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Journal of Abnormal Child Psychology

, Volume 44, Issue 8, pp 1559–1571 | Cite as

Competing Factor Models of Child and Adolescent Psychopathology

  • Mark M. Doyle
  • Jamie Murphy
  • Mark Shevlin
Article

Abstract

Co-occurring psychological disorders are highly prevalent among children and adolescents. To date, the most widely utilised factor model used to explain this co-occurrence is the two factor model of internalising and externalising (Achenbach 1966). Several competing models of general psychopathology have since been reported as alternatives, including a recent three factor model of Distress, Fear and Externalising Dimensions (Krueger 1999). Evidence for the three factor model suggests there are advantages to utilising a more complex model. Using the British Child and Adolescent Mental Health Survey 2004 data (B-CAMHS; N = 7997), confirmatory factor analysis was used to test competing factor structure models of child and adolescent psychopathology. The B-CAMHS was an epidemiological survey of children between the ages of 5 and 16 in Great Britain. Child psychological disorders were assessed using the Strength and Difficulties Questionnaire (Goodman 1997), and the Development and Wellbeing Assessment (Goodman et al. 2000). A range of covariates and risk variables including trauma, parent mental health and family functioning where subsequently utilised within a MIMIC model framework to predict each dimension of the 2 and three factor structure models. Two models demonstrated acceptable fit. The first complimented Achenbach’s Internalising and Externalising structure. The three factor model was found to have highly comparable fit indices to the two factor model. The second order models did not accurately represent the data nor did an alternative three factor model of Internalising, Externalising and ADHD. The two factor and three factor MIMIC models observed unique profiles of risk for each dimension. The findings suggest that child and adolescent psychopathology may also be accurately conceptualised in terms of distress, fear and externalising dimensions. The MIMIC models demonstrated that the Distress and Fear dimensions have their own unique etiological profile of risk. This study directly informs future measurement models of child and adolescent psychopathology and demonstrates the effectiveness of a three factor model.

Keywords

Child psychological disorders Factor structure Confirmatory factor analysis MIMIC models 

