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Psychosis within dimensional and categorical models of mental illness

Author

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  • Seamus Fleming
  • Mark Shevlin
  • Jamie Murphy
  • Stephen Joseph

Abstract

There has been recent interest in dimensional and super-ordinate factor models of psychopathology. While early studies modelled psychopathology in terms of two dimensions representing “Internalising” and “Externalising” behaviours, more recent studies have begun to identify a distinct “Psychosis” dimension. This study estimated a global dimensional model of psychopathology that included all three dimensions. A categorical model was also used to explain heterogeneity across the dimensions. Using data from the National Comorbidity Survey, 11 Axis I diagnoses, conduct disorder and three indicators of psychosis were used in exploratory and confirmatory factor analyses which identified three correlated dimensions: Internalising, Externalising and Psychosis. Latent profile analysis, based on the factor scores from these dimensions, identified five homogeneous groups that differed both qualitatively and quantitatively. The benefits of person-centred modelling of the hierarchical dimensions of psychopathology are discussed.

Suggested Citation

  • Seamus Fleming & Mark Shevlin & Jamie Murphy & Stephen Joseph, 2014. "Psychosis within dimensional and categorical models of mental illness," Psychosis, Taylor & Francis Journals, vol. 6(1), pages 4-15, January.
    • Handle: RePEc:taf:rpsyxx:v:6:y:2014:i:1:p:4-15
    DOI: 10.1080/17522439.2012.752027
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    References listed on IDEAS

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    1. Hirotugu Akaike, 1987. "Factor analysis and AIC," Psychometrika, Springer;The Psychometric Society, vol. 52(3), pages 317-332, September.
    2. Stanley Sclove, 1987. "Application of model-selection criteria to some problems in multivariate analysis," Psychometrika, Springer;The Psychometric Society, vol. 52(3), pages 333-343, September.
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