The structure of common DSM-IV and ICD-10 mental disorders in the Australian general population

被引:325
作者
Slade, Tim
Watson, David
机构
[1] Univ New S Wales, St Vincents Hosp, Sch Psychiat, Darlinghurst, NSW, Australia
[2] Univ Iowa, Dept Psychol, Iowa City, IA 52242 USA
关键词
D O I
10.1017/S0033291706008452
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Background. Patterns of co-occurrence among the common mental disorders may provide information about underlying dimensions of psychopathology. The aim of the current study was to determine which of four models best fits the pattern of co-occurrence between 10 common DSM-IV and 11 common ICD-10 mental disorders. Method. Data were from the Australian National Survey of Mental Health and Well-Being (NSMHWB), a large-scale community epidemiological survey of mental disorders. Participants consisted of a random population-based sample of 10641 community volunteers, representing a response rate of 78%. DSM-IV and ICD-10 mental disorder diagnoses were obtained using the Composite International Diagnostic Interview (CIDI), version 2.0. Confirmatory factor analysis (CFA) was used to assess the relative fit of competing models. Results. A hierarchical three-factor variation of a two-factor model demonstrated the best fit to the correlations among the mental disorders. This model included a distress factor with high loadings on major depression, dysthymia, generalized anxiety disorder (GAD), post-traumatic stress disorder (PTSD) and neurasthenia (ICD-10 only); a fear factor with high loadings on social phobia, panic disorder, agoraphobia and obsessive-compulsive disorder (OCD); and an externalizing factor with high loadings on alcohol and drug dependence. The distress and fear factors were best conceptualized as subfactors of a higher order internalizing factor. Conclusions. A greater focus on underlying dimensions of distress, fear and externalization is warranted.
引用
收藏
页码:1593 / 1600
页数:8
相关论文
共 29 条
[21]   Limitations of diagnostic criteria and assessment instruments for mental disorders -: Implications for research and policy [J].
Regier, DA ;
Kaelber, CT ;
Rae, DS ;
Farmer, ME ;
Knauper, B ;
Kessler, RC ;
Norquist, GS .
ARCHIVES OF GENERAL PSYCHIATRY, 1998, 55 (02) :109-115
[22]   Confirmatory factor analyses of posttraumatic stress symptoms in deployed and nondeployed veterans of the Gulf War [J].
Simms, LJ ;
Watson, D ;
Doebbeling, BN .
JOURNAL OF ABNORMAL PSYCHOLOGY, 2002, 111 (04) :637-647
[23]  
Spitzer RL, 1999, AM J PSYCHIAT, V156, P1856
[24]   The structure and stability of common mental disorders - The NEMESIS Study [J].
Vollebergh, WAM ;
Iedema, J ;
Bijl, RV ;
de Graaf, R ;
Smit, F ;
Ormel, J .
ARCHIVES OF GENERAL PSYCHIATRY, 2001, 58 (06) :597-603
[25]   Rethinking the mood and anxiety disorders: A quantitative hierarchical model for DSM-V [J].
Watson, D .
JOURNAL OF ABNORMAL PSYCHOLOGY, 2005, 114 (04) :522-536
[26]   Toward DSM-V and the classification of psychopathology [J].
Widiger, TA ;
Clark, LA .
PSYCHOLOGICAL BULLETIN, 2000, 126 (06) :946-963
[27]   RELIABILITY AND VALIDITY STUDIES OF THE WHO COMPOSITE INTERNATIONAL DIAGNOSTIC INTERVIEW (CIDI) - A CRITICAL-REVIEW [J].
WITTCHEN, HU .
JOURNAL OF PSYCHIATRIC RESEARCH, 1994, 28 (01) :57-84
[28]   Toward the identification of core psychopathological processes? [J].
Wittchen, HU ;
Höfler, M .
ARCHIVES OF GENERAL PSYCHIATRY, 1999, 56 (10) :929-931
[29]  
World Health Organization, 1997, COMP INT DIAGN INT