Notes

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

References

  1. Achenbach, T. M. (1966). The classification of children’s psychiatric symptoms: a factor-analytic study. Psychological Monographs: General and Applied, 80, 1–37.CrossRefGoogle Scholar
  2. Afifi, T. O., McMillan, K. A., Asmundson, G. J. G., Pietrzak, R. H., & Sareen, J. (2011). An examination of the relation between conduct disorder, childhood and adulthood traumatic events, and posttraumatic stress disorder in a nationally representative sample. Journal of Psychiatric Research, 45, 1564–1572. doi: 10.1016/j.jpsychires.2011.08.005.CrossRefPubMedGoogle Scholar
  3. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text rev.). doi: 10.1176/appi.books.9780890423349.
  4. Beesdo-baum, K., Höfler, M., Gloster, A. T., Klotsche, J., Lieb, R., Beauducel, A., & Wittchen, H. U. (2009). The structure of common mental disorders: a replication study in a community sample of adolescents and young adults. International Journal of Methods in Psychiatric Research, 18, 204–220. doi: 10.1002/mpr.293.PubMedGoogle Scholar
  5. Biederman, J., Faraone, S. V., Hirshfeld-Becker, D. R., Friedman, D., Robin, J. A., & Rosenbaum, J. F. (2001). Patterns of psychopathology and dysfunction in high-risk children of parents with panic disorder and major depression. American Journal of Psychiatry, 158, 49–57. doi: 10.1176/appi.ajp.158.1.49.CrossRefPubMedGoogle Scholar
  6. Brown, T. A., Campbell, L. A., Lehman, C. L., Grisham, J. R., & Mancill, R. B. (2001). Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. Journal of Abnormal Psychology, 110, 585–599. doi: 10.1037/0021-843X.110.4.585.CrossRefPubMedGoogle Scholar
  7. Burdette, H. L., Whitaker, R. C., Harvey-Berino, J., & Kahn, R. S. (2003). Depressive symptoms in low-income mothers and emotional and social functioning in their preschool children. Ambulatory Pediatrics, 3, 288–294. doi: 10.1367/1539-4409(2003)003<0288:DSILMA>2.0.CO;2.CrossRefPubMedGoogle Scholar
  8. Caron, C., & Rutter, M. (1991). Comorbidity in child psychopathology: concepts, issues and research strategies. Journal of Child Psychology and Psychiatry, 32, 1063–1080. doi: 10.1111/j.1469-7610.1991.tb00350.x.CrossRefPubMedGoogle Scholar
  9. Caspi, A., Houts, R. M., Belsky, D. W., Goldman-Mellor, S. J., Harrington, H. L., Israel, S., Meier, M. H., et al. (2014). The P factor one general psychopathology factor in the structure of psychiatric disorders? Clinical Psychological Science, 2, 119–137.CrossRefPubMedPubMedCentralGoogle Scholar
  10. Clark, L. A., & Watson, D. (2006). Distress and fear disorders: an alternative empirically based taxonomy of the ‘mood’ and ‘anxiety’ disorders. The British Journal of Psychiatry, 189, 481–483. doi: 10.1192/bjp.bp.106.03825.CrossRefPubMedGoogle Scholar
  11. Clarke, L., Ungerer, J., Chahoud, K., Johnson, S., & Stiefel, I. (2002). Attention deficit hyperactivity disorder is associated with attachment insecurity. Clinical Child Psychology and Psychiatry, 7, 179–198. doi: 10.1177/1359104502007002006.CrossRefGoogle Scholar
  12. Cosgrove, V. E., Rhee, S. H., Gelhorn, H. L., Boeldt, D., Corley, R. C., Ehringer, M. A., et al. (2011). Structure and etiology of Co-occurring internalizing and externalizing disorders in adolescents. Journal of Abnormal Child Psychology, 39, 109–123. doi: 10.1007/s10802-010-9444-8.CrossRefPubMedPubMedCentralGoogle Scholar
  13. Cox, B. J., Clara, I. P., & Enns, M. W. (2002). Posttraumatic stress disorder and the structure of common mental disorders. Depression and Anxiety, 15, 168–171. doi: 10.1002/da.10052.CrossRefPubMedGoogle Scholar
  14. Elander, J., & Rutter, M. (1996). Use and development of the Rutter parents’ and teachers’ scales. International Journal of Methods in Psychiatric Research, 6, 63–78. doi: 10.1002/(SICI)1234-988X(199607)6:2<63::AID-MPR151>3.3.CO;2-M.CrossRefGoogle Scholar
  15. Elgar, F. J., McGrath, P. J., Waschbusch, D. A., Stewart, S. H., & Curtis, L. J. (2004). Mutual influences on maternal depression and child adjustment problems. Clinical Psychology Review, 24, 441–459. doi: 10.1016/j.cpr.2004.02.002.CrossRefPubMedGoogle Scholar
  16. Epstein, N. B., Baldwin, L. M., & Bishop, D. S. (1983). The McMaster family assessment device. Journal of marital and family therapy, 9, 171–180. doi: 10.1111/j.1752-0606.1983.tb01497.x.
  17. Etkin, A., & Wager, T. D. (2007). Functional neuroimaging of anxiety: a meta-analysis of emotional processing in PTSD, social anxiety disorder, and specific phobia. The American Journal of Psychiatry, 164, 1476–1488. doi: 10.1176/appi.ajp.2007.07030504.CrossRefPubMedPubMedCentralGoogle Scholar
