{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T16:37:30Z","timestamp":1793378250012,"version":"4.5.0"},"reference-count":69,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2022,8,24]],"date-time":"2022-08-24T00:00:00Z","timestamp":1661299200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["U01MH090301"],"award-info":[{"award-number":["U01MH090301"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000874","name":"Brain and Behavior Research Foundation","doi-asserted-by":"publisher","award":["28566"],"award-info":[{"award-number":["28566"]}],"id":[{"id":"10.13039\/100000874","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Psychol. Med."],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S003329172200246X_sec_a1\"><jats:title>Background<\/jats:title><jats:p>Preschool psychiatric symptoms significantly increase the risk for long-term negative outcomes. Transdiagnostic hierarchical approaches that capture general (\u2018p\u2019) and specific psychopathology dimensions are promising for understanding risk and predicting outcomes, but their predictive utility in young children is not well established. We delineated a hierarchical structure of preschool psychopathology dimensions and tested their ability to predict psychiatric disorders and functional impairment in preadolescence.<\/jats:p><\/jats:sec><jats:sec id=\"S003329172200246X_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Data for 1253 preschool children (mean age = 4.17, <jats:sc>s.d.<\/jats:sc> = 0.81) were drawn from three longitudinal studies using a similar methodology (one community sample, two psychopathology-enriched samples) and followed up into preadolescence, yielding a large and diverse sample. Exploratory factor models derived a hierarchical structure of general and specific factors using symptoms from the Preschool Age Psychiatric Assessment interview. Longitudinal analyses examined the prospective associations of preschool <jats:italic>p<\/jats:italic> and specific factors with preadolescent psychiatric disorders and functional impairment.<\/jats:p><\/jats:sec><jats:sec id=\"S003329172200246X_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>A hierarchical dimensional structure with a <jats:italic>p<\/jats:italic> factor at the top and up to six specific factors (distress, fear, separation anxiety, social anxiety, inattention-hyperactivity, oppositionality) emerged at preschool age. The <jats:italic>p<\/jats:italic> factor predicted all preadolescent disorders (\u0394<jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup> = 0.04\u20130.15) and functional impairment (\u0394<jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup> = 0.01\u20130.07) to a significantly greater extent than preschool psychiatric diagnoses and functioning. Specific dimensions provided additional predictive power for the majority of preadolescent outcomes (disorders: \u0394<jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup> = 0.06\u20130.15; functional impairment: \u0394<jats:italic>R<\/jats:italic><jats:sup>2<\/jats:sup> = 0.05\u20130.12).<\/jats:p><\/jats:sec><jats:sec id=\"S003329172200246X_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusions<\/jats:title><jats:p>Both general and specific dimensions of preschool psychopathology are useful for predicting clinical and functional outcomes almost a decade later. These findings highlight the value of transdiagnostic dimensions for predicting prognosis and as potential targets for early intervention and prevention.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s003329172200246x","type":"journal-article","created":{"date-parts":[[2022,8,24]],"date-time":"2022-08-24T03:43:01Z","timestamp":1661312581000},"page":"5405-5414","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":11,"title":["Do general and specific factors of preschool psychopathology predict preadolescent outcomes? A transdiagnostic hierarchical approach"],"prefix":"10.1017","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0887-7582","authenticated-orcid":false,"given":"Giorgia","family":"Michelini","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"Gair","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Tian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaju","family":"Miao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lea R.","family":"Dougherty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon L.","family":"Goldstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leigha 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Author(s), 2022. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}