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Higher-Order Dimensions of Psychopathology in a Neurodevelopmental Transdiagnostic Sample

Hierarchical dimensional models of psychopathology derived for adult and child community populations offer more informative and efficient methods for assessing and treating symptoms of mental ill health than traditional diagnostic approaches. It is not yet clear how many dimensions should be include...

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Autores principales: Holmes, Joni, Mareva, Silvana, Bennett, Marc P., Black, Melissa J., Guy, Jacalyn
Formato: Online Artículo Texto
Lenguaje:English
Publicado: American Psychological Association 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8628482/
https://www.ncbi.nlm.nih.gov/pubmed/34843293
http://dx.doi.org/10.1037/abn0000710
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author Holmes, Joni
Mareva, Silvana
Bennett, Marc P.
Black, Melissa J.
Guy, Jacalyn
author_facet Holmes, Joni
Mareva, Silvana
Bennett, Marc P.
Black, Melissa J.
Guy, Jacalyn
author_sort Holmes, Joni
collection PubMed
description Hierarchical dimensional models of psychopathology derived for adult and child community populations offer more informative and efficient methods for assessing and treating symptoms of mental ill health than traditional diagnostic approaches. It is not yet clear how many dimensions should be included in models for youth with neurodevelopmental conditions. The aim of this study was to delineate the hierarchical dimensional structure of psychopathology in a transdiagnostic sample of children and adolescents with learning-related problems, and to test the concurrent predictive value of the model for clinically, socially, and educationally relevant outcomes. A sample of N = 403 participants from the Centre for Attention Learning and Memory (CALM) cohort were included. Hierarchical factor analysis delineated dimensions of psychopathology from ratings on the Conner’s Parent Rating Short Form, the Revised Children’s Anxiety and Depression Scale, and the Strengths and Difficulties Questionnaire. A hierarchical structure with a general p factor at the apex, broad internalizing and broad externalizing spectra below, and three more specific factors (specific internalizing, social maladjustment, and neurodevelopmental) emerged. The p factor predicted all concurrently measured social, clinical, and educational outcomes, but the other dimensions provided incremental predictive value. The neurodevelopmental dimension, which captured symptoms of inattention, hyperactivity, and executive function and emerged from the higher-order externalizing factor, was the strongest predictor of learning. This suggests that in struggling learners, cognitive and affective behaviors may interact to influence learning outcomes.
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spelling pubmed-86284822021-12-08 Higher-Order Dimensions of Psychopathology in a Neurodevelopmental Transdiagnostic Sample Holmes, Joni Mareva, Silvana Bennett, Marc P. Black, Melissa J. Guy, Jacalyn J Abnorm Psychol Developmental Disorders Hierarchical dimensional models of psychopathology derived for adult and child community populations offer more informative and efficient methods for assessing and treating symptoms of mental ill health than traditional diagnostic approaches. It is not yet clear how many dimensions should be included in models for youth with neurodevelopmental conditions. The aim of this study was to delineate the hierarchical dimensional structure of psychopathology in a transdiagnostic sample of children and adolescents with learning-related problems, and to test the concurrent predictive value of the model for clinically, socially, and educationally relevant outcomes. A sample of N = 403 participants from the Centre for Attention Learning and Memory (CALM) cohort were included. Hierarchical factor analysis delineated dimensions of psychopathology from ratings on the Conner’s Parent Rating Short Form, the Revised Children’s Anxiety and Depression Scale, and the Strengths and Difficulties Questionnaire. A hierarchical structure with a general p factor at the apex, broad internalizing and broad externalizing spectra below, and three more specific factors (specific internalizing, social maladjustment, and neurodevelopmental) emerged. The p factor predicted all concurrently measured social, clinical, and educational outcomes, but the other dimensions provided incremental predictive value. The neurodevelopmental dimension, which captured symptoms of inattention, hyperactivity, and executive function and emerged from the higher-order externalizing factor, was the strongest predictor of learning. This suggests that in struggling learners, cognitive and affective behaviors may interact to influence learning outcomes. American Psychological Association 2021-11 /pmc/articles/PMC8628482/ /pubmed/34843293 http://dx.doi.org/10.1037/abn0000710 Text en © 2021 The Author(s) https://creativecommons.org/licenses/by/3.0/This article has been published under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/ (https://creativecommons.org/licenses/by/3.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Copyright for this article is retained by the author(s). Author(s) grant(s) the American Psychological Association the exclusive right to publish the article and identify itself as the original publisher.
spellingShingle Developmental Disorders
Holmes, Joni
Mareva, Silvana
Bennett, Marc P.
Black, Melissa J.
Guy, Jacalyn
Higher-Order Dimensions of Psychopathology in a Neurodevelopmental Transdiagnostic Sample
title Higher-Order Dimensions of Psychopathology in a Neurodevelopmental Transdiagnostic Sample
title_full Higher-Order Dimensions of Psychopathology in a Neurodevelopmental Transdiagnostic Sample
title_fullStr Higher-Order Dimensions of Psychopathology in a Neurodevelopmental Transdiagnostic Sample
title_full_unstemmed Higher-Order Dimensions of Psychopathology in a Neurodevelopmental Transdiagnostic Sample
title_short Higher-Order Dimensions of Psychopathology in a Neurodevelopmental Transdiagnostic Sample
title_sort higher-order dimensions of psychopathology in a neurodevelopmental transdiagnostic sample
topic Developmental Disorders
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8628482/
https://www.ncbi.nlm.nih.gov/pubmed/34843293
http://dx.doi.org/10.1037/abn0000710
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