  18. Forbush, K. T., & Watson, D. (2013). The structure of common and uncommon mental disorders. Psychological Medicine, 43, 97–108. doi: 10.1017/S0033291712001092.CrossRefPubMedGoogle Scholar
  19. Ford, J. D., Racusin, R., Ellis, C. G., Daviss, W. B., Reiser, J., Fleischer, A., & Thomas, J. (2000). Child maltreatment, other trauma exposure, and posttraumatic symptomatology among children with oppositional defiant and attention deficit hyperactivity disorders. Child Maltreatment, 5, 205–217. doi: 10.1177/1077559500005003001.CrossRefPubMedGoogle Scholar
  20. Ford, T., Goodman, R., & Meltzer, H. (2003). The British child and adolescent mental health survey 1999: the prevalence of DSM-IV disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 42, 1203–1211. doi: 10.1097/00004583-200310000-00011.CrossRefGoogle Scholar
  21. Foreman, D., Morton, S., & Ford, T. (2009). Exploring the clinical utility of the development and well-being assessment (DAWBA) in the detection of hyperkinetic disorders and associated diagnoses in clinical practice. Journal of Child Psychology and Psychiatry., 50, 460–470. doi: 10.1111/j.1469-7610.2008.02017.x.CrossRefPubMedGoogle Scholar
  22. Fristad, M. A. (1989). A comparison of the McMaster and circumplex family assessment instruments. Journal of Marital and Family Therapy, 15, 259–269. doi: 10.1111/j.1752-0606.1989.tb00808.x.CrossRefPubMedGoogle Scholar
  23. Fyer, A. J., Mannuzza, S., Chapman, T. F., Martin, L. Y., & Klein, D. F. (1995). Specificity in familial aggregation of phobic disorders. Archives of General Psychiatry, 52(7), 564–573.CrossRefPubMedGoogle Scholar
  24. Goldberg, D., Williams, P. (1988) A user's guide to the General Health Questionnaire. NFER-NELSON, Windsor, UKGoogle Scholar
  25. Goodman, R. (1997). The strengths and difficulties questionnaire: a research note. Journal of Child Psychology and Psychiatry, 38(5), 581–586. doi: 10.1111/j.1469-7610.1997.tb01545.x.CrossRefPubMedGoogle Scholar
  26. Goodman, R., Ford, T., Richards, H., Gatword, R., & Meltzer, H. (2000). The development and well-being assessment: description and initial validation of an integrated assessment of child and adolescent psychopathology. Journal of Child Psychology and Psychiatry, 41, 645–655. doi: 10.1111/j.1469-7610.2000.tb02345.x.CrossRefPubMedGoogle Scholar
  27. Goodman, A., Lamping, D. L., & Ploubidis, G. B. (2010). When to use broader internalising and externalising subscales instead of the hypothesised five subscales on the strengths and difficulties questionnaire (SDQ): data from British parents, teachers and children. Journal of Abnormal Child Psychology, 38, 1179–1191. doi: 10.1007/s10802-010-9434-x.CrossRefPubMedGoogle Scholar
  28. Grant, D. M., Beck, J. G., Marques, L., Palyo, S. A., & Clapp, J. D. (2008). The structure of distress following trauma: posttraumatic stress disorder, major depressive disorder, and generalized anxiety disorder. Journal of Abnormal Psychology, 117, 662–672. doi: 10.1037/a0012591.CrossRefPubMedGoogle Scholar
  29. Green, H. McGinnity, A., Meltzer, H. Ford, T. & Goodman, R. (2005). Office for National Statistics, Great Britain, Department of Health, Scotland, & Scottish Executive. Mental health of children and young people in Great Britain, 2004. Basingstoke; New York: Palgrave MacmillanGoogle Scholar
  30. Halligan, S. L., Murray, L., Martins, C., & Cooper, P. J. (2007). Maternal depression and psychiatric outcomes in adolescent offspring: a 13-year longitudinal study. Journal of Affective Disorders, 97, 145–154. doi: 10.1016/j.jad.2006.06.010.CrossRefPubMedGoogle Scholar
  31. Hartman, C. A., Hox, J., Mellenbergh, G. J., Boyle, M. H., Offord, D. R., Racine, Y., & Sergeant, J. A. (2001). DSM-IV internal construct validity: when a taxonomy meets data. Journal of Child Psychology and Psychiatry, 42, 817–836. doi: 10.1111/1469-7610.00778.CrossRefPubMedGoogle Scholar
  32. Hawkins, J. D., Kosterman, R., Catalano, R. F., Hill, K. G., & Abbott, R. D. (2005). Promoting positive adult functioning through social development intervention in childhood: long-term effects from the Seattle social development project. Archives of Pediatrics & Adolescent Medicine, 159, 25–31. doi: 10.1001/archpedi.159.1.25.CrossRefGoogle Scholar
  33. Hooley, J. M., & Gotlib, I. H. (2000). A diathesis-stress conceptualization of expressed emotion and clinical outcome. Applied and Preventive Psychology, 9, 135–151. doi: 10.1016/S0962-1849(05)80001-0.CrossRefGoogle Scholar
