عنوان مقاله [English]
Introduction: The aim of present study was structural modeling of the anxiety disorders and depression in children and adolescents.
Method: The method used in this study was Confirmatory Factor Analysis (CFA) and structural equation modeling. To this end, 280 of the students were chosen from Urumiya who answered Revised Children Anxiety Disorders Scale (RCADS) and also completed tripartite model of anxiety test (3FQ).
Results: Comparing the validity of anxiety disorder measurement models through confirmatory factor analysis, a six factors model for anxiety disorders was approved as a first step. In the second step, inorder to verify the constructive validity of the six factors model, the theoretical relationship in the form of the resulting three-level structural model of Brown (1998) compared with two-level models through Structural Equation Modeling(SEM), in which the obtained findig from the discriminant validity factor analysis confirmed the six factors model of anxiety and depression in DSM-5, as well as, the tripartite model of anxiety and depression. Among several structural models, the best fit structure was obtained in which the higher-order factors including affect dimensions (negative and positive affect) as expected significantly affected the anxiety disorders and depression.
Conclusion: Brown Chorpita discriminating hierarchical model taking into account the limitations of the present study is approved.
1- Cole PM, Martin SE, Dennis TA. Emotion regulation as a scientific construct: Methodological challenges and directions for child development research. Child development. 2004; 75(2): 317-33.
2- Crano WD, Prislin R. Attitudes and persuasion. Annu Rev Psychol. 2006; 57: 345-74.
3- Pina A, Holly LE, editors. Cross-ethnic variation in the impact of parental over-control on child anxiety. Society for Research in Child Development. 2017.
4- Gaderi B, Mohammadkhni SH, H H. Cognitive and Metacognitive predictors of anxiety in adolescents. Journal of abnormal child psychology. 2016; 7(4): 13-26.
5- Whiteside SP, Deacon BJ, Benito K, Stewart E. Factors associated with practitioners’ use of exposure therapy for childhood anxiety disorders. Journal of anxiety disorders. 2016; 40: 29-36.
6- Abdekhodaie MS, AMA S-O. Prevalence of separation anxiety in children and effect of cognitive behavioral play therapy on reducing it. Journal of Clinical Psychology. 2012; 3(4): 51-8.
7- R RC. Psycho pathology in DSM-5. Tehran: Ebnesina. 2016.
8- Sadock B. Kaplan & Sadock’S Synopsis of Psychiatry: Lippinott W iliams and Wilkins. Philadelphia (USA). 2015.
9- Mohammadzade Ali, Mahmood N. The role of anxiety and depression in explanation of attention deficit disorders in primary school-age chilred. Journal of Clinical Psychology. 2010; 1(4): 59-66.
10- Morgan JK, Lee GE, Wright AG, Gilchrist DE, Forbes EE, McMakin DL, et al. Altered positive affect in clinically anxious youth: the role of social context and anxiety subtype. Journal of abnormal child psychology. 2017; 45(7): 1461-72.
11- Brown A, Creswell C, Barker C, Butler S, Cooper P, Hobbs C, et al. Guided parent‐delivered cognitive behaviour therapy for children with anxiety disorders: Outcomes at 3‐to 5‐year follow‐up. British Journal of Clinical Psychology. 2017; 56(2): 149-59.
12- Barkley RA, Poillion MJ. Attention deficit hyperactivity disorder: A handbook for diagnosis and treatment. Behavioral Disorders. 1994; 19(2): 150-2.
13- Halldorsdottir T, Ollendick TH. Long-term outcomes of brief, intensive CBT for specific phobias: The negative impact of ADHD symptoms. Journal of consulting and clinical psychology. 2016; 84(5): 465.
14- Spence SH, Donovan CL, March S, Kenardy JA, Hearn CS. Generic versus disorder specific cognitive behavior therapy for social anxiety disorder in youth: A randomized controlled trial using internet delivery. Behaviour research and therapy. 2017; 90: 41-57.
15- Beidel DC, Turner SM, Sallee FR, Ammerman RT, Crosby LA, Pathak S. SET-C versus fluoxetine in the treatment of childhood social phobia. Journal of the American Academy of Child & Adolescent Psychiatry. 2007; 46(12): 1622-32.
16- Diagnostic A. statistical manual of mental disorders: DSM-5 (ed.) American Psychiatric Association. Washington, DC. 2013.
