The breadth and potency of transdiagnostic cognitive risks for psychopathology in youth.

Schweizer, Tina H.; Snyder, Hannah R.; Young, Jami F.; Hankin, Benjamin L.

doi:10.1037/ccp0000470

Cited by 23 publications

(20 citation statements)

References 75 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a joint model, depressive symptoms and somatization but not anxiety symptoms explained a unique proportion of variance in self-directed passive-aggressive behaviour. This was in line with the assumption that self-directed passive-aggressive behaviour may show associations with general psychological symptom burden and other symptom categories than depression as these share transdiagnostic cognitive risk factors [ 42 ]. However, the unique amount of variance accounted for by depression was the largest supporting its particular importance for depression.…”

Section: Introductionsupporting

confidence: 82%

Self-directed passive-aggressive behaviour as an essential component of depression: findings from two cross-sectional observational studies

et al. 2022

View full text Add to dashboard Cite

Background The self-control model of depression suggests depressive symptoms to derive from distorted self-monitoring, dysfunctional self-evaluation and reduced self-reward as well as increased self-punishment. Building on this model a relationship between self-directed passive-aggressive behaviour, that is, harmful inactivity, and depression has been assumed. This association has been supported by a recent study in an inpatient sample. However, it remains unclear if patients with depressive disorders report more self-directed passive-aggressive behaviour than patients without depressive disorders and if self-directed passive aggression mediates the associations between distorted self-monitoring and dysfunctional self-evaluation with depressive symptoms. Methods Study 1 compared self-directed passive-aggressive behaviour levels between 220 psychotherapy outpatients with (n = 140; 67.9% female; Mage = 40.0) and without (n = 80; 65.0% female; Mage = 36.2) depressive disorders. Diagnoses were made based on the Structured Clinical Interview for DSM-IV. Study 2 examined self-directed passive-aggressive behaviour as a mediator of the relationship between distorted self-monitoring and dysfunctional self-evaluation and self-reported depressive symptoms in 200 undergraduate Psychology students. Results Compared to outpatients without depressive disorders, outpatients with depressive disorder reported significantly more self-directed passive aggression (d = 0.51). Furthermore, Study 2 verified self-directed passive-aggressive behaviour as a partial mediator of the relationship between dysfunctional attitudes (abcs = .22, 95%-CI: .14, .31), attributional style (abcs = .20, 95%-CI: .13, .27), ruminative response style (abcs = .15, 95%-CI: .09, .21) and depressive symptoms. Conclusion Self-directed passive-aggressive behaviour partially mediates the association between distorted self-monitoring and dysfunctional self-evaluation with depressive symptoms. Future longitudinal studies need to examine a potential causal relationship that would form a base to include interventions targeting self-directed passive-aggressive behaviour in prevention and treatment of depression. Trial registration Both studies were preregistered at the German Clinical Trials Register (DRKS00014005 and DRKS00019020).

show abstract

Section: Introductionsupporting

confidence: 82%

Self-directed passive-aggressive behaviour as an essential component of depression: findings from two cross-sectional observational studies

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Alternative approaches other than HiToP favor a bifactor structure where lower-order dimensions are not nested within broader higher-order factors, but instead explain unique residual variance that is not accounted for by the higher-order constructs (e.g., Caspi et al, 2014; Lahey et al, 2012; Snyder, Young, & Hankin, 2017). The breadth of ambition varies across dimensional approaches, with HiToP aspiring eventually to guide clinical assessment and intervention (Ruggero et al, 2019) and accommodate dimensions of personality as well as developmental trajectories, including cognitive risk dimensions (Kotov et al, 2017; Schweizer, Snyder, Young, & Hankin, 2020), whereas other approaches are somewhat narrower in scope (Craddock & Owen, 2010).…”

Section: Transdiagnostic Approaches To Classifying Mental Health Prob...mentioning

confidence: 99%

Transdiagnostic approaches to mental health problems: Current status and future directions.

