{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T01:14:49Z","timestamp":1792804489379,"version":"4.5.0"},"reference-count":43,"publisher":"MDPI AG","issue":"16","license":[{"start":{"date-parts":[[2021,8,4]],"date-time":"2021-08-04T00:00:00Z","timestamp":1628035200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Plan Estatal de I+D+I 2017-2020 and co-funded by the \u201cISCIII-Subdirecci\u00f3n General de Evaluaci\u00f3n y Fomento de la investigaci\u00f3n del Fondo Europeo de Desarrollo Regional (FEDER). Otra manera de hacer Europa.","award":["PI20\/00697"],"award-info":[{"award-number":["PI20\/00697"]}]},{"name":"Gobierno de Arag\u00f3n and FEDER 2014-2020 \u201cConstruyendo Europa desde Arag\u00f3n\u201d","award":["Research team S31_20D"],"award-info":[{"award-number":["Research team S31_20D"]}],"id":[{"id":"https:\/\/ror.org\/0425pg203","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The current diagnostic systems for mental health disorders are categorical, which, it has been argued, poorly reflect the reality of mental health problems. This is especially relevant in emotional disorders (EDs), especially due to the existing comorbidity between supposedly different disorders. To address this, Brown and Barlow developed a hybrid dimensional\u2212categorical approach to EDs that can be evaluated with the Multidimensional Emotional Disorder Inventory (MEDI), a transdiagnostic self-report questionnaire. This study aims to adapt and explore the sources of validity evidence of the MEDI in a non-clinical sample of Spanish university students (n = 455). Two confirmatory analyses were performed: one with a four-dimensional structure obtained with an exploratory analysis and another with the original nine-dimensional structure of the MEDI. The latter obtained a better fit. The descriptive data, including percentiles, T-scores, and sex differences in total scores are also provided, together with sources of validity evidence. These revealed significant moderate interrelations between factors and with related measures (e.g., personality, depression, and anxiety). This study adapted the MEDI for use in Spanish, provides further support about its factor structure, and offers novel data about its validity sources. The MEDI makes the evaluation of dimensional and transdiagnostic models easier, which might be fundamental in present and future research and clinical practice.<\/jats:p>","DOI":"10.3390\/ijerph18168251","type":"journal-article","created":{"date-parts":[[2021,8,4]],"date-time":"2021-08-04T08:47:52Z","timestamp":1628066872000},"page":"8251","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Validity Evidence of the Multidimensional Emotional Disorders Inventory among Non-Clinical Spanish University Students"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7293-318X","authenticated-orcid":false,"given":"Jorge","family":"Osma","sequence":"first","affiliation":[{"name":"Departamento de Psicolog\u00eda y Sociolog\u00eda, Universidad de Zaragoza, 44003 Teruel, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria de Arag\u00f3n, 50009 Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0403-5273","authenticated-orcid":false,"given":"V\u00edctor","family":"Mart\u00ednez-Loredo","sequence":"additional","affiliation":[{"name":"Departamento de Psicolog\u00eda y Sociolog\u00eda, Universidad de Zaragoza, 44003 Teruel, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria de Arag\u00f3n, 50009 Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alba","family":"Quilez-Orden","sequence":"additional","affiliation":[{"name":"Departamento de Psicolog\u00eda y Sociolog\u00eda, Universidad de Zaragoza, 44003 Teruel, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria de Arag\u00f3n, 50009 Zaragoza, Spain"},{"name":"Unidad de Salud Mental Moncayo, 50500 Tarazona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2437-1207","authenticated-orcid":false,"given":"\u00d3scar","family":"Peris-Baquero","sequence":"additional","affiliation":[{"name":"Departamento de Psicolog\u00eda y Sociolog\u00eda, Universidad de Zaragoza, 44003 Teruel, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria de Arag\u00f3n, 50009 Zaragoza, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2655-1017","authenticated-orcid":false,"given":"Carlos","family":"Suso-Ribera","sequence":"additional","affiliation":[{"name":"Departamento de Psicolog\u00eda B\u00e1sica, Cl\u00ednica y Psicobiolog\u00eda, Universitat Jaume I, 12071 Castell\u00f3n de la Plana, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,8,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Association. [5th ed.].","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_2","unstructured":"World Health Organization (2018). International Statistical Classification of Diseases and Related Health Problems, World Health Organization. [11th ed.]."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1016\/j.cbpra.2019.11.001","article-title":"Dimensional Assessment of Emotional Disorder Outcomes in Transdiagnostic Treatment: A Clinical Case Study","volume":"27","author":"Boettcher","year":"2020","journal-title":"Cogn. Behav. Pract."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1177\/2167702613505532","article-title":"The Nature, Diagnosis, and Treatment of Neuroticism: Back to the Future","volume":"2","author":"Barlow","year":"2014","journal-title":"Clin. Psychol. Sci."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1111\/cpsp.12063","article-title":"The case for borderline personality disorder as an emotional disorder: Implications for treatment","volume":"21","author":"Barlow","year":"2014","journal-title":"Clin. Psychol. Sci. Pract."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1037\/pas0000649","article-title":"The Multidimensional Emotional Disorder Inventory (MEDI): Assessing transdiagnostic dimensions to validate a profile approach to emotional disorder classification","volume":"31","author":"Rosellini","year":"2019","journal-title":"Psychol. Assess."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"110","DOI":"10.5127\/pr.036014","article-title":"A Transdiagnostic Temperament-Phenotype Profile Approach to Emotional Disorder Classification: An Update","volume":"2","author":"Rosellini","year":"2015","journal-title":"Psychopathol. Rev."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1176\/appi.ajp.2010.09091379","article-title":"Research domain criteria (RDoC): Toward a new classification framework for research on mental disorders","volume":"167","author":"Insel","year":"2010","journal-title":"Am. J. Psychiatry"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"454","DOI":"10.1037\/abn0000258","article-title":"The Hierarchical Taxonomy of Psychopathology (HiTOP): A dimensional alternative to traditional nosologies","volume":"126","author":"Kotov","year":"2017","journal-title":"J. Abnorm. Psychol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1037\/a0016608","article-title":"A Proposal for a Dimensional Classification System Based on the Shared