Delineating and validating higher-order dimensions of psychopathology in the Adolescent Brain Cognitive Development (ABCD) study.

Published on Oct 17, 2019in Translational Psychiatry5.28
· DOI :10.1038/S41398-019-0593-4
Giorgia Michelini14
Estimated H-index: 14
(SBU: Stony Brook University),
M Deanna106
Estimated H-index: 106
(WashU: Washington University in St. Louis)
+ 3 AuthorsRoman Kotov57
Estimated H-index: 57
(SBU: Stony Brook University)
Hierarchical dimensional systems of psychopathology promise more informative descriptions for understanding risk and predicting outcome than traditional diagnostic systems, but it is unclear how many major dimensions they should include. We delineated the hierarchy of childhood and adult psychopathology and validated it against clinically relevant measures. Participants were 9987 9- and 10-year-old children and their parents from the Adolescent Brain Cognitive Development (ABCD) study. Factor analyses of items from the Child Behavior Checklist and Adult Self-Report were run to delineate hierarchies of dimensions. We examined the familial aggregation of the psychopathology dimensions, and the ability of different factor solutions to account for risk factors, real-world functioning, cognitive functioning, and physical and mental health service utilization. A hierarchical structure with a general psychopathology (‘p’) factor at the apex and five specific factors (internalizing, somatoform, detachment, neurodevelopmental, and externalizing) emerged in children. Five similar dimensions emerged also in the parents. Child and parent p-factors correlated highly (r = 0.61, p < 0.001), and smaller but significant correlations emerged for convergent dimensions between parents and children after controlling for p-factors (r = 0.09−0.21, p < 0.001). A model with child p-factor alone explained mental health service utilization (R2 = 0.23, p < 0.001), but up to five dimensions provided incremental validity to account for developmental risk and current functioning in children (R2 = 0.03−0.19, p < 0.001). In this first investigation comprehensively mapping the psychopathology hierarchy in children and adults, we delineated a hierarchy of higher-order dimensions associated with a range of clinically relevant validators. These findings hold important implications for psychiatric nosology and future research in this sample.
Figures & Tables
📖 Papers frequently viewed together
173 Citations
110 Citations
114 Citations
#1Giorgia MicheliniH-Index: 14
Last. Jonna KuntsiH-Index: 63
view all 9 authors...
OBJECTIVE Previous studies in children with ADHD identified two partially separable familial factors underlying cognitive dysfunction, but evidence in adolescents and adults is lacking. Here, we investigate the etiological structure of cognitive-neurophysiological impairments in ADHD in adolescents and young adults. METHOD Factor analyses and multivariate familial models were run in 356 participants from ADHD and control sibling pairs aged 11 to 27 years on data on IQ, digit span forward (DSF) a...
12 CitationsSource
#1Wilson M. Compton (NIDA: National Institute on Drug Abuse)H-Index: 70
#2Gayathri J. Dowling (NIDA: National Institute on Drug Abuse)H-Index: 10
Last. Hugh Garavan (UVM: University of Vermont)H-Index: 89
view all 3 authors...
25 CitationsSource
#1Nicole R. Karcher (WashU: Washington University in St. Louis)H-Index: 11
#2Kathleen J. O’Brien (WashU: Washington University in St. Louis)H-Index: 2
Last. M Deanna (WashU: Washington University in St. Louis)H-Index: 106
view all 4 authors...
Abstract Background Psychotic-like experiences (PLEs) during childhood are associated with greater risk of developing a psychotic disorder (and other mental disorders), highlighting the importance of identifying neural correlates of childhood PLEs. Three major cortical networks—the cingulo-opercular network (CON), default mode network (DMN), and frontoparietal network—are consistently implicated in psychosis and PLEs in adults. However, it is unclear whether variation in functional connectivity ...
47 CitationsSource
#1Wesley K. Thompson (UCSD: University of California, San Diego)H-Index: 68
#2M Deanna (WashU: Washington University in St. Louis)H-Index: 106
Last. Monica M Luciana (UMN: University of Minnesota)H-Index: 47
view all 7 authors...
Abstract The Adolescent Brain Cognitive Development (ABCD) study is poised to be the largest single-cohort long-term longitudinal study of neurodevelopment and child health in the United States. Baseline data on N = 4521 children aged 9–10 were released for public access on November 2, 2018. In this paper we performed principal component analyses of the neurocognitive assessments administered to the baseline sample. The neurocognitive battery included seven measures from the NIH Toolbox as well ...
31 CitationsSource
#1Barbara Franke (Radboud University Nijmegen)H-Index: 104
#2Giorgia Michelini ('KCL': King's College London)H-Index: 14
Last. Andreas ReifH-Index: 72
view all 17 authors...