Dalgleish¹,

Black²,

Johnston³

et al. 2020

Journal of Consulting and Clinical Psychology

519

305

View full text Add to dashboard Cite

Despite a longstanding and widespread influence of the diagnostic approach to mental ill health, there is an emerging and growing consensus that such psychiatric nosologies may no longer be fit for purpose in research and clinical practice. In their place, there is gathering support for a "transdiagnostic" approach that cuts across traditional diagnostic boundaries or, more radically, sets them aside altogether, to provide novel insights into how we might understand mental health difficulties. Removing the distinctions between proposed psychiatric taxa at the level of classification opens up new ways of classifying mental health problems, suggests alternative conceptualizations of the processes implicated in mental health, and provides a platform for novel ways of thinking about onset, maintenance, and clinical treatment and recovery from experiences of disabling mental distress. In this Introduction to a Special Section on Transdiagnostic Approaches to Psychopathology, we provide a narrative review of the transdiagnostic literature in order to situate the Special Section articles in context. We begin with a brief history of the diagnostic approach and outline several challenges it currently faces that arguably limit its applicability in current mental health science and practice. We then review several recent transdiagnostic approaches to classification, biopsychosocial processes, and clinical interventions, highlighting promising novel developments. Finally, we present some key challenges facing transdiagnostic science and make suggestions for a way forward. What is the public health significance of this article?Traditional diagnostic systems may no longer be fit for purpose for classifying mental ill health, facilitating understanding of its core underlying biopsychosocial processes, nor driving clinical developments. Here we propose that 'transdiagnostic' approaches have the potential to better represent the clinical and scientific reality of mental health problems, reflecting the complexity, dimensionality and comorbidity that is the norm in clinical practice.

show abstract

“…However, in the absence of a framework and validated measures to assess posttraumatic sequelae other than PTSD symptoms, clinicians and researchers have had no systematic way to identify the children who could benefit from trauma-focused services but who do not meet criteria for PTSD. The symptom complexity and burden introduced by extensive psychiatric comorbidity further complicates the challenge, often obscuring posttraumatic symptoms that do not fit the PTSD criteria but that transdiagnostic researchers and theorists have identified as crucial treatment targets due to serving as a link between childhood adversity and psychopathology (McLaughlin et al, 2020;Schweizer et al, 2020;Weissman et al, 2020). DTD provides an efficient yet systematic clinical framework and a validated measure (Stanton et al, 2020) to guide the provision of evidence-based trauma-focused treatment (Ford, Blaustein, Habib, & Kagan, 2013) or children and adolescents with complex developmental trauma histories and psychiatric comorbidities.…”

Section: Discussionmentioning

confidence: 99%

“…The second DTD domain, cognitive/ behavioural dysregulation (Criterion C), includes symptoms referencing cognitive/attentional preoccupation with threat (McLaughlin et al, 2020;Weissman et al, 2020) and behavioural disinhibition/dyscontrol associated with impaired executive functions and effortful control (Beauchaine & Cicchetti, 2019;Hankin et al, 2017;Huang-Pollock, Shapiro, Galloway-Long, & Weigard, 2017;Santens, Claes, Dierckx, & Dom, 2020;Snyder, Friedman, & Hankin, 2019;Wade et al, 2020). The third DTD domain, relational/identity dysregulation (Criterion D), includes avoidant and aggressive modes of relational engagement and social information processing (McLaughlin et al, 2020;Schweizer, Snyder, Young, & Hankin, 2020), disorganized attachment working models and rejection sensitivity (Foxhall, Hamilton-Giachritsis, & Button, 2019;Snyder et al, 2019), and extreme selfdevaluation and self-ideal discrepancy (Mason et al, 2019;Schweizer et al, 2020).…”

mentioning

confidence: 99%

Psychiatric comorbidity of developmental trauma disorder and posttraumatic Stress disorder: findings from the DTD field trial replication (DTDFT-R)

