The structure and stability of common mental disorders (DSM-III-R): A longitudinal-epidemiological study
The structure and stability of common mental disorders (DSM-III-R): A longitudinal-epidemiological study
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DOI：
10.1037/0021-843x.107.2.216
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发表时间：
1998-05-01
影响因子：
4.6
通讯作者：
Silva, PA
中科院分区：
文献类型：
--
作者：
Krueger, RF;Caspi, A;Silva, PA
在18岁和21岁的出生队列中检查了10种常见精神障碍的潜在结构和稳定性。与1因素或4因素模型相比，2因素模型提供了更优的数据拟合，其中一些障碍被认为反映了内化问题，而另一些则被认为反映了外化问题。在很大程度上，样本中的人在从18岁到21岁的3年期间保持了他们对潜在因素的相对位置。结果表明，共病可能是由常见精神障碍引起的，是稳定的、潜在的“核心精神病理过程”的可靠的协变指标，从而潜在地澄清了精神病理学研究中共病的含义。
The latent structure and stability of 10 common mental disorders were examined in a birth cohort at ages 18 and 21. A 2-factor model, in which some disorders were presumed to reflect internalizing problems and others were presumed to reflect externalizing problems, provided a more optimal fit to the data than either a 1- or a 4-factor model. To a significant extent, persons in the sample retained their relative positions on the latent factors across the 3-year period from age 18 to age 21. Results offer potential clarification of the meaning of comorbidity in psychopathology research by suggesting that comorbidity may result from common mental disorders being reliable, covariant indicators of stable, underlying "core psychopathological processes."