{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T21:05:09Z","timestamp":1793912709199,"version":"4.8.0"},"reference-count":32,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2014,5,22]],"date-time":"2014-05-22T00:00:00Z","timestamp":1400716800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"crossref","award":["K01MH093750"],"award-info":[{"award-number":["K01MH093750"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"crossref"}]},{"name":"VA Clinical Sciences Research and Development","award":["5I01CX000431-02"],"award-info":[{"award-number":["5I01CX000431-02"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>A large body of factor analytic research supports the idea that common mental disorders are organized along correlated latent dimensions termed internalizing and externalizing. Eating disorders (EDs) have been associated with both internalizing (mood and anxiety disorders) and externalizing (substance use, antisocial personality disorder) forms of psychopathology. Previous studies found that EDs are most strongly related to internalizing disorders. However, no previous factor analytic studies of EDs and the internalizing\/externalizing dimensions have evaluated if EDs align with these spectra similarly for men and women. We examined the location of anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED) symptoms within this model of psychopathology among a sample of veterans, a population traditionally understudied in EDs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Data were from two studies of veterans and their intimate partners (<jats:italic>N<\/jats:italic>\u2009=\u2009453 men and 307 women). Participants were administered the Structured Clinical Interview for DSM\u2010IV without skip\u2010outs. Lifetime symptom severity scores were used in confirmatory factor analytic models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A model with AN, BN, and BED symptoms loading onto the distress subfactor of the internalizing domain fit the data best in the full sample and the male and female subsamples. This model was statistically equivalent for men and women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>All three EDs loaded onto distress, indicating that these conditions overlap with psychopathology characterized by negative affect. Investigating latent dimensions of psychopathology is one approach to identifying common factors that partially account for patterns of comorbidity among psychiatric disorders, which may aid in translating research findings into clinical practice. \u00a9 2014 Wiley Periodicals, Inc. (Int J Eat Disord 2014; 47:860\u2013869)<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22300","type":"journal-article","created":{"date-parts":[[2014,5,22]],"date-time":"2014-05-22T08:14:37Z","timestamp":1400746477000},"page":"860-869","source":"Crossref","is-referenced-by-count":42,"title":["Association of eating disorder symptoms with internalizing and externalizing dimensions of psychopathology among men and women"],"prefix":"10.1002","volume":"47","author":[{"given":"Karen S.","family":"Mitchell","sequence":"first","affiliation":[{"name":"National Center for PTSD at VA Boston Healthcare System Boston Massachusetts"},{"name":"Department of Psychiatry Boston University School of Medicine Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika J.","family":"Wolf","sequence":"additional","affiliation":[{"name":"National Center for PTSD at VA Boston Healthcare System Boston Massachusetts"},{"name":"Department of Psychiatry Boston University School of Medicine Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Annemarie F.","family":"Reardon","sequence":"additional","affiliation":[{"name":"National Center for PTSD at VA Boston Healthcare System Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark W.","family":"Miller","sequence":"additional","affiliation":[{"name":"National Center for PTSD at VA Boston Healthcare System Boston Massachusetts"},{"name":"Department of Psychiatry Boston University School of Medicine Boston Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,5,22]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.psy.0000221254.77675.f5"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.biopsych.2006.03.040"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0024780"},{"key":"e_1_2_6_5_1","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1016\/S0191-8869(00)00106-9","article-title":"The higher\u2010order structure of common DSM mental disorders: Internalization, externalization, and their connections to personality","volume":"30","author":"Krueger RF","year":"2001","journal-title":"Personal Individ Differ"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0019189"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291712001092"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22097"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20625"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1994.03950010008002"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.1359"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwn366"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1991.01810270019002"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.166165"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.1152"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/mp.2012.113"},{"key":"e_1_2_6_17_1","unstructured":"WeathersF LitzB HermanD HuskaJ KeaneT.The PTSD Checklist (PCL): Reliability validity and diagnostic utility.Paper presented at the Annual Convention of the International Society for Traumatic Stress Studies San Antonio TX 1993."},{"key":"e_1_2_6_18_1","volume-title":"Structured Clinical Interview for DSM\u2010IV (SCID)","author":"First M","year":"1994"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2013.07.022"},{"key":"e_1_2_6_20_1","volume-title":"International Personality Disorder Examination: DSM\u2010IV and ICD\u201010 interviews","author":"Loranger AW","year":"1999"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1521\/pedi.1995.9.2.83"},{"key":"e_1_2_6_22_1","volume-title":"Released 2009. SPSS for Windows, version 18.0","author":"SPSS Inc.","year":"2009"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.ecolsys.28.1.341"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.2307\/271063"},{"key":"e_1_2_6_25_1","volume-title":"Confirmatory factor analysis for applied research","author":"Brown TA","year":"2006"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640260590893593"},{"key":"e_1_2_6_27_1","article-title":"The contribution of familial internalizing and externalizing liability factors to borderline personality disorder","author":"Hudson JI","journal-title":"Psychol Med"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eatbeh.2006.02.003"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2011.11.009"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2012.715512"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/jts.20303"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0019035"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2010.09091379"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Feat.22300","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.22300","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T20:47:47Z","timestamp":1696625267000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.22300"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,5,22]]},"references-count":32,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2014,12]]}},"alternative-id":["10.1002\/eat.22300"],"URL":"https:\/\/doi.org\/10.1002\/eat.22300","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,5,22]]}}}