Abstract Attention-deficit/hyperactivity disorder (ADHD) is highly heritable and the most common neurodevelopmental disorder in childhood. In recent decades, it has been appreciated that in a substantial number of cases the disorder does not remit in puberty, but persists into adulthood. Both in childhood and adulthood, ADHD is characterised by substantial comorbidity including substance use, depression, anxiety, and accidents. However, course and symptoms of the disorder and the comorbidities m...
137 CitationsSource
#1Robert F. Krueger (UMN: University of Minnesota)H-Index: 130
#2Roman Kotov (SBU: Stony Brook University)H-Index: 57
Last. Johannes ZimmermannH-Index: 33
view all 55 authors...
Shortcomings of approaches to classifying psychopathology based on expert consensus have given rise to contemporary efforts to classify psychopathology quantitatively. In this paper, we review progress in achieving a quantitative and empirical classification of psychopathology. A substantial empirical literature indicates that psychopathology is generally more dimensional than categorical. When the discreteness versus continuity of psychopathology is treated as a research question, as opposed to...
159 CitationsSource
#1A. J. P. Bloemen (UMCG: University Medical Center Groningen)H-Index: 1
#1A. J. P. Bloemen (UMCG: University Medical Center Groningen)H-Index: 1
Last. Catharina A. Hartman (UG: University of Groningen)H-Index: 77
view all 6 authors...
Background We modeled both psychopathology and executive function (EF) as bi-factor models to study if EF impairments are transdiagnostic or relate to individual syndromes, and concurrently, if such associations are with general EF or specific EF impairments. Methods Data were obtained from the Tracking Adolescents’ Individual Lives Survey (TRAILS; N = 2230). Psychopathology was assessed with parent-report questionnaires at ages 11, 14, 16, and 19, and EF with tasks from the Amsterdam Neuropsych...
38 CitationsSource
#1Robert A. Zucker (UM: University of Michigan)H-Index: 78
#2Raul Gonzalez (FIU: Florida International University)H-Index: 35
Last. Thomas WillsH-Index: 1
view all 9 authors...
Abstract Neurodevelopmental maturation takes place in a social environment in addition to a neurobiological one. Characterization of social environmental factors that influence this process is therefore an essential component in developing an accurate model of adolescent brain and neurocognitive development, as well as susceptibility to change with the use of marijuana and other drugs. The creation of the Culture and Environment (CE) measurement component of the ABCD protocol was guided by this ...
34 CitationsSource
#1Allison M. Auchter (UCSD: University of California, San Diego)H-Index: 1
#2Margie Hernandez Mejia (UCSD: University of California, San Diego)H-Index: 4
Last. Gayathri J. Dowling (NIDA: National Institute on Drug Abuse)H-Index: 10
view all 8 authors...
Author(s): Auchter, AM; Mejia, MH; Heyser, CJ; Shilling, PD; Jernigan, TL; Brown, SA; Tapert, SF; Dowling, GJ | Abstract: The Adolescent Brain Cognitive Development (ABCD) study is designed to be the largest study of brain development and child health in the United States, performing comprehensive assessments of 11,500 children repeatedly for 10 years. An endeavor of this magnitude requires an organized framework of governance and communication that promotes collaborative decision-making and dis...
59 CitationsSource
#1Hugh Garavan (UVM: University of Vermont)H-Index: 89
#2Hauke Bartsch (UCSD: University of California, San Diego)H-Index: 27
Last. D. Zahs (UM: University of Michigan)H-Index: 1
view all 10 authors...
Abstract The ABCD study is a new and ongoing project of very substantial size and scale involving 21 data acquisition sites. It aims to recruit 11,500 children and follow them for ten years with extensive assessments at multiple timepoints. To deliver on its potential to adequately describe adolescent development, it is essential that it adopt recruitment procedures that are efficient and effective and will yield a sample that reflects the nation’s diversity in an epidemiologically informed mann...
173 CitationsSource
Cited By32
#1Brandon L. Goldstein (UConn: University of Connecticut)H-Index: 9
#2Emma Mumper (SBU: Stony Brook University)H-Index: 4
Last. Daniel N. Klein (SBU: Stony Brook University)H-Index: 103
view all 5 authors...
Social anhedonia, a tendency toward experiencing social stimuli as less positive or pleasurable, is associated with maladaptive personality traits, poor interpersonal functioning, and psychopatholo...
#1Shervin AssariH-Index: 64
#2Shanika BoyceH-Index: 10
Last. Tanja Jovanovic (WSU: Wayne State University)H-Index: 59
view all 3 authors...
AIM This study tested sex differences in the association between hippocampal volume and working memory of a national sample of 9-10-year-old children in the US. As the hippocampus is functionally lateralized (especially in task-related activities), we explored the results for the right and the left hippocampus. METHODS This is a cross-sectional study using the Adolescent Brain Cognitive Development (ABCD) Study data. This analysis included baseline ABCD data (n = 10,093) of children between ages...