  34. Insel, T., Cuthbert, B., Garvey, M., Heinssen, R., Pine, D. S., Quinn, K., ... & Wang, P. (2010). Research domain criteria (RDoC): toward a new classification framework for research on mental disorders. American Journal of Psychiatry167, 748–751.Google Scholar
  35. Kendler, K. S., Walters, E. E., Neale, M. C., Kessler, R. C., Heath, A. C., & Eaves, L. J. (1995). The structure of the genetic and environmental risk factors for six major psychiatric disorders in women: phobia, generalized anxiety disorder, panic disorder, bulimia, major depression, and alcoholism. Archives of General Psychiatry, 52, 374–383. doi: 10.1001/archpsyc.1995.03950170048007.CrossRefPubMedGoogle Scholar
  36. Kendler, K. S., Gardner, C. O., Gatz, M., & Pedersen, N. L. (2007). The sources of co-morbidity between major depression and generalized anxiety disorder in a Swedish national twin sample. Psychological Medicine, 37, 453–462.CrossRefPubMedGoogle Scholar
  37. Keyes, K. M., Eaton, N. R., Krueger, R. F., Skodol, A. E., Wall, M. M., Grant, B., & Hasin, D. S. (2012). Thought disorder in the meta-structure of psychopathology. Psychological Medicine, 43, 1673–1683. doi: 10.1017/S0033291712002292.CrossRefPubMedPubMedCentralGoogle Scholar
  38. Kraemer, H. C. (2007). DSM categories and dimensions in clinical and research contexts. International Journal of Methods in Psychiatric Research, 16, S8–S15. doi: 10.1002/mpr.211.CrossRefPubMedGoogle Scholar
  39. Krueger, R. F. (1999). The structure of common mental disorders. Archives of General Psychiatry, 56, 921–926. doi: 10.1001/archpsyc.56.10.921.CrossRefPubMedGoogle Scholar
  40. Krueger, R. F., & Markon, K. E. (2006). Understanding psychopathology melding behavior genetics, personality, and quantitative psychology to develop an empirically based model. Current Directions in Psychological Science, 15, 113–117. doi: 10.1111/j.0963-7214.2006.00418.x.CrossRefPubMedPubMedCentralGoogle Scholar
  41. Lahey, B. B., Applegate, B., Waldman, I. D., Loft, J. D., Hankin, B. L., & Rick, J. (2004). The structure of child and adolescent psychopathology: generating new hypotheses. Journal of Abnormal Psychology, 113, 358–385. doi: 10.1037/0021-843X.113.3.358 CrossRefPubMedGoogle Scholar
  42. Liddle, E. B., Batty, M. J. & Goodman, R. (2009). The social aptitudes scale: an initial validation. Social Psychiatry and Psychiatric Epidemiology, 44, 508–513 doi: 10.1007/s00127-008-0456-4
  43. Lieb, R., Wittchen, H., Höfler, M., Fuetsch, M., Stein, M. B., & Merikangas, K. R. (2000). Parental psychopathology, parenting styles, and the risk of social phobia in offspring: a prospective-longitudinal community study. Archives of General Psychiatry, 57, 859–866. doi: 10.1001/archpsyc.57.9.859.CrossRefPubMedGoogle Scholar
  44. Manning, C., & Gregoire, A. (2009). Effects of parental mental illness on children. Psychiatry, 8, 7–9.CrossRefGoogle Scholar
  45. Muris, P., Meesters, C., & van den Berg, F. (2003). The strengths and difficulties questionnaire (SDQ). European Child & Adolescent Psychiatry, 12, 1–8. doi: 10.1007/s00787-003-0298-2.CrossRefGoogle Scholar
  46. Olino, T. M., Klein, D. N., Farmer, R. F., Seeley, J. R., & Lewinsohn, P. M. (2012). Examination of the structure of psychopathology using latent class analysis. Comprehensive Psychiatry, 53, 323–332. doi: 10.1016/j.comppsych.2011.05.008.CrossRefPubMedGoogle Scholar
  47. Ollendick, T. H., King, N. J., & Muris, P. (2002). Fears and phobias in children: phenomenology, epidemiology, and aetiology. Child and Adolescent Mental Health, 7, 98–106. doi: 10.1111/1475-3588.00019.CrossRefGoogle Scholar
  48. Pynoos, R. S., Steinberg, A. M., & Piacentini, J. C. (1999). A developmental psychopathology model of childhood traumatic stress and intersection with anxiety disorders. Biological Psychiatry, 46, 1542–1554. doi: 10.1016/S0006-3223(99)00262-0.CrossRefPubMedGoogle Scholar
  49. Regier, D. (2012). Merging categorical and dimensional diagnoses of mental disorders. Epidemiology and Psychiatric Sciences, 21, 267–269. doi: 10.1017/S2045796012000340.CrossRefPubMedGoogle Scholar
  50. Repetti, R. L., Taylor, S. E., & Seeman, T. E. (2002). Risky families: family social environments and the mental and physical health of offspring. Psychological Bulletin, 128, 330–366. doi: 10.1037/0033-2909.128.2.330.CrossRefPubMedGoogle Scholar
  51. Roy-Byrne, P. P., Craske, M. G., & Stein, M. B. (2006). Panic disorder. Lancet, 368, 1023–1032. doi: 10.1016/S0140-6736(06)69418-X.CrossRefPubMedGoogle Scholar
