Journal article
ADHD and the externalizing spectrum: direct comparison of categorical, continuous, and hybrid models of liability in a nationally representative sample
Social psychiatry and psychiatric epidemiology, Vol.49(8), pp.1307-1317
2014
DOI: 10.1007/s00127-013-0770-3
PMCID: PMC3972373
PMID: 24081325
Abstract
Purpose: Alcohol use disorders, substance use disorders, and antisocial personality disorder share a common externalizing liability, which may also include attention-deficit hyperactivity disorder (ADHD). However, few studies have compared formal quantitative models of externalizing liability, with the aim of delineating the categorical and/or continuous nature of this liability in the community. This study compares categorical, continuous, and hybrid models of externalizing liability.
Method: Data were derived from the 2004-2005 National Epidemiologic Survey on Alcohol and Related Conditions (N = 34,653). Seven disorders were modeled: childhood ADHD and lifetime diagnoses of antisocial personality disorder (ASPD), nicotine dependence, alcohol dependence, marijuana dependence, cocaine dependence, and other substance dependence.
Results: The continuous latent trait model provided the best fit to the data. Measurement invariance analyses supported the fit of the model across genders, with females displaying a significantly lower probability of experiencing externalizing disorders. Cocaine dependence, marijuana dependence, other substance dependence, alcohol dependence, ASPD, nicotine dependence, and ADHD provided the greatest information, respectively, about the underlying externalizing continuum.
Conclusions: Liability to externalizing disorders is continuous and dimensional in severity. The findings have important implications for the organizational structure of externalizing psychopathology in psychiatric nomenclatures.
Details
- Title: Subtitle
- ADHD and the externalizing spectrum: direct comparison of categorical, continuous, and hybrid models of liability in a nationally representative sample
- Creators
- Natacha CARRAGHER - National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW 2052, AustraliaRobert F KRUEGER - Department of Psychology, University of Minnesota, 75 East River Road, Minneapolis, MN 55455-0344, United StatesNicholas R EATON - Department of Psychology, Stony Brook University, Stony Brook, NY 11794-2500, United StatesKristian E MARKON - Department of Psychology, University of Iowa, Iowa City, IA 52242, United StatesKatherine M KEYES - Department of Epidemiology, Mailman School of Public Health, Columbia University, 1051 Riverside Drive 123, New York, NY 10032, United StatesCarlos BLANCO - New York State Psychiatric Institute, Columbia University College of Physicians and Surgeons, 1051 Riverside Drive, Unit 69, New York, NY 10032, United StatesTulshi D SAHA - Laboratory of Epidemiology and Biometry, Division of Intramural Clinical and Biological Research, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, 5635 Fishers Lane, Bethesda, United StatesDeborah S HASIN - Department of Psychiatry, College of Physicians and Surgeons, Columbia University, 1051 Riverside Drive No. 123, New York, NY 10032, United States
- Resource Type
- Journal article
- Publication Details
- Social psychiatry and psychiatric epidemiology, Vol.49(8), pp.1307-1317
- DOI
- 10.1007/s00127-013-0770-3
- PMID
- 24081325
- PMCID
- PMC3972373
- NLM abbreviation
- Soc Psychiatry Psychiatr Epidemiol
- ISSN
- 0933-7954
- eISSN
- 1433-9285
- Publisher
- Springer
- Language
- English
- Date published
- 2014
- Academic Unit
- Psychological and Brain Sciences
- Record Identifier
- 9984083267002771
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