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A general psychopathology factor in early adolescence

  • Praveetha Patalay (a1), Peter Fonagy (a2), Jessica Deighton (a1), Jay Belsky (a3), Panos Vostanis (a4) and Miranda Wolpert (a1)...
Abstract
Background

Recently, a general psychopathology dimension reflecting common aspects among disorders has been identified in adults. This has not yet been considered in children and adolescents, where the focus has been on externalising and internalising dimensions.

Aims

To examine the existence, correlates and predictive value of a general psychopathology dimension in young people.

Method

Alternative factor models were estimated using self-reports of symptoms in a large community-based sample aged 11–13.5 years (N= 23 477), and resulting dimensions were assessed in terms of associations with external correlates and future functioning.

Results

Both a traditional two-factor model and a bi-factor model with a general psychopathology bi-factor fitted the data well. The general psychopathology bi-factor best predicted future psychopathology and academic attainment. Associations with correlates and factor loadings are discussed.

Conclusions

A general psychopathology factor, which is equal across genders, can be identified in young people. Its associations with correlates and future functioning indicate that investigating this factor can increase our understanding of the aetiology, risk and correlates of psychopathology.

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Copyright
Corresponding author
Praveetha Patalay, EBPU, University College London and the Anna Freud Centre, 21 Maresfield Gardens, London NW3 5SU, UK. Email: praveetha.patalay.11@ucl.ac.uk
Footnotes
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Research funded by the Department for Children, Schools and Families (now the Department for Education), England.

Declaration of interest

None.

Footnotes
References
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1 Lahey, BB, Applegate, B, Hakes, JK, Zald, DH, Hariri, AR, Rathouz, PJ. Is there a general factor of prevalent psychopathology during adulthood? J Abnormal Psych 2012; 121: 971–7.
2 Caspi, A, Houts, RM, Belsky, DW, Goldman-Mellor, SJ, Harrington, H, Israel, S, et al. The p factor: one general psychopathology factor in the structure of psychiatric disorders? Clin Psychol Sci 2014; 2: 119–37.
3 Kotov, R, Ruggero, CJ, Krueger, RF, Watson, D, Yuan, Q, Zimmerman, M. New dimensions in the quantitative classification of mental illness. Arch Gen Psych 2011; 68: 1003–11.
4 Wright, AG, Krueger, RF, Hobbs, MJ, Markon, KE, Eaton, NR, Slade, T. The structure of psychopathology: toward an expanded quantitative empirical model. J Abnormal Psych 2013; 122: 281–94.
5 Achenbach, TM, Edelbrock, CS. The classification of child psychopathology: a review and analysis of empirical efforts. Psychol Bull 1978; 85: 12751301.
6 Achenbach, TM. The classification of children's psychiatric symptoms: a factor-analytic study. Psychol Monogr General Appl 1966; 80: 137.
7 Deighton, J, Tymms, P, Vostanis, P, Belsky, J, Fonagy, P, Brown, A, et al. The development of a school-based measure of child mental health. J Psychoeduc Assess 2013; 31: 247–57.
8 Achenbach, TM, Rescorla, LA. Manual for the ASEBA School-Age Forms & Profiles. University of Vermont Research Center for Children, Youth and Families, 2001.
9 Martel, MM. Sexual selection and sex differences in the prevalence of childhood externalizing and adolescent internalizing disorders. Psychol Bull 2013; 139: 1221–59.
10 Green, H, McGinnity, A, Meltzer, H, Ford, T, Goodman, R. Mental Health of Children and Young People in Great Britain, 2004. Palgrave Macmillan, 2005.
11 Wolpert, M, Deighton, J, Patalay, P, Martin, A, Fitzgerald-Yau, N, Demir, E, et al. Me and My School: Findings from the National Evaluation of Targeted Mental Health in Schools. DFE, 2011 (https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/184060/DFE-RR177.pdf).
12 Hobbs, G, Vignoles, A. Is children's free school meal ‘eligibility’ a good proxy for family income? Br Educ Res J 2010; 36: 673–90.
13 Department for Children, Schools and Families. Schools, Pupils and Their Characteristics. Department for Children, Schools and Families, 2009 (http://webarchive.nationalarchives.gov.uk/20120504203418/http://education.gov.uk/rsgateway/DB/SFR/s000843/index.shtml).
14 Patalay, P, Deighton, J, Fonagy, P, Vostanic, P, Wolpert, M. Clinical validity of the Me and My School questionnaire: a self-report mental health measure for children and adolescents. Child Adol Psychiat Mental Health 11 Jun 2014 (doi: 10.1186/1753-2000-8-17).
15 Goodman, R, Meltzer, H, Bailey, V. The strengths and difficulties questionnaire: a pilot study on the validity of the self-report version. Eur Child Adol Psych 1998; 7: 125–30.
16 DfE. Statistical First Release SFR 18/2011. Department for Education, 2011.
17 Brunner, M, Nagy, G, Wilhelm, O. A tutorial on hierarchically structured constructs. J Pers 2012; 80: 796846.
18 Muthén, LK, Muthén, BO. Mplus User's Guide. (7th edn). Muthén & Muthén, 2012.
19 Finney, SJ, DiStefano, C. Non-normal and categorical data in structural equation modeling. In Structural Equation Modeling: A Second Course (eds Hancock, GR, Mueller, RO): 269314. Information Age, 2006.
20 Hu, L-T, Bentler, PM. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Modeling 1999; 6: 155.
21 Yung, Y-F, Thissen, D, McLeod, L. On the relationship between the higher-order factor model and the hierarchical factor model. Psychometrika 1999; 64: 113–28.
22 Chen, H, Cohen, P, Chen, S. How big is a big odds ratio? Interpreting the magnitudes of odds ratios in epidemiological studies. Commun Stat Simul Comput 2010; 39: 860–4.
23 Masten, AS, Roisman, GI, Long, JD, Burt, KB, Obradovic, J, Riley, JR, et al. Developmental cascades: linking academic achievement and externalizing and internalizing symptoms over 20 years. Dev Psych 2005; 41: 733–46.
24 Moffitt, TE, Caspi, A, Dickson, N, Silva, P, Stanton, W. Childhood-onset versus adolescent-onset antisocial conduct problems in males: natural history from ages 3 to 18 years. Dev Psychopathol 2009; 8: 399.
25 Nolen-Hoeksema, S, Girgus, JS. The emergence of gender differences in depression during adolescence. Psychol Bull 1994; 115: 424–43.
26 Goodman, A, Lamping, DL, Ploubidis, GB. 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. J Abnormal Child Psych 2010; 38: 1179–91.
27 De Los Reyes, A. Strategic objectives for improving understanding of informant discrepancies in developmental psychopathology research. Dev Psychopathol 2013; 25: 669–82.
28 Lahey, BB, Van Hulle, CA, Singh, AL, Waldman, ID, Rathouz, PJ. Higher-order genetic and environmental structure of prevalent forms of child and adolescent psychopathology. Arch Gen Psychiatry 2011; 68: 181–9.
29 Cross-Disorder Group of the Psychiatric Genomics Consortium. Identification of risk loci with shared effects on five major psychiatric disorders: a genome-wide analysis. Lancet 2013; 381: 1371–9.
30 Fernandez, J. Immune diosrders. In Merck Manual Online (eds Porter, RS, Kaplan, JL): Merck Sharp & Dohme, 2014.
31 Moffitt, TE, Harrington, HL, Caspi, A, Kim-Cohen, J, Goldberg, D, Gregory, AM, et al. Depression and generalised anxiety disorder: cumulative and sequential co-morbidity in a birth cohort followed to age 32. Arch Gen Psychiatry 2007; 64: 651–60.
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  • ISSN: 0007-1250
  • EISSN: 1472-1465
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A general psychopathology factor in early adolescence

  • Praveetha Patalay (a1), Peter Fonagy (a2), Jessica Deighton (a1), Jay Belsky (a3), Panos Vostanis (a4) and Miranda Wolpert (a1)...
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