Identifying internalizing transdiagnostic profiles through motivational and cognitive control systems: Relations with symptoms, functionality, and quality of life

Verdejo-Garcia, A.; Rossi, G.; Albein-Urios, N.; Lozano, O.M.; Diaz-Batanero, C.

doi:10.1016/j.comppsych.2024.152498

Comprehensive Psychiatry

2024

DOI: 10.1016/j.comppsych.2024.152498

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Identifying internalizing transdiagnostic profiles through motivational and cognitive control systems: Relations with symptoms, functionality, and quality of life

A. Verdejo-Garcia,

G. Rossi,

N. Albein-Urios

et al.

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2024

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A Transdiagnostic Dimensional Approach to Behavioral Dysregulation: Examining Reward and Punishment Sensitivity Across Psychopathology

Oka,

Sasaki,

Kobayashi

2024

Preprint

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Aim Theoretically, deficits in reward/punishment sensitivity are considered an essential component associated with behavioral dysregulation, which is characteristic of compulsive-impulsive disorders. However, recent studies have indicated that several disorders are linked to problems with reward/punishment sensitivity, and their results have been inconsistent. This lack of clinical specificity and robustness might reflect more general problems with traditionally diagnostic categories of psychiatry. To address these concerns, we investigated whether a transdiagnostic dimensional approach could more effectively examine clinical associations related to reward/punishment sensitivity for behavioral dysregulation. Methods Using multiple psychiatric symptom scores and reward/punishment sensitivity in online general-population samples (N = 19505), we applied factor analyses to extract transdiagnostic symptom dimensions. Then, we conducted a mixed-effect generalized linear model to examine the relationships between psychopathology and reward/punishment sensitivity. Results We extracted three transdiagnostic dimensions, which were validated between two separate datasets: Compulsive hypersensitivity (CH), Social withdrawal (SW), and Addictive behavior (AB). While SW was associated with reward sensitivity negatively and punishment sensitivity positively, AB showed opposite associations. On the other hand, CH was positively associated with both sensitivities. Conclusion Our results highlight the importance of reward/punishment sensitivity for our understanding of behavioral dysregulation, especially in the compulsive-impulsive dimension. Moreover, these findings underscore how transdiagnostic perspectives contribute to a more powerful examination of reward/punishment deficits than studies focusing on a categorical disorder.

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A Transdiagnostic Dimensional Approach to Behavioral Dysregulation: Examining Reward and Punishment Sensitivity Across Psychopathology

Oka,

Sasaki,

Kobayashi

2024

Preprint

View full text Add to dashboard Cite

show abstract

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Identifying internalizing transdiagnostic profiles through motivational and cognitive control systems: Relations with symptoms, functionality, and quality of life

Cited by 1 publication

References 46 publications

A Transdiagnostic Dimensional Approach to Behavioral Dysregulation: Examining Reward and Punishment Sensitivity Across Psychopathology

A Transdiagnostic Dimensional Approach to Behavioral Dysregulation: Examining Reward and Punishment Sensitivity Across Psychopathology

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