#1Rapson Gomez (FedUni: Federation University Australia)H-Index: 11
#2Lu Liu (PKU: Peking University)H-Index: 22
Last. Wai ChenH-Index: 35
view all 8 authors...
Attention Deficit/Hyperactivity Disorder (ADHD) is conceptualized differently in the Diagnostic and Statistical Manual (DSM-5), the International Classification of Diseases-10 (ICD-10), and the Hierarchical Taxonomy of Psychopathology (HiTOP) frameworks. This study applied independent cluster confirmatory factor analysis (ICM-CFA), exploratory structure equation model with target rotation (ESEM), and the S-1 bi-factor CFA approaches to evaluate seven ADHD models yielded by different combinations...
#1Samantha Jane Lynch (USYD: University of Sydney)H-Index: 2
#2Matthew Sunderland (USYD: University of Sydney)H-Index: 26
Last. Cath Chapman (USYD: University of Sydney)H-Index: 14
view all 4 authors...
Abstract A large body of research has emerged over the last decade examining empirical models of general and specific psychopathology, which take into account comorbidity among psychiatric disorders and enable investigation of risk and protective factors that are common across disorders. This systematic review presents findings from studies of empirical models of psychopathology and transdiagnostic risk and protective factors for psychopathology among young people (10–24 years). PsycInfo, Medlin...
#1Yi Li (UCSF: University of California, San Francisco)H-Index: 94
#2Wesley K. Thompson (UCSD: University of California, San Diego)H-Index: 68
Last. Sandra A. Brown (UCSD: University of California, San Diego)H-Index: 124
view all 109 authors...
Importance Incidental findings (IFs) are unexpected abnormalities discovered during imaging and can range from normal anatomic variants to findings requiring urgent medical intervention. In the case of brain magnetic resonance imaging (MRI), reliable data about the prevalence and significance of IFs in the general population are limited, making it difficult to anticipate, communicate, and manage these findings. Objectives To determine the overall prevalence of IFs in brain MRI in the nonclinical...
#1Nicole R. Karcher (WashU: Washington University in St. Louis)H-Index: 11
#2Giorgia Michelini (Semel Institute for Neuroscience and Human Behavior)H-Index: 14
Last. M Deanna (UW: University of Washington)H-Index: 106
view all 4 authors...
Abstract Background Previous research from the Adolescent Brain Cognitive Development (ABCD) Study delineated and validated a hierarchical 5-factor structure with a general psychopathology (p) factor at the apex and 5 specific factors (internalizing, somatoform, detachment, neurodevelopmental, externalizing) using parent-reported child symptoms. The present study is the first to examine associations between dimensions from a hierarchical structure and resting-state functional connectivity (RSFC)...
1 CitationsSource
#1Kasey Stanton (UWO: University of Western Ontario)H-Index: 13
#2Elizabeth A. DeLucia (VT: Virginia Tech)H-Index: 2
Last. Christina G. McDonnell (VT: Virginia Tech)H-Index: 10
view all 4 authors...
Research on personality and psychopathology associations has informed the classification of many symptom dimensions within the Hierarchical Taxonomy of Psychopathology (HiTOP). However, classification of symptom dimensions defining autism and attention-deficit/hyperactivity disorder (ADHD) within the HiTOP framework remains unclear in many ways. To address this issue, we examined the joint factor structure of (a) measures assessing characteristics relevant to ADHD and autism and (b) normal range...
#1Amal Isaiah (UMB: University of Maryland, Baltimore)H-Index: 11
#2Thomas Ernst (U.H.: University of Hawaii at Manoa)H-Index: 61
Last. Linda ChangH-Index: 89
view all 5 authors...
Importance Previous studies have identified an association between habitual snoring and lower cognitive performance in children. However, whether and to what extent this association is confounded by pertinent demographic, anthropometric, and socioeconomic characteristics is unknown. Objective To assess the extent to which potential confounding factors modify the association between parent-reported habitual snoring and cognitive outcomes among a large and diverse sample of typically developing pr...
#1Giorgia Michelini (Semel Institute for Neuroscience and Human Behavior)H-Index: 14
#2Isabella M. Palumbo (GSU: Georgia State University)H-Index: 3
Last. Roman Kotov (SBU: Stony Brook University)H-Index: 57
view all 5 authors...
Abstract The Research Domain Criteria (RDoC) and the Hierarchical Taxonomy of Psychopathology (HiTOP) represent major dimensional frameworks proposing two alternative approaches to accelerate progress in the way psychopathology is studied, classified, and treated. RDoC is a research framework rooted in neuroscience aiming to further the understanding of transdiagnostic biobehavioral systems underlying psychopathology and ultimately inform future classifications. HiTOP is a dimensional classifica...