The structure and predictive validity of the internalizing disorders.

The structure and predictive validity of the internalizing disorders.
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DOI:
10.1037/a0029598
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发表时间:
2013-02
影响因子:
4.6
通讯作者:
Grant, Bridget F.
Grant, Bridget F.
中科院分区:
心理学1区
文献类型:
--
作者:
Eaton, Nicholas R.;Krueger, Robert F.;Markon, Kristian E.;Keyes, Katherine M.;Skodol, Andrew E.;Wall, Melanie;Hasin, Deborah S.;Grant, Bridget F.

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多变量共病研究表明,情绪和焦虑(内化)障碍有一个或多个共同的责任,但这些责任的分类、维度和混合描述尚未直接比较。我们通过验证性因素、潜在类别、探索性因素混合和探索性结构方程建模分析,在43093名具有全国代表性的样本中对7种内化障碍进行了建模。二维(痛苦-恐惧)责任结构最适合,并且在性别、评估波和终身/12个月诊断中都可以复制。这些责任,而不是疾病特异性变异,预测了未来的内化病理、自杀企图、心绞痛和溃疡。
Multivariate comorbidity research indicates mood and anxiety (internalizing) disorders share one or more common liabilities, but categorical, dimensional, and hybrid accounts of these liabilities have not been directly compared. We modeled seven internalizing disorders in a nationally representative sample of 43,093 individuals via confirmatory factor, latent class, exploratory factor mixture, and exploratory structural equation modeling analyses. A two-dimensional (distress-fear) liability structure fit best and replicated across gender, assessment waves, and lifetime/12-month diagnoses. These liabilities, not disorder-specific variation, predicted future internalizing pathology, suicide attempts, angina, and ulcer.
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