Higher-order dimensions of psychopathology in a neurodevelopmental transdiagnostic sample.
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Publication Date
2021-11Journal Title
J Abnorm Psychol
ISSN
0021-843X
Publisher
American Psychological Association (APA)
Volume
130
Issue
8
Pages
909-922
Language
eng
Type
Article
This Version
VoR
Metadata
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Holmes, J., Mareva, S., Bennett, M. P., Black, M. J., & Guy, J. (2021). Higher-order dimensions of psychopathology in a neurodevelopmental transdiagnostic sample.. J Abnorm Psychol, 130 (8), 909-922. https://doi.org/10.1037/abn0000710
Description
Funder: Brain Sciences Unit University of Cambridge
Abstract
Hierarchical dimensional models of psychopathology derived for adult and child community populations offer more informative and efficient methods for assessing and treating symptoms of mental ill health than traditional diagnostic approaches. It is not yet clear how many dimensions should be included in models for youth with neurodevelopmental conditions. The aim of this study was to delineate the hierarchical dimensional structure of psychopathology in a transdiagnostic sample of children and adolescents with learning-related problems, and to test the concurrent predictive value of the model for clinically, socially, and educationally relevant outcomes. A sample of N = 403 participants from the Centre for Attention Learning and Memory (CALM) cohort were included. Hierarchical factor analysis delineated dimensions of psychopathology from ratings on the Conner's Parent Rating Short Form, the Revised Children's Anxiety and Depression Scale, and the Strengths and Difficulties Questionnaire. A hierarchical structure with a general p factor at the apex, broad internalizing and broad externalizing spectra below, and three more specific factors (specific internalizing, social maladjustment, and neurodevelopmental) emerged. The p factor predicted all concurrently measured social, clinical, and educational outcomes, but the other dimensions provided incremental predictive value. The neurodevelopmental dimension, which captured symptoms of inattention, hyperactivity, and executive function and emerged from the higher-order externalizing factor, was the strongest predictor of learning. This suggests that in struggling learners, cognitive and affective behaviors may interact to influence learning outcomes. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
Sponsorship
Medical Research Council (MC_UU_00005/2)
Identifiers
PMC8628482, 34843293
External DOI: https://doi.org/10.1037/abn0000710
This record's URL: https://www.repository.cam.ac.uk/handle/1810/332445
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