Skip to main content

Advertisement

Log in

The Factor Structure of Anxiety and Depressive Disorders in a Sample of Clinic-Referred Adolescents

  • Published:
Journal of Abnormal Child Psychology Aims and scope Submit manuscript

Abstract

The current study used confirmatory factor analysis (CFA) to examine the factor structure of anxiety and depressive disorders in a sample of clinic-referred adolescents, aged between 12 and 18 years, for diagnoses based on parent (N = 655; male = 441) and adolescent (N = 626; male = 417) interviews. Three models were examined: a 1-factor model, with all anxiety and depressive disorders in a single factor; a DSM-based 2-factor model, with anxiety disorders in one factor, and depressive disorders in another factor; and an alternate 2-factor model, with fear related anxiety disorders in one factor, and other anxiety and depressive disorders in another factor. The findings indicated support for all three models. Also, ADHD and ODD/CD were associated with only the shared variances between the latent factors in the 2-factor models, and not their unique variance. The implications of the findings for taxonomy, comorbidity, and clinical practice are discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders IV. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders – IV text revised. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders – 5. Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Angold, A., Costello, E. J., & Erkanli, A. (1999). Comorbidity. Journal of Child Psychology and Psychiatry, 40, 57–87.

    Article  PubMed  Google Scholar 

  • Beesdo-Baum, K., Höfler, M., Gloster, A. T., Klotsche, J., Lieb, R., Beauducel, A., et al. (2009). The structure of common mental disorders: a replication study in a community sample of adolescents and young adults. International Journal of Methods in Psychiatric Research, 18, 204–220.

    PubMed  Google Scholar 

  • Brown, T. A. (2006). Confirmatory factor analysis for applied research. New York: Guilford Press.

  • Brown, T. A., Chorpita, B. F., & Barlow, D. H. (1998). Structured relationships among dimensions of the DSMIV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal. Journal of Abnormal Psychology, 107, 179–192.

    Article  PubMed  Google Scholar 

  • Burnham, K. P., & Anderson, D. R. (2004). Multimodel inference: understanding AIC and BIC in model selection. Sociological Methods & Research, 33, 261–304.

    Article  Google Scholar 

  • Cantwell, D. P., Lewinsohn, P. M., Rohde, P., & Seeley, J. R. (1997). Correspondence between adolescent report and parent report of psychiatric diagnostic data. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 610–619.

    Article  PubMed  Google Scholar 

  • Clark, L. A., & Watson, D. (1991). Tripartite model of anxiety and depression: psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100, 316–336.

    Article  PubMed  Google Scholar 

  • Clark, L. A., & Watson, D. (2006). Distress and fear disorders: an alternative empirically based taxonomy of the “mood” and “anxiety” disorders. The British Journal of Psychiatry, 189, 481–483.

    Article  PubMed  Google Scholar 

  • Ehrenreich-May, & Bilek. (2012). The development of a transdiagnostic, cognitive behavioral group intervention for childhood anxiety disorders and co-occurring depression symptoms. Cognitive and Behavioral Practice, 19, 41–55.

    Article  Google Scholar 

  • Fleiss, J. L. (1981). Statistical methods for rates and proportions (2nd ed.). Wiley: New York.

    Google Scholar 

  • Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18, 39–50.

    Article  Google Scholar 

  • Gomez, R., & Corr, P. J. (2010). Attention-Deficit/Hyperactive Disorder symptoms: associations with Gray’s and Tellegen’s models of personality. Personality and Individual Difference, 49, 902–906.

    Article  Google Scholar 

  • Higa-McMillan, C. K., Smith, R. L., Chorpita, B. K., & Hayashi, K. (2008). Common and unique factors associated with DSM-IV-TR internalizing disorders in children. Journal of Abnormal Child Psychology, 36, 1279–1288.

    Article  PubMed  Google Scholar 

  • Hu, L. T., & Bentler, P. M. (1998). Fit indices in covariance structure modeling: sensitivity to underparameterized model misspecification. Psychological Methods, 3, 424–453.

    Article  Google Scholar 

  • Kashani, J. H., & Orvaschel, H. (1990). A community study of anxiety in children and adolescents. The American Journal of Psychiatry, 147, 313–318.

    PubMed  Google Scholar 

  • Kessler, R. C., Chiu, W. T., Demler, O., & Walters, E. E. (2005). Prevalence, severity, and comorbidity of 12-month DSM-IVdisorders in the National Comorbidity Survey Replication. Archives of General Psychiatry, 62, 617–627.

    Article  PubMed Central  PubMed  Google Scholar 

  • Kovacs, M., & Devlin, B. (1998). Internalizing disorders in childhood. Journal of Child Psycholgy and Psychiatry, 39, 47–63.

    Article  Google Scholar 

  • Krueger, R. F., & Markon, K. E. (2006). Reinterpreting comorbidity: a model-based approach to understanding and classifying psychopathology. Annual Review of Clinical Psychology, 2, 111–133.

    Article  PubMed Central  PubMed  Google Scholar 

  • Krueger, R. F. (1999). The structure of common mental disorders. Archives of General Psychiatry, 56, 921–926.

    Article  PubMed  Google Scholar 

  • Krueger, R. F., & Finger, M. S. (2001). Using item response theory to understand comorbidity among anxiety and unipolar mood disorders. Psychological Assessment, 13, 140–151.

    Article  PubMed  Google Scholar 

  • Krueger, R. F., Caspi, A., Moffitt, T. E., & Silva, P. A. (1998). The structure and stability of common mental disorders (DSM–III–R): a longitudinal– epidemiological study. Journal of Abnormal Psychology, 107, 216–227.