17- Clark DA, Beck AT, Stewart BL. Cognitive specificity and positive-negative affectivity: Complementary or contradictory views on anxiety and depression? Journal of Abnormal Psychology. 1990; 99(2): 148.
18- Clark LA, Watson D. Tripartite model of anxiety and depression: psychometric evidence and taxonomic implications. Journal of abnormal psychology. 1991; 100(3): 316.
19- Brown TA, Barlow DH. Comorbidity among anxiety disorders: Implications for treatment and DSM-IV. Journal of Consulting and Clinical Psychology. 1992; 60(6): 835.
20- Brown TA, Antony MM, Barlow DH. Diagnostic comorbidity in panic disorder: Effect on treatment outcome and course of comorbid diagnoses following treatment. Journal of Consulting and Clinical Psychology. 1995; 63(3): 408.
21- Watson D, Tellegen A. Toward a consensual structure of mood. Psychological bulletin. 1985; 98(2): 219.
22- Tellegen A. Structures of mood and personality and their relevance to assessing anxiety, with an emphasis on self-report. 1985.
23- Beck AT, Clark DA. Anxiety and depression: An information processing perspective. Anxiety research. 1988; 1(1): 23-36.
24- Tellegen A, Waller NG. Exploring personality through test construction: Development of the Multidimensional Personality Questionnaire. The SAGE handbook of personality theory and assessment. 2008; 2: 261-92.
25- Jolly JB, Dykman RA. Using self-report data to differentiate anxious and depressive symptoms in adolescents: Cognitive content specificityand global distress? Cognitive Therapy and Research. 1994; 18(1): 25-37.
26- Jolly JB, Dyck MJ, Kramer TA, Wherry JN. Integration of positive and negative affectivity and cognitive content-specificity: Improved discrimination of anxious and depressive symptoms. Journal of Abnormal Psychology. 1994; 103(3): 544.
27- Dyck MJ, Jolly JB, Kramer T. An evaluation of positive affectivity, negative affectivity, and hyperarousal as markers for assessing between syndrome relationships. Personality and Individual Differences. 1994; 17(5): 637-46.
28- Watson D, Clark LA. Negative affectivity: the disposition to experience aversive emotional states. Psychological bulletin. 1984; 96(3): 465.
29- Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of personality and social psychology. 1988; 54(6): 1063.
30- Clark LA, Watson D. Constructing validity: Basic issues in objective scale development. Psychological assessment. 1995; 7(3): 309.
31- Zinbarg RE, Barlow DH. Structure of anxiety and the anxiety disorders: a hierarchical model. Journal of Abnormal Psychology. 1996; 105(2): 181.
32- Barlow DH, Nock M, Hersen M. Single case experimental designs: Strategies for studying behavior for change. 2009.
33- Brown TA, Chorpita BF, Barlow DH. Structural relationships among dimensions of the DSM-IV anxiety and mood disorders and dimensions of negative affect, positive affect, and autonomic arousal. Journal of abnormal psychology. 1998; 107(2): 179.
34- Chorpita BF, Park A, Tsai K, Korathu-Larson P, Higa-McMillan CK, Nakamura BJ, et al. Balancing effectiveness with responsiveness: Therapist satisfaction across different treatment designs in the Child STEPs randomized effectiveness trial. Journal of Consulting and Clinical Psychology. 2015; 83(4): 709.
35- Hyman SE. The diagnosis of mental disorders: the problem of reification. Annual review of clinical psychology. 2010; 6: 155-79.
36- Becker KD, Boustani M, Gellatly R, Chorpita BF. Forty years of engagement research in children’s mental health services: Multidimensional measurement and practice elements. Journal of Clinical Child & Adolescent Psychology. 2018; 47(1): 1-23.
37- Spielberger CD, Gonzalez-Reigosa F, Martinez-Urrutia A, Natalicio LF, Natalicio DS. The state-trait anxiety inventory. Revista Interamericana de Psicologia/Interamerican Journal of Psychology. 2017; 5(3 & 4).
38- Reynolds CR, Richmond BO. What I think and feel: A revised measure of children's manifest anxiety. Journal of abnormal child psychology. 1997; 25(1): 15-20.
39- Ollendick TH. Reliability and validity of the revised fear survey schedule for children (FSSC-R). Behaviour research and therapy. 1983; 21(6): 685-92.
40- Kovacs M. Children's depression inventory: Manual: Multi-Health Systems. 1992.
41- Stark KD, Laurent J. Joint factor analysis of the children's depression inventory and the revised children's manifest anxiety scale. Journal of Clinical Child Psychology. 2001; 30(4): 552-67.
42- Lonigan CJ, Carey MP, Finch A. Anxiety and depression in children and adolescents: negative affectivity and the utility of self-reports. Journal of Consulting and Clinical Psychology. 1994; 62(5): 1000.
43- Muris P, Merckelbach H, Ollendick T, King N, Bogie N. Three traditional and three new childhood anxiety questionnaires: Their reliability and validity in a normal adolescent sample. Behaviour research and therapy. 2002; 40(7): 753-72.
44- Birmaher B, Khetarpal S, Brent D, Cully M, Balach L, Kaufman J, et al. The screen for child anxiety related emotional disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child & Adolescent Psychiatry. 1997; 36(4): 545-53.
45- Muris P, Steerneman P, Merckelbach H, Holdrinet I, Meesters C. Comorbid anxiety symptoms in children with pervasive developmental disorders. Journal of anxiety disorders. 1998; 12(4): 387-93.
46- Chorpita BF, Plummer CM, Moffitt CE. Relations of tripartite dimensions of emotion to childhood anxiety and mood disorders. Journal of abnormal child psychology. 2000; 28(3): 299-310.
47- Spence SH. Structure of anxiety symptoms among children: a confirmatory factor-analytic study. Journal of abnormal psychology. 1997; 106(2): 280.
48- Falk AE, Lee SS, Chorpita BF. Differential association of youth attention-deficit/hyperactivity disorder and anxiety with delinquency and aggression. Journal of Clinical Child & Adolescent Psychology. 2017; 46(5): 653-60.
49- de Ross RL, Gullone E, Chorpita BF. The revised child anxiety and depression scale: a psychometric investigation with Australian youth. Behaviour Change. 2002;19(2):90-101.
50- Tabachnick BG, Fidell LS. Using multivariate statistics: Allyn & Bacon/Pearson Education. 2007.
51- Chorpita BF, Daleiden EL, Moffitt C, Yim L, Umemoto LA. Assessment of tripartite factors of emotion in children and adolescents I: Structural validity and normative data of an affect and arousal scale. Journal of Psychopathology and Behavioral Assessment. 2000; 22(2): 141-60.
52- Bakhshipour Roodsari A, Dezhkam M, Mehryar A, Birashk B. Structural relations between the dimensions of anxiety and depression disorders and dimensions of the three-part model. Journal of Psychiatry and Clinical Psychology of Iran. 2004; 9(4): 63-76.
53- Mokhtarniya A, Zademohammadi A, M H. Confirmatory Factor Structure and Validity Confirmation of the Parent-Adolescent Conflict Questionnaire (Dowry Form). Chronicle of Transformational Psy: Iranian Psychologists. 2016; 12(48).
54- Li C-H. Confirmatory factor analysis with ordinal data: Comparing robust maximum likelihood and diagonally weighted least squares. Behavior Research Methods. 2016; 48(3): 936-49.
55- HA H. Structural Equation Modeling with LISREL. Tehran: Samt. 2014.
56- Chorpita BF. The tripartite model and dimensions of anxiety and depression: An examination of structure in a large school sample. Journal of Abnormal Child Psychology. 2002; 30(2): 177-90.
57- Joiner TE. A confirmatory factor-analytic investigation of the tripartite model of depression and anxiety in college students. Cognitive Therapy and Research. 1996; 20(5): 521-39.
58- Joiner Jr TE, Catanzaro SJ, Laurent J. Tripartite structure of positive and negative affect, depression, and anxiety in child and adolescent psychiatric inpatients. Journal of Abnormal Psychology. 1996; 105(3): 401.
59- Hall SM, Muñoz RF, Reus VI, Sees KL. Nicotine, negative affect, and depression. Journal of consulting and clinical psychology. 1993; 61(5): 761.
60- Sherrill JT, Kovacs M. Interview schedule for children and adolescents (ISCA). Journal of the American Academy of Child & Adolescent Psychiatry. 2000; 39(1): 67-75.