Ford

Spinazzola

Kolk

2021

European Journal of Psychotraumatology

View full text Add to dashboard Cite

Background: Developmental Trauma Disorder (DTD) has extensive comorbidity with internalizing and externalizing disorders distinct from posttraumatic stress disorder (PTSD). Objective: To replicate findings of DTD comorbidity and to determine whether this comorbidity is distinct from, and extends beyond, comorbidities of PTSD. Method: DTD was assessed by structured interview, and probable DSM-IV psychiatric disorders were identified with KSADS-PL screening modules, in a multi-site sample of 271 children (ages 8-18 years old; 47% female) in outpatient or residential mental health treatment for multiple (M = 3.5 [SD = 2.4]) psychiatric diagnoses other than PTSD or DTD. Results: DTD (N = 74, 27%) and PTSD (N = 107, 39%) were highly comorbid and shared several DSM-IV internalizing and externalizing disorder comorbidities. Children with DTD with or without PTSD had more comorbid diagnoses (M = 5.7 and 5.2 [SD = 2.4 and 1.7], respectively) than children with PTSD but not DTD (M = 3.8[SD = 2.1]) or neither PTSD nor DTD (M = 2.1 [SD = 1.9]), F[3,267] = 55.49, p < .001. Further, on a multivariate basis controlling for demographics and including all potential comorbid disorders, DTD was associated with separation anxiety disorder, depression, and oppositional defiant disorder after controlling for PTSD, while PTSD was associated only with separation anxiety disorder after controlling for DTD. Both DTD and PTSD were associated with suicidality. Conclusions: DTD is associated with psychiatric comorbidity beyond that of PTSD, and DTD warrants assessment for treatment planning with children in intensive psychiatric services.Comorbilidad psiquiátrica del trastorno de trauma del desarrollo y del trastorno de estrés postraumático: Hallazgos de la Replicación del ensayo de campo DTD (DTDFT-R, en sus siglas en inglés) Antecedentes: El Trastorno por Trauma del Desarrollo (TTD) tiene una amplia comorbilidad con trastornos internalizantes y externalizantes distintos del trastorno de estrés postraumático (TEPT). Objetivo: Replicar los hallazgos de la comorbilidad del TTD y determinar si esta comorbilidad es distinta y se extiende más allá de las comorbilidades del TEPT. Método: Se evaluó el TTD mediante una entrevista estructurada, y se identificaron probables trastornos psiquiátricos del DSM-IV con módulos de detección KSADS-PL, en una muestra multicéntrica de 271 niños (de 8 a 18 años de edad; 47% mujeres) en tratamiento en salud mental ambulatorio o residencial por múltiples (M = 3,5 [SD = 2,4]) diagnósticos psiquiátricos distintos del TEPT o el TTD. Resultados: El TTD (N=74, 27%) y el TEPT (N=107, 39%) fueron altamente comórbidos y compartían varias comorbilidades de trastornos internalizantes y externalizantes del DSM-IV. Los niños con TTD con o sin TEPT tenían más diagnósticos comórbidos (M = 5,7 y 5,2 [SD = 2,4 y 1,7], respectivamente) que los niños con TEPT pero sin TTD (M = 3,8 [SD = 2,1]) o sin TEPT ni TTD (M = 2,1 [SD = 1,9]), F[3,267] = 55,49, p < .001. Además, en una base multivariante que controlaba los datos demográficos ...

show abstract

The breadth and potency of transdiagnostic cognitive risks for psychopathology in youth.

Cited by 23 publications

References 75 publications

Self-directed passive-aggressive behaviour as an essential component of depression: findings from two cross-sectional observational studies

Self-directed passive-aggressive behaviour as an essential component of depression: findings from two cross-sectional observational studies

Transdiagnostic approaches to mental health problems: Current status and future directions.

Psychiatric comorbidity of developmental trauma disorder and posttraumatic Stress disorder: findings from the DTD field trial replication (DTDFT-R)

Contact Info

Product

Resources

About