    Article  PubMed  Google Scholar 

  • Lahey, B. B., Applegate, B., Waldman, I. D., Loft, J. D., Hankin, B. L., & Rick, J. (2004). The structure of child and adolescent psychopathology: generating new hypotheses. Journal of Abnormal Psychology, 113, 358–385.

    Article  PubMed  Google Scholar 

  • Lahey, B. B., Rathouz, P. J., Van Hulle, C., Urbano, R. C., Krueger, R. F., Applegate, B., et al. (2008). Testing structural models of DSM-IV symptoms of common forms of child and adolescent psychopathology. Journal of Abnormal Child Psychology, 36, 187–206.

    Article  PubMed  Google Scholar 

  • Lewinsohn, P. M., Zinbarg, R., Seeley, J. R., Lewinsohn, M., & Sack, W. H. (1997). Lifetime comorbidity among anxiety disorders and between anxiety disorders and other mental disorders in adolescents. Journal of Anxiety Disorders, 11, 377–394.

    Article  PubMed  Google Scholar 

  • Lewinshon, P. M., Rohde, P., Seeley, J. R., & Hops, H. (1991). Comorbidity of unipolar depression. I: major depression with dysthymia. Journal of Abnormal Psychology, 100, 205–213.

    Article  Google Scholar 

  • McEvoy, P. M., Nathan, P., & Norton, P. J. (2009). Efficacy of transdiagnostic treatments: a review of published outcome studies and future research directions. Journal of Cognitive Psychotherapy, 23, 20–33.

    Article  Google Scholar 

  • McGlinchey, J. B., & Zimmerman, M. (2007). Examining dimensional representation of depression and anxiety disorders’ comorbidity in psychiatric outpatients with item response modeling. Journal of Abnormal Psychology, 116, 464–474.

    Article  PubMed  Google Scholar 

  • Mineka, S., Watson, D., & Clark, L. A. (1998). Comorbidity of anxiety and unipolar mood disorders. Annual Review of Psychology, 49, 377–412.

    Article  PubMed  Google Scholar 

  • Muthen, L. K., & Muthen, B. O. (2010). Mplus user’s guide (6th ed.). Los Angeles: Muthen & Muthen.

    Google Scholar 

  • Nigg, J. T., Oliver, J. P., Blaskey, L. G., Huang-Pollock, C. L., Willcutt, E. G., Hinshaw, S. P., et al. (2002). Big Five dimensions and ADHD symptoms: links between personality traits and clinical symptoms. Journal of Personality and Social Psychology, 83, 451–469.

    Article  PubMed  Google Scholar 

  • Seeley, J. R., Kosty, D. B., Farmer, R. F., & Lewinsohn, P. M. (2011). The modeling of internalizing disorders on the basis of patterns of lifetime comorbidity: associations with psychosocial functioning and psychiatric disorders among first-degree relatives. Journal of Abnormal Psychology, 120, 308–321.

    Article  PubMed  Google Scholar 

  • Silverman, W. K., & Albano, A. M. (1996). Anxiety disorders interview schedule for children for DSM-IV, child and parent versions. San Antonio: Psychological Corporation.

    Google Scholar 

  • Silverman, W. K., Saavedra, L. M., & Pina, A. A. (2001). Test–retest reliability ofanxiety symptoms and diagnoses with the Anxiety Disorders Interview Schedule for DSM-IV: child and parent versions. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 937–944.

    Article  PubMed  Google Scholar 

  • Slade, T., & Watson, D. (2006). The structure of common DSMIV and ICD10 mental disorders in the Australian general population. Psychological Medicine, 36, 1593–1600.

    Article  PubMed  Google Scholar 

  • Trosper, S., Whitton, S. W., Brown, T. A., & Pincus, D. B. (2012). Understanding the latent structure of the emotional disorders in children and adolescents. Journal of Abnormal Child Psychology, 40, 621–632.

    Article  PubMed  Google Scholar 

  • Vollebergh, W. A. M., Iedema, J., Bijl, R. V., de Graaf, R., Smit, F., & Ormel, J. (2001). The structure and stability of common mental disorders: the NEMESIS study. Archives of General Psychiatry, 58, 597–603.

    Article  PubMed  Google Scholar 

  • Watson, D. (2005). Rethinking the mood and anxiety disorders: a quantitative hierarchical model for DSM-V. Journal of Abnormal Psychology, 114, 522–536.

    Article  PubMed  Google Scholar 

  • Watson, D., Clark, L. A., & Carey, G. (1988). Positive and negative affectivity and their relation to anxiety and depressive disorders. Journal of Abnormal Psychology, 97, 346–353.

    Article  PubMed  Google Scholar 

  • Wittchen, H.-U., Lieb, R., Schuster, P., & Oldehinkel, A. J. (1999). When is onset? Investigations into early developmental stages of anxiety and depressive disorders. In J. L. Rapoport (Ed.), Childhood onset of ‘adult’ psychopathology, clinical and research advances (pp. 259–302). Washington, DC: American Psychiatric Press.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Rapson Gomez.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gomez, R., Vance, A. & Gomez, R.M. The Factor Structure of Anxiety and Depressive Disorders in a Sample of Clinic-Referred Adolescents. J Abnorm Child Psychol 42, 321–332 (2014). https://doi.org/10.1007/s10802-013-9787-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10802-013-9787-z

Keywords

Navigation