Modeling the normal:abnormal spectrum of early childhood internalizing behaviors: A clinical-developmental approach for the Multidimensional Assessment Profiles Internalizing Dimensions.

Modeling the normal:abnormal spectrum of early childhood internalizing behaviors: A clinical-developmental approach for the Multidimensional Assessment Profiles Internalizing Dimensions.
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DOI:
10.1002/mpr.1987
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发表时间:
2023-11
影响因子:
3.1
通讯作者:
Luby, Joan L.
Luby, Joan L.
中科院分区:
医学3区
文献类型:
--
作者:
Wakschlag, Lauren S.;Sherlock, Phillip;Blackwell, Courtney K.;Burns, James L.;Krogh-Jespersen, Sheila;Gershon, Richard C.;Cella, David;Buss, Kristin A.;Luby, Joan L.

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我们扩展了多维评估轮廓(MAPS)量表的发展规范模型,通过MAPS-内化(MAPS-INT)量表来描述幼儿期内化(焦虑和抑郁)行为的正常:异常谱。MAPS-INT项目库是根据临床专业知识和既往研究生成的。对来自不同的何时担心幼儿样本的家庭子样本(n = 183)进行了分析。正常:焦虑和抑郁行为的异常描述模式与先前的工作一致:(1)当非常频繁时,规范变化的极端是异常的;(2)大多数儿童不参与的病态指标是异常的,即使不频繁。因子分析揭示了一个双因素的MAPS‐INT焦虑行为结构(恐惧-担心和分离困扰)和一个一维的MAPS‐INT抑郁行为因子,具有良好的拟合度和良好到优秀的重测信度和效度。我们通过MAPS-INT描述了幼儿期内化行为的正常:异常谱。未来在更大的代表性样本中进行的研究可以复制和扩展研究结果,包括临床阈值和预测效用。MAPS-INT有助于为内化谱的维度表征奠定基础,以推进神经发育方法对紧急精神病理学及其早期识别的研究。
We expanded the Multidimensional Assessment Profiles (MAPS) Scales developmental specification model to characterize the normal:abnormal spectrum of internalizing (anxious and depressive) behaviors in early childhood via the MAPS‐Internalizing (MAPS‐INT) scale. The MAPS‐INT item pool was generated based on clinical expertise and prior research. Analyses were conducted on a sub‐sample of families (n = 183) from the diverse When to Worry early childhood sample. Normal:abnormal descriptive patterns for both anxious and depressive behaviors were consistent with prior work: (1) extremes of normative variation are abnormal when very frequent; and (2) pathognomonic indicators that most children do not engage in and are abnormal, even if infrequent. Factor analysis revealed a two‐factor MAPS‐INT Anxious Behaviors structure (Fearful‐Worried and Separation Distress) and a unidimensional MAPS‐INT Depressive Behaviors factor with good fit and good‐to‐excellent test‐retest reliability and validity. We characterized the normal:abnormal spectrum of internalizing behaviors in early childhood via the MAPS‐INT. Future research in larger representative samples can replicate and extend findings, including clinical thresholds and predictive utility. The MAPS‐INT helps lay the groundwork for dimensional characterization of the internalizing spectrum to advance neurodevelopmental approaches to emergent psychopathology and its earlier identification.
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