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The structure of common and uncommon mental disorders

Published online by Cambridge University Press:  21 May 2012

K. T. Forbush  and
D. Watson
K. T. Forbush*
Affiliation:
Purdue University, West Lafayette, IN, USA
D. Watson
Affiliation:
University of Notre Dame, South Bend, IN, USA
*
*Address for correspondence: K. T. Forbush, Ph.D., Purdue University, Department of Psychological Sciences, 703 Third Street, West Lafayette, IN 47907, USA. (Email: [email protected])
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Abstract

Background

Co-morbidity patterns in epidemiological studies of mental illness consistently demonstrate that a latent internalizing factor accounts for co-morbidity patterns among unipolar mood and anxiety disorders, whereas a latent externalizing factor underlies the covariation of substance-use disorders and antisocial behaviors. However, this structure needs to be extended to include a broader range of disorders.

Method

Exploratory and confirmatory factor analyses were used to examine the structure of co-morbidity using data from the Collaborative Psychiatric Epidemiological Surveys (n = 16 233).

Results

In the best-fitting model, eating and bipolar disorders formed subfactors within internalizing, impulse control disorders were indicators of externalizing, and factor-analytically derived personality disorder scales split between internalizing and externalizing.

Conclusions

This was the first large-scale nationally representative study that has included uncommon mental disorders with sufficient power to examine their fit within a structural model of psychopathology. The results of this study have important implications for conceptualizing myriad mental disorders.

Keywords

Bipolar disordersco-morbidityeating disordersimpulse control disorderspersonality disorders
Type
Original Articles
Information
Psychological Medicine , Volume 43 , Issue 1 , January 2013 , pp. 97 - 108
Copyright
Copyright © Cambridge University Press 2012

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