Browsing by Subject "psychopathology"
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Item Criteria Combinations in the Personality Disorders: Challenges Associated with a Polythetic Diagnostic System(2011-08-08) Cooper, Luke D.Converging research on the diagnostic criteria for personality disorders (PDs) reveals that most criteria have different psychometric properties. This finding is inconsistent with the DSM-IV-TR PD diagnostic system, which weights each criterion equally. The purpose of the current study was to examine the potential effects of using equal weights for differentially-functioning criteria. Using data from over 2,100 outpatients, response patterns to the diagnostic criteria for nine PDs were analyzed and scored within an item response theory (IRT) framework. Results indicated that combinations that included the same number of endorsed criteria (the same "raw score") yielded differing estimates of PD traits, depending on which criteria were met. Moreover, trait estimates from subthreshold criteria combinations often overlapped with diagnostic combinations (i.e., at threshold or higher), indicating that there were subthreshold combinations of criteria that indicated as much or more PD traits than some combinations at the diagnostic threshold. These results suggest that counting the number of criteria an individual meets provides only a coarse estimation of their PD trait level. Suggestions for the improved measurement of polythetically-defined mental disorders are discussed.Item Gender differences in psychopathology examined under an expanded transactional theory of stress framework(2009-05-15) Lee, Jillian AprilPrevalence rates of many types of psychopathology are lower for men than they are for women, but the causes of these discrepancies are not known. This paper focuses on two such psychopathology groups ? eating disorders and depressive disorders ? and examines gender differences within a transactional theory of stress that takes into account levels of cognitive processing (an expanded transactional theory of stress). Both studies found that men are more physiologically reactive to disorder-relevant, stressful stimuli and stressful events. The study on depression also found that different cognitive processes may be depressogenic for men and women: deployment of attentional resources toward negative stimuli was associated with depression in men, while deployment of attentional resources away from positive stimuli was associated with depression in women. These findings have significant implications for choosing appropriate treatment options for men and women.