  52. Safren, S. A., Gershuny, B. S., Marzol, P., Otto, M. W., & Pollack, M. H. (2002). History of childhood abuse in panic disorder, social phobia, and generalized anxiety disorder. The Journal of Nervous and Mental Disease, 190, 453–456. doi: 10.1097/01.NMD.0000022445.62652.82.CrossRefPubMedGoogle Scholar
  53. Schilling, E. A., Aseltine, R. H., & Gore, S. (2008). The impact of cumulative childhood adversity on young adult mental health: measures, models, and interpretations. Social Science & Medicine, 66, 1140–1151. doi: 10.1016/j.socscimed.2007.11.023.CrossRefGoogle Scholar
  54. Shevlin, M. & Adamson, G. (2005). Alternative factor models and factorial invariance of the GHQ-12: a large sample analysis using confirmatory factor analysis. Psychological Assessment, 17, 231–236.doi: 10.1037/1040-3590.17.2.231.
  55. Silberg, J. L., & Bulik, C. M. (2005). The developmental association between eating disorders symptoms and symptoms of depression and anxiety in juvenile twin girls. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 46, 1317–1326. doi: 10.1111/j.1469-7610.2005.01427.x.CrossRefPubMedGoogle Scholar
  56. Slade, T., & Watson, D. (2006). The structure of common DSM-IV and ICD-10 mental disorders in the Australian general population. Psychological Medicine, 36, 1593. doi: 10.1017/S0033291706008452.CrossRefPubMedGoogle Scholar
  57. Steiger, J. H., & Lind, J. M. (1980). Statistically based tests for the number of common factors. Iowa City, IA: Paper presented at the annual meeting of the Psychometric Society.Google Scholar
  58. Sterba, S., Copeland, W., Egger, H., Costello, E., Erkanli, A., & Angold, A. (2010). Longitudinal dimensionality of adolescent psychopathology: testing the differentiation hypothesis. Journal of Child Psychology and Psychiatry, 51, 871–884. doi: 10.1111/j.1469-7610.2010.02234.x.CrossRefPubMedPubMedCentralGoogle Scholar
  59. Trickey, D., Siddaway, A. P., Meiser-Stedman, R., Serpell, L., & Field, A. P. (2012). A meta-analysis of risk factors for post-traumatic stress disorder in children and adolescents. Clinical Psychology Review, 32, 122–138. doi: 10.1016/j.cpr.2011.12.001.CrossRefPubMedGoogle Scholar
  60. Tucker, L. R., & Lewis, C. (1973). A reliability coefficient for maximum likelihood factor analysis. Psychometrika, 38, 1–10.CrossRefGoogle Scholar
  61. Vollebergh, W. A. M., Iedema, J., Bijl, R. V., de Graaf, R., Smit, F., & Ormel, J. (2001). The structure and stability of common mental disorders. The NEMESIS study. Archives of General Psychiatry, 58, 597–603.CrossRefPubMedGoogle Scholar
  62. Watson, D. (2005). Rethinking the mood and anxiety disorders: a quantitative hierarchical model for DSM-V. Journal of Abnormal Psychology, 114, 522–536. doi: 10.1037/0021-843X.114.4.522.CrossRefPubMedGoogle Scholar
  63. Wittchen, H.-U., Stein, M. B., & Kessler, R. C. (1999). Social fears and social phobia in a community sample of adolescents and young adults: prevalence, risk factors and co-morbidity. Psychological Medicine, 29, 309–323.CrossRefPubMedGoogle Scholar
  64. World Health Organisation (1992). International statistical classification of diseases and related health problems, 10th revision (ICD-10). Geneva: WHO.Google Scholar
  65. Wright, A. G. C., Krueger, R. F., Hobbs, M. J., Markon, K. E., Eaton, N. E., & Slade, T. (2013). The structure of psychopathology: toward an expanded quantitative empirical model. Journal of Abnormal Psychology., 122, 281–294.CrossRefPubMedGoogle Scholar
  66. Yehuda, R., Halligan, S. L., & Grossman, R. (2001). Childhood trauma and risk for PTSD: relationship to intergenerational effects of trauma, parental PTSD, and cortisol excretion. Development and Psychopathology, 13, 733–753.CrossRefPubMedGoogle Scholar
  67. Yu, C. Y., & Muthen, B. (2002, April). Evaluation of model fit indices for latent variable models with categorical and continuous outcomes. In annual meeting of the American Educational Research Association, New Orleans, LA Google Scholar
  68. Zhang, Y., Kong, F., Wang, L., Chen, H., Gao, X., Tan, X., Chen, H., Lv, J., & Liu, Y. (2010). Mental health and coping styles of children and adolescent survivors one year after the 2008 Chinese earthquake. Children and Youth Services Review, 32, 1403–1409.Google Scholar

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Authors and Affiliations

  1. 1.Psychology Group-School of Sport, Health & Social SciencesSouthampton Solent UniversitySouthamptonUK
  2. 2.School of PsychologyUniversity of UlsterLondonderryUK
  3. 3.School of PsychologyPsychology Research Institute, University of UlsterLondonderryUK

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