Evidence map›Paper›PMID 32931100›Full record

ArticleWorld psychiatry : official journal of the World Psychiatric Association (WPA)2020

Testing structural models of psychopathology at the genomic level.

Irwin D Waldman, Holly E Poore, Justin M Luningham, Jingjing Yang

Abstract read
In one paragraph

Article in World psychiatry : official journal of the World Psychiatric Association (WPA), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed
7.7field-weighted citation impact, top 2% of its field
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

50 citing papers in PubMed, 68 citations in OpenAlex.

  1. Article
  2. Network analysis of the genetic relationships between twenty psychiatric and substance use disorders.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026
    Article
  3. Article
  4. The MAPme Project: Implementing a College-Based Study of Substance Use and Mental Wellness.International journal of environmental research and public health · 2026
    Article
  5. Advancing clinical psychology with improved doctoral training in science.Training and education in professional psychology · 2026
    Article
  6. Article
  7. The typology of common psychiatric disorders as depicted by genetic maps: a study based on Swedish population-based registers.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026
    Article
  8. Child and adolescent psychiatry: challenges, solutions, opportunities, and future directions.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. The nosology of addiction as a medical condition: a concise history and review of contemporary perspectives.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  15. A Multivariate Genomic Investigation of the Externalizing Spectrum and Suicide Risk.medRxiv : the preprint server for health sciences · 2025
    Article
  16. Article
  17. Article
  18. Research Review: A review of the past decade of family and genomic studies on adolescent mental health.Journal of child psychology and psychiatry, and allied disciplines · 2025
    Review
  19. Article
  20. Article
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

4 authors at 2 institutions in 1 country.

Irwin D WaldmanDepartment of Psychology, Emory University, Atlanta, GA, USA.
Holly E PooreDepartment of Psychology, Emory University, Atlanta, GA, USA.
Justin M LuninghamDepartment of Population Health Sciences, Georgia State University, Atlanta, GA, USA.
Jingjing YangDepartment of -Human Genetics, Emory University School of Medicine, Atlanta, GA, USA.
Emory University · USGeorgia State University · US

Funding

Novel Bayesian statistical tools for integrating multi-omics data to help elucidate the genomic etiology of complex phenotypesR35GM138313 · NIGMS · EMORY UNIVERSITY · PI YANG, JINGJING · 2020 to 2024
$1.9M
NIGMS NIH HHS R35 GM138313
6 · The paper itself

Abstract

Genome-wide association studies (GWAS) have revealed hundreds of genetic loci associated with the vulnerability to major psychiatric disorders, and post-GWAS analyses have shown substantial genetic correlations among these disorders. This evidence supports the existence of a higher-order structure of psychopathology at both the genetic and phenotypic levels. Despite recent efforts by collaborative consortia such as the Hierarchical Taxonomy of Psychopathology (HiTOP), this structure remains unclear. In this study, we tested multiple alternative structural models of psychopathology at the genomic level, using the genetic correlations among fourteen psychiatric disorders and related psychological traits estimated from GWAS summary statistics. The best-fitting model included four correlated higher-order factors - externalizing, internalizing, thought problems, and neurodevelopmental disorders - which showed distinct patterns of genetic correlations with external validity variables and accounted for substantial genetic variance in their constituent disorders. A bifactor model including a general factor of psychopathology as well as the four specific factors fit worse than the above model. Several model modifications were tested to explore the placement of some disorders - such as bipolar disorder, obsessive-compulsive disorder, and eating disorders - within the broader psychopathology structure. The best-fitting model indicated that eating disorders and obsessive-compulsive disorder, on the one hand, and bipolar disorder and schizophrenia, on the other, load together on the same thought problems factor. These findings provide support for several of the HiTOP higher-order dimensions and suggest a similar structure of psychopathology at the genomic and phenotypic levels.

Indexed as

externalizingGenome-wide association studies (GWAS)Hierarchical Taxonomy of Psychopathology (HiTOP)internalizingneurodevelopmental disorderspsychiatric disorderspsy-chological traitsthought problems

Identifiers

PMID32931100
PMCPMC7491626
OpenAlexW3087697844

What OpenQuestion holds

Textmetadata
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.