. (2008). Testing structural models of DSM-IV symptoms of common forms of child and adolescent psychopathology. Journal of Abnormal Child Psychology, 36, 187–206.PubMedCrossRef Lahey, B. B., Rathouz, P. J., Van Hulle, C., Urbano, R. C., Krueger, R. F., Applegate, B., et al. (2008). Testing structural models of DSM-IV symptoms of common forms of child and adolescent psychopathology. Journal of Abnormal Child Psychology, 36, 187–206.PubMedCrossRef
go back to reference Lewinsohn, P. M., Zinbarg, R., Seeley, J. R., Lewinsohn, M., & Sack, W. H. (1997). Lifetime comorbidity among anxiety disorders and between anxiety disorders and other mental disorders in adolescents. Journal of Anxiety Disorders, 11, 377–394.PubMedCrossRef Lewinsohn, P. M., Zinbarg, R., Seeley, J. R., Lewinsohn, M., & Sack, W. H. (1997). Lifetime comorbidity among anxiety disorders and between anxiety disorders and other mental disorders in adolescents. Journal of Anxiety Disorders, 11, 377–394.PubMedCrossRef
go back to reference Lewinshon, P. M., Rohde, P., Seeley, J. R., & Hops, H. (1991). Comorbidity of unipolar depression. I: major depression with dysthymia. Journal of Abnormal Psychology, 100, 205–213.CrossRef Lewinshon, P. M., Rohde, P., Seeley, J. R., & Hops, H. (1991). Comorbidity of unipolar depression. I: major depression with dysthymia. Journal of Abnormal Psychology, 100, 205–213.CrossRef
go back to reference McEvoy, P. M., Nathan, P., & Norton, P. J. (2009). Efficacy of transdiagnostic treatments: a review of published outcome studies and future research directions. Journal of Cognitive Psychotherapy, 23, 20–33.CrossRef McEvoy, P. M., Nathan, P., & Norton, P. J. (2009). Efficacy of transdiagnostic treatments: a review of published outcome studies and future research directions. Journal of Cognitive Psychotherapy, 23, 20–33.CrossRef
go back to reference McGlinchey, J. B., & Zimmerman, M. (2007). Examining dimensional representation of depression and anxiety disorders’ comorbidity in psychiatric outpatients with item response modeling. Journal of Abnormal Psychology, 116, 464–474.PubMedCrossRef McGlinchey, J. B., & Zimmerman, M. (2007). Examining dimensional representation of depression and anxiety disorders’ comorbidity in psychiatric outpatients with item response modeling. Journal of Abnormal Psychology, 116, 464–474.PubMedCrossRef
go back to reference Mineka, S., Watson, D., & Clark, L. A. (1998). Comorbidity of anxiety and unipolar mood disorders. Annual Review of Psychology, 49, 377–412.PubMedCrossRef Mineka, S., Watson, D., & Clark, L. A. (1998). Comorbidity of anxiety and unipolar mood disorders. Annual Review of Psychology, 49, 377–412.PubMedCrossRef
go back to reference Muthen, L. K., & Muthen, B. O. (2010). Mplus user’s guide (6th ed.). Los Angeles: Muthen & Muthen. Muthen, L. K., & Muthen, B. O. (2010). Mplus user’s guide (6th ed.). Los Angeles: Muthen & Muthen.
go back to reference Nigg, J. T., Oliver, J. P., Blaskey, L. G., Huang-Pollock, C. L., Willcutt, E. G., Hinshaw, S. P., et al. (2002). Big Five dimensions and ADHD symptoms: links between personality traits and clinical symptoms. Journal of Personality and Social Psychology, 83, 451–469.PubMedCrossRef Nigg, J. T., Oliver, J. P., Blaskey, L. G., Huang-Pollock, C. L., Willcutt, E. G., Hinshaw, S. P., et al. (2002). Big Five dimensions and ADHD symptoms: links between personality traits and clinical symptoms. Journal of Personality and Social Psychology, 83, 451–469.PubMedCrossRef
go back to reference Seeley, J. R., Kosty, D. B., Farmer, R. F., & Lewinsohn, P. M. (2011). The modeling of internalizing disorders on the basis of patterns of lifetime comorbidity: associations with psychosocial functioning and psychiatric disorders among first-degree relatives. Journal of Abnormal Psychology, 120, 308–321.PubMedCrossRef Seeley, J. R., Kosty, D. B., Farmer, R. F., & Lewinsohn, P. M. (2011). The modeling of internalizing disorders on the basis of patterns of lifetime comorbidity: associations with psychosocial functioning and psychiatric disorders among first-degree relatives. Journal of Abnormal Psychology, 120, 308–321.PubMedCrossRef
go back to reference Silverman, W. K., & Albano, A. M. (1996). Anxiety disorders interview schedule for children for DSM-IV, child and parent versions. San Antonio: Psychological Corporation. Silverman, W. K., & Albano, A. M. (1996). Anxiety disorders interview schedule for children for DSM-IV, child and parent versions. San Antonio: Psychological Corporation.
