ArticleJournal of abnormal psychology2016
A comparison and integration of structural models of depression and anxiety in a clinical sample: Support for and validation of the tri-level model.
Article in Journal of abnormal psychology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed.
- Positive affect treatment targets reward sensitivity: A randomized controlled trial.Journal of consulting and clinical psychology · 2023Trial
- Low Reward and Heightened Threat Neural Activity are Both Associated with Heightened Anhedonia: A Transdiagnostic Perspective.Research square · 2026Article
- Computational Modelling Reveals Slower Safety Learning and Threat Extinction are Associated With Higher Anxiety Severity in Remote Fear Conditioning.Computational psychiatry (Cambridge, Mass.) · 2026Article
- Everyday Discrimination and Trajectories of Transdiagnostic Symptoms of Depression and Anxiety among Young Adults During the COVID-19 Pandemic.Stigma and health · 2024Article
- Transdiagnostic symptom of depression and anxiety associated with reduced gray matter volume in prefrontal cortex.Psychiatry research. Neuroimaging · 2024Article
- Changes in positive and negative affect in psychotherapy for depression and anxiety.Journal of consulting and clinical psychology · 2024Article
- Differential role of fusiform gyrus coupling in depressive and anxiety symptoms during emotion perception.Social cognitive and affective neuroscience · 2024Article
- Broadening the scope: Multiple functional connectivity networks underlying threat conditioning and extinction.Imaging neuroscience (Cambridge, Mass.) · 2024Article
- The Symptom Structure and Causal Relationships of Comorbid Anxiety and Depression Among Chinese Primary and Middle School Teachers: A Network Analysis.Psychology research and behavior management · 2024Article
- The Role of Positive and Negative Aspects of Life Events in Depressive and Anxiety Symptoms.Clinical psychological science : a journal of the Association for Psychological Science · 2023Article
- Personality predicts pre-COVID-19 to COVID-19 trajectories of transdiagnostic anxiety and depression symptoms.Journal of psychopathology and clinical science · 2023Article
- Perseverative thinking is associated with features of spoken language.Behaviour research and therapy · 2023Article
- Longitudinal associations among dimensional symptoms of depression and anxiety and first onset suicidal ideation in adolescents.Suicide & life-threatening behavior · 2023Article
- Association between reward-related functional connectivity and tri-level mood and anxiety symptoms.NeuroImage. Clinical · 2023Article
- Individual differences in threat and reward neural circuitry activation: Testing dimensional models of early adversity, anxiety and depression.The European journal of neuroscience · 2022Article
- Network analysis of depressive and anxiety symptoms in adolescents during and after the COVID-19 outbreak peak.Journal of affective disorders · 2022Article
- Examining the dimensionality of anxiety and depression: A latent profile approach to modeling transdiagnostic features.Journal of psychopathology and behavioral assessment · 2022Article
- The relationship between resilience, anxiety, and depression in Chinese collegiate athletes.Frontiers in psychology · 2022Article
- The clinical characterization of the adult patient with an anxiety or related disorder aimed at personalization of management.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2021Article
- Cigarette use, anxiety, and insomnia from adolescence to early adulthood: A longitudinal indirect effects test.Addictive behaviors · 2021Article
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4 authors.
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Abstract
Prominent structural models of depression and anxiety arise from 2 traditions: (a) the tripartite/integrative hierarchical model based on symptom dimensions, and (b) the fear/anxious-misery model based on diagnostic comorbidity data. The tri-level model of depression and anxiety was developed to synthesize these structural models, postulating that narrow (disorder-specific), intermediate (fear and anxious-misery), and broad (general distress) structural factors are needed to most fully account for covariation among these symptoms. Although this model has received preliminary support (Prenoveau et al., 2010), the current study compares it with the above established models and seeks to validate the best-fitting structure. We evaluated the tri-level model and alternative structural models in a large clinical sample (N = 1,000) using bifactor analysis. In exploratory and confirmatory subsamples, the tri-level model provided a good fit to the data and each of the 3 levels (narrow, intermediate, and broad) accounted for substantial variance; this model provided a superior fit relative to more parsimonious competing structural models. Furthermore, impairment was independently associated with all 3 levels of the tri-level model, comorbidity was most closely linked to the broad tri-level dimensions, and the factors generally showed the expected convergent/discriminant associations with diagnoses. Results suggested several revisions to prior research: (a) worry may be best modeled at the broadest structural level, rather than as an indicator of anxious-misery or fear; (b) social interaction anxiety may belong with anxious-misery, rather than fear; and (c) obsessive-compulsive disorder is generally associated with fear disorders, but hoarding is associated with both fear and anxious-misery. (PsycINFO Database Record
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