Identifying the irritability dimension of ODD: Application of a modified bifactor model across five large community samples of children.
Identifying the irritability dimension of ODD: Application of a modified bifactor model across five large community samples of children.
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识别奇数的烦恼维度：在五个大型儿童社区样本中使用改良的双分离器模型。
DOI：
10.1037/a0037898
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发表时间：
2014-11
影响因子：
4.6
通讯作者：
Waldman, Irwin D.
中科院分区：
文献类型：
--
作者：
Burke, Jeffrey D.;Boylan, Khrista;Rowe, Richard;Duku, Eric;Stepp, Stephanie D.;Hipwell, Alison E.;Waldman, Irwin D.
近年来，作为对立违抗性障碍（ODD）症状之一的易怒性的重要性已经引人注目。新的诊断类别依赖于易怒的独特临床效用，精神病理学模型表明，它在解释成年期疾病内部和之间的发展途径方面发挥着关键作用。然而，只有少数研究测试了ODD的多维模型，结果相互矛盾。此外，关于哪些症状最能识别易怒，尚未达成共识。目前的分析使用了来自五个大型社区数据集的数据，其中包括五种不同的父母报告的ODD措施，共包括16，280名青少年，以帮助解决这些问题。在所有样本中，年龄从5岁到18岁不等，包括男孩和女孩。验证性因素分析表明，一个修改后的双因素模型显示出最好的拟合在每一个五个数据集。该模型的结构包括两个相关的具体因素（易怒和对立行为），除了一般的ODD因素。在五个模型中的四个中，使用敏感，愤怒和经常发脾气作为易怒的指标获得了最佳拟合。考虑到模型的结构和特定维度之间的高度相关性，结果表明，易怒可能不足以与对立行为区分开来，以支持完全独立的诊断。相反，易怒可以被更好地理解为一个维度的精神病理学，可以区分在ODD，这可能与特定形式的精神病理学除了ODD。
The importance of irritability as measured among the symptoms of oppositional defiant disorder (ODD) has dramatically come to the fore in recent years. New diagnostic categories rely on the distinct clinical utility of irritability, and models of psychopathology suggest it plays a key role in explaining developmental pathways within and between disorders into adulthood. However, only a few studies have tested multidimensional models of ODD, and the results have been conflicting. Further, consensus has not been reached regarding which symptoms best identify irritability. The present analyses use data from five large community data sets with five different measures of parent-reported ODD, comprising 16,280 youth in total, to help resolve these questions. Across the samples, ages ranged from 5 to 18, and included both boys and girls. Confirmatory factor analyses demonstrated that a modified bifactor model showed the best fit in each of the five data sets. The structure of the model included two correlated specific factors (irritability and oppositional behavior) in addition to a general ODD factor. In four of the five models, the best fit was obtained using the items of being touchy, angry and often losing temper as indicators of irritability. Given the structure of the models and the generally high correlation between the specific dimensions, the results suggest that irritability may not be sufficiently distinct from oppositional behavior to support an entirely independent diagnosis. Rather, irritability may be better understood as a dimension of psychopathology that can be distinguished within ODD, and which may be related to particular forms of psychopathology apart from ODD.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
6
作者：
Hu, Li-tze;Bentler, Peter M.
通讯作者：
Bentler, Peter M.
DOI：
10.1080/15374416.2010.486320
发表时间：
2010
期刊：
Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
影响因子：
--
作者：
Keenan K;Hipwell A;Chung T;Stepp S;Stouthamer-Loeber M;Loeber R;McTigue K
通讯作者：
McTigue K
DOI：
10.1111/j.1469-7610.2012.02598.x
发表时间：
2012-11-01
影响因子：
7.6
作者：
Burke, Jeffrey D.
通讯作者：
Burke, Jeffrey D.
DOI：
10.1111/j.1469-7610.2011.02448.x
发表时间：
2011-10-01
影响因子：
7.6
作者：
Hipwell, Alison E.;Stepp, Stephanie;Keenan, Kate
通讯作者：
Keenan, Kate
影响因子：
11.3
作者：
Bezdjian, Serena;Krueger, Robert F.;Derringer, Jaime;Malone, Steve;McGue, Matt;Iacono, William G.
通讯作者：
Iacono, William G.