go back to reference Silverman, W. K., Saavedra, L. M., & Pina, A. A. (2001). Test–retest reliability ofanxiety symptoms and diagnoses with the Anxiety Disorders Interview Schedule for DSM-IV: child and parent versions. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 937–944.PubMedCrossRef Silverman, W. K., Saavedra, L. M., & Pina, A. A. (2001). Test–retest reliability ofanxiety symptoms and diagnoses with the Anxiety Disorders Interview Schedule for DSM-IV: child and parent versions. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 937–944.PubMedCrossRef
go back to reference Slade, T., & Watson, D. (2006). The structure of common DSM–IV and ICD–10 mental disorders in the Australian general population. Psychological Medicine, 36, 1593–1600.PubMedCrossRef Slade, T., & Watson, D. (2006). The structure of common DSMIV and ICD10 mental disorders in the Australian general population. Psychological Medicine, 36, 1593–1600.PubMedCrossRef
go back to reference Trosper, S., Whitton, S. W., Brown, T. A., & Pincus, D. B. (2012). Understanding the latent structure of the emotional disorders in children and adolescents. Journal of Abnormal Child Psychology, 40, 621–632.PubMedCrossRef Trosper, S., Whitton, S. W., Brown, T. A., & Pincus, D. B. (2012). Understanding the latent structure of the emotional disorders in children and adolescents. Journal of Abnormal Child Psychology, 40, 621–632.PubMedCrossRef
go back to reference Vollebergh, W. A. M., Iedema, J., Bijl, R. V., de Graaf, R., Smit, F., & Ormel, J. (2001). The structure and stability of common mental disorders: the NEMESIS study. Archives of General Psychiatry, 58, 597–603.PubMedCrossRef Vollebergh, W. A. M., Iedema, J., Bijl, R. V., de Graaf, R., Smit, F., & Ormel, J. (2001). The structure and stability of common mental disorders: the NEMESIS study. Archives of General Psychiatry, 58, 597–603.PubMedCrossRef
go back to reference Watson, D. (2005). Rethinking the mood and anxiety disorders: a quantitative hierarchical model for DSM-V. Journal of Abnormal Psychology, 114, 522–536.PubMedCrossRef Watson, D. (2005). Rethinking the mood and anxiety disorders: a quantitative hierarchical model for DSM-V. Journal of Abnormal Psychology, 114, 522–536.PubMedCrossRef
go back to reference Watson, D., Clark, L. A., & Carey, G. (1988). Positive and negative affectivity and their relation to anxiety and depressive disorders. Journal of Abnormal Psychology, 97, 346–353.PubMedCrossRef Watson, D., Clark, L. A., & Carey, G. (1988). Positive and negative affectivity and their relation to anxiety and depressive disorders. Journal of Abnormal Psychology, 97, 346–353.PubMedCrossRef
go back to reference Wittchen, H.-U., Lieb, R., Schuster, P., & Oldehinkel, A. J. (1999). When is onset? Investigations into early developmental stages of anxiety and depressive disorders. In J. L. Rapoport (Ed.), Childhood onset of ‘adult’ psychopathology, clinical and research advances (pp. 259–302). Washington, DC: American Psychiatric Press. Wittchen, H.-U., Lieb, R., Schuster, P., & Oldehinkel, A. J. (1999). When is onset? Investigations into early developmental stages of anxiety and depressive disorders. In J. L. Rapoport (Ed.), Childhood onset of ‘adult’ psychopathology, clinical and research advances (pp. 259–302). Washington, DC: American Psychiatric Press.
Metagegevens
Titel
The Factor Structure of Anxiety and Depressive Disorders in a Sample of Clinic-Referred Adolescents
Auteurs
Rapson Gomez
Alasdair Vance
Rashika Miranjani Gomez
Publicatiedatum
01-02-2014
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 2/2014
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-013-9787-z

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