Should Clinicians Split or Lump Psychiatric Symptoms? The Structure of Psychopathology in Two Large Pediatric Clinical Samples from England and Norway

被引：16

作者：

Fernandez de la Cruz, Lorena ^{[1
,2
]}

Vidal-Ribas, Pablo ^{[2
,3
]}

Zahreddine, Nada ^{[2
,4
]}

Mathiassen, Borge ^{[5
]}

Brondbo, Per Hakan ^{[5
]}

Simonoff, Emily ^{[2
]}

Goodman, Robert ^{[2
]}

Stringaris, Argyris ^{[3
]}

机构：

[1] Karolinska Inst, Dept Clin Neurosci, Child & Adolescent Psychiat Res Ctr, Gavlegatan 22,Entre B,Floor 8, S-11330 Stockholm, Sweden

[2] Kings Coll London, Inst Psychiat Psychol & Neurosci, Dept Child & Adolescent Psychiat, London, England

[3] NIMH, Mood Brain & Dev Unit, Emot & Dev Branch, Bethesda, MD 20892 USA

[4] St Joseph Univ, Dept Psychiat, Beirut, Lebanon

[5] UiT Arctic Univ Norway, Reg Ctr Child & Youth Mental Hlth & Child Welf No, Tromso, Norway

来源：

CHILD PSYCHIATRY & HUMAN DEVELOPMENT | 2018年 / 49卷 / 04期

基金：

英国惠康基金;

关键词：

Nosology; Factor structure; Construct validity; Predictive value; Strengths and Difficulties Questionnaire; CHILD MENTAL-HEALTH; DIFFICULTIES QUESTIONNAIRE; FIT INDEXES; STRENGTHS; DISORDER; CLASSIFICATION; RISK; SDQ; SPECIFICITY; DIMENSIONS;

D O I：

10.1007/s10578-017-0777-1

中图分类号：

B844 [发展心理学（人类心理学）];

学科分类号：

040202 ;

摘要：

It has been suggested that the structure of psychiatric phenomena can be reduced to a few symptom dimensions. These proposals, mainly based on epidemiological samples, may not apply to clinical populations. We tested the structure of psychiatric symptoms across two pediatric clinical samples from England (N = 8434) and Norway (N = 5866). Confirmatory factor analyses of the parent-reported Strengths and Difficulties Questionnaire (SDQ) evaluated the relative fit of several models, including a first-order model, a second-order model with the widely-established broad symptom dimensions of internalizing-externalizing, and two bi-factor models capturing a general psychopathology factor. Predictive value of the SDQ subscales for psychiatric disorders was examined. A first-order five-factor solution better fit the data. The expected SDQ subscale(s) related best to the corresponding psychiatric diagnosis. In pediatric clinical samples, a granular approach to psychiatric symptoms where several dimensions are considered seems to fit the data better than models based on lumping symptoms into internalizing/externalizing dimensions.

引用

页码：607 / 620

页数：14

共 63 条

[1] Multicultural assessment of child and adolescent psychopathology with ASEBA and SDQ instruments:: research findings, applications, and future directions [J].