Longitudinal dimensionality of adolescent psychopathology: testing the differentiation hypothesis.
Longitudinal dimensionality of adolescent psychopathology: testing the differentiation hypothesis.
复制标题
青少年精神病理学的纵向维度：检验分化假设。
DOI：
10.1111/j.1469-7610.2010.02234.x
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Angold,Adrian
中科院分区：
文献类型：
--
作者：
Sterba,SonyaK;Copeland,William;Egger,HelenL;JaneCostello,E;Erkanli,Alaattin;Angold,Adrian
背景：分化假说假定，精神病理学的潜在倾向分布在幼儿中是低维度的，增加了诊断共病率，但随着年龄的增长，潜在综合征的相关性降低，维度增加。这一假设尚未得到充分的纵向精神病症状data.Methods检验：从9岁到16岁，使用大烟山研究的一般人群样本，对7种常见的轴I综合征--抑郁症、广泛性焦虑、分离焦虑、社交焦虑、注意缺陷多动、品行和对立违抗性障碍--的DSM-IV症状进行了纵向的解释性因素分析。它包括社交焦虑、分离焦虑、对立违抗和行为综合征，沿着多维注意力缺陷多动综合征（即，注意力不集中、多动和冲动）和单维重性抑郁/广泛性焦虑综合征。除重度抑郁症/广泛性焦虑症外，所有综合征在不同年龄段均具有高度的测量不变性。重度抑郁症和广泛性焦虑综合征在14-16岁时略有不同，当时他们也开始解释更多的症状变异。此外，一些情绪和破坏性综合征之间的相关性表现出轻微的differentiation.Conclusions：显着的发展分化的精神病理学，所暗示的orthogenetic原则，是不是一个突出的原因青春期前和青春期精神共病。
Background:The differentiation hypothesis posits that the underlying liability distribution for psychopathology is of low dimensionality in young children, inflating diagnostic comorbidity rates, but increases in dimensionality with age as latent syndromes become less correlated. This hypothesis has not been adequately tested with longitudinal psychiatric symptom data.Methods:Confirmatory factor analyses of DSM‐IV symptoms from seven common Axis I syndromes – major depression, generalized anxiety, separation anxiety, social anxiety, attention deficient hyperactivity, conduct, and oppositional defiant disorders – were conducted longitudinally, from ages 9 to 16, using the general‐population Great Smoky Mountains Study sample.Results:An eight‐syndrome model fit well at all ages, and in both genders. It included social anxiety, separation anxiety, oppositional defiant, and conduct syndromes, along with a multidimensional attention deficit‐hyperactivity syndrome (i.e., inattention, hyperactivity, and impulsivity) and a unidimensional major depression/generalized anxiety syndrome. A high degree of measurement invariance across age was found for all syndromes, except for major depression/generalized anxiety. Major depression and generalized anxiety syndromes slightly diverged at age 14–16, when they also began to explain more symptom variance. Additionally, correlations between some emotional and disruptive syndromes showed slight differentiation.Conclusions:Marked developmental differentiation of psychopathology, as implied by the orthogenetic principle, is not a prominent cause of preadolescent and adolescent psychiatric comorbidity.