Evidence map›Paper›PMID 25360393›Full record

ArticleClinical psychological science : a journal of the Association for Psychological Science2014

The p Factor: One General Psychopathology Factor in the Structure of Psychiatric Disorders?

Avshalom Caspi, Renate M Houts, Daniel W Belsky, Sidra J Goldman-Mellor, HonaLee Harrington, Salomon Israel, Madeline H Meier, Sandhya Ramrakha, Idan Shalev, Richie Poulton and 1 more

Abstract read
In one paragraph

Article in Clinical psychological science : a journal of the Association for Psychological Science, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1,059 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1,059citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1,059 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
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  7. Review
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  16. Granularity of Emotions in Brain and Behavior and Resilience to Childhood Violence Exposure.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2026
    Article
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  18. Childhood Trauma and Aggression: The Role of Epistemic Trust.Journal of child & adolescent trauma · 2026
    Article
  19. Article
  20. Article

999 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Avshalom CaspiDepartment of Psychology and Neuroscience, Duke University ; Institute for Genome Sciences and Policy, Duke University ; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center ; Social, Genetic, and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London.
Renate M HoutsDepartment of Psychology and Neuroscience, Duke University.
Daniel W BelskyCenter for the Study of Aging and Human Development, Duke University Medical Center.
Sidra J Goldman-MellorCenter for Developmental Science, University of North Carolina at Chapel Hill.
HonaLee HarringtonDepartment of Psychology and Neuroscience, Duke University.
Salomon IsraelDepartment of Psychology and Neuroscience, Duke University.
Madeline H MeierDepartment of Psychology and Neuroscience, Duke University.
Sandhya RamrakhaDunedin Multidisciplinary Health and Development Research Unit, Department, of Preventive and Social Medicine, School of Medicine, University of Otago.
Idan ShalevDepartment of Psychology and Neuroscience, Duke University.
Richie PoultonDunedin Multidisciplinary Health and Development Research Unit, Department, of Preventive and Social Medicine, School of Medicine, University of Otago.
Terrie E MoffittDepartment of Psychology and Neuroscience, Duke University ; Institute for Genome Sciences and Policy, Duke University ; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center ; Social, Genetic, and Developmental Psychiatry Centre, Institute of Psychiatry, King's College London.

Funding

TRANSLATION AND DISSEMINATION COREP30DA023026 · NIDA · DUKE UNIVERSITY · PI HOYLE, RICK · 2008 to 2023
$19.6M
Is mental disorder a preventable cause of age-related disease? The Dunedin Study.R01AG032282 · NIA · DUKE UNIVERSITY · PI CASPI, AVSHALOM, MOFFITT, TERRIE E · 2009 to 2025
$9.5M
BEHAVIOR AND PHYSIOLOGY IN AGINGT32AG000029 · NIA · DUKE UNIVERSITY · PI Maria Marquine · 1985 to 2026
$9.3M
Human Development: Interdisiplinary Research TrainingT32HD007376 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BELGER, AYSENIL, PROPPER, CATHI BARBRA · 1988 to 2020
$8.0M
Social Inequality and Children's Mental HealthR01HD061298 · NICHD · DUKE UNIVERSITY · PI CASPI, AVSHALOM · 2009 to 2012
$478k
Medical Research Council MR/K00381X/1NIA NIH HHS R01 AG032282NIA NIH HHS T32 AG000029NICHD NIH HHS R01 HD061298NICHD NIH HHS T32 HD007376NIDA NIH HHS P30 DA023026
6 · The paper itself

Abstract

Mental disorders traditionally have been viewed as distinct, episodic, and categorical conditions. This view has been challenged by evidence that many disorders are sequentially comorbid, recurrent/chronic, and exist on a continuum. Using the Dunedin Multidisciplinary Health and Development Study, we examined the structure of psychopathology, taking into account dimensionality, persistence, co-occurrence, and sequential comorbidity of mental disorders across 20 years, from adolescence to midlife. Psychiatric disorders were initially explained by three higher-order factors (Internalizing, Externalizing, and Thought Disorder) but explained even better with one General Psychopathology dimension. We have called this dimension the p factor because it conceptually parallels a familiar dimension in psychological science: the g factor of general intelligence. Higher p scores are associated with more life impairment, greater familiality, worse developmental histories, and more compromised early-life brain function. The p factor explains why it is challenging to find causes, consequences, biomarkers, and treatments with specificity to individual mental disorders. Transdiagnostic approaches may improve research.

Indexed as

developmental psychopathologyDSMpsychiatric epidemiology

Identifiers

PMID25360393
PMCPMC4209412

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.