Testing a hierarchical model of anxiety and depression in adolescents: A tri-level model

Abstract The present study examined the structural relationships among anxiety and depressive symptoms in a sample of high school juniors. The best-fitting structural representation was a tri-level hierarchical arrangement with a broad general factor (general distress), two factors of intermediate b...

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Veröffentlicht in:Journal of anxiety disorders 2010-04, Vol.24 (3), p.334-344
Hauptverfasser: Prenoveau, Jason M, Zinbarg, Richard E, Craske, Michelle G, Mineka, Susan, Griffith, James W, Epstein, Alyssa M
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container_end_page 344
container_issue 3
container_start_page 334
container_title Journal of anxiety disorders
container_volume 24
creator Prenoveau, Jason M
Zinbarg, Richard E
Craske, Michelle G
Mineka, Susan
Griffith, James W
Epstein, Alyssa M
description Abstract The present study examined the structural relationships among anxiety and depressive symptoms in a sample of high school juniors. The best-fitting structural representation was a tri-level hierarchical arrangement with a broad general factor (general distress), two factors of intermediate breadth (anxious-misery and fears), and five conceptually meaningful, narrow group factors. In accord with the integrative hierarchical model of anxiety and depression, the results supported a structure with a symptom factor central to major depression, and other symptom factors specific to particular anxiety disorders. These group factors displayed significant, unique associations with clinician severity ratings (CSRs) for their respective DSM diagnoses. The hierarchical arrangement demonstrated temporal invariance over a one-year period and configural and partial metric invariance in females and males. Implications for DSM classification and arrangement of anxiety and depressive disorders are discussed as is how present findings help bridge existing research conducted at symptom and diagnostic levels.
doi_str_mv 10.1016/j.janxdis.2010.01.006
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subjects Adolescent
Adult and adolescent clinical studies
Anxiety
Anxiety Disorders - diagnosis
Anxiety Disorders - psychology
Anxiety disorders. Neuroses
Anxiety-Depression
Biological and medical sciences
Classification
Comorbidity
Depression
Depressive Disorder, Major - diagnosis
Depressive Disorder, Major - psychology
Diagnostic and Statistical Manual of Mental Disorders
Factor analysis
Female
General factor
Hierarchical model
Hierarchical models
High schools
Humans
Interview, Psychological
Longitudinal Studies
Male
Medical sciences
Models, Psychological
Mood disorders
Personality Inventory - statistics & numerical data
Psychiatry
Psychology. Psychoanalysis. Psychiatry
Psychometrics
Psychopathology
Psychopathology. Psychiatry
Symptoms
title Testing a hierarchical model of anxiety and depression in adolescents: A tri-level model
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