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dc.contributor.authorFernández de la Cruz, Lorena
dc.contributor.authorVidal-Ribas, Pablo
dc.contributor.authorZahreddine, Nada
dc.contributor.authorMathiassen, Børge
dc.contributor.authorBrøndbo, Per Håkan
dc.contributor.authorSimonoff, Emily
dc.contributor.authorGoodman, Robert
dc.contributor.authorStringaris, Argyris
dc.date.accessioned2019-05-16T12:24:24Z
dc.date.available2019-05-16T12:24:24Z
dc.date.issued2017-12-14
dc.description.abstractIt 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.en_US
dc.description.sponsorshipNational Institute for Health Research (NIHR) Biomedical Research Centre for Mental Health Maudsley National Health Service (NHS) Foundation Trust Institute of Psychiatry, King’s College London Alicia Koplowitz Foundation NIMH Intramural Research Program Wellcome Trust UK National Institute of Health Research University College London Cambridge University Press Oxford University Pressen_US
dc.descriptionSource at <a href=https://doi.org/10.1007/s10578-017-0777-1>https://doi.org/10.1007/s10578-017-0777-1. </a>en_US
dc.identifier.citationFernández de la Cruz, L., Vidal-Ribas, P., Zahreddine, N., Mathiassen, B., Brøndbo, P.H., Simonoff, E. ... Stringaris, A. (2018). Should Clinicians Split or Lump Psychiatric Symptoms? The Structure of Psychopathology in Two Large Pediatric Clinical Samples from England and Norway. <i>Child Psychiatry and Human Development, 49</i>(4), 607-620. https://doi.org/10.1007/s10578-017-0777-1en_US
dc.identifier.cristinIDFRIDAID 1554115
dc.identifier.doi10.1007/s10578-017-0777-1
dc.identifier.issn0009-398X
dc.identifier.issn1573-3327
dc.identifier.urihttps://hdl.handle.net/10037/15321
dc.language.isoengen_US
dc.publisherSpringeren_US
dc.relation.journalChild Psychiatry and Human Development
dc.rights.accessRightsopenAccessen_US
dc.subjectNosologyen_US
dc.subjectFactor structureen_US
dc.subjectConstruct validityen_US
dc.subjectPredictive valueen_US
dc.subjectStrengths and Difficulties Questionnaireen_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750::Psychiatry, child psychiatry: 757en_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Psykiatri, barnepsykiatri: 757en_US
dc.titleShould Clinicians Split or Lump Psychiatric Symptoms? The Structure of Psychopathology in Two Large Pediatric Clinical Samples from England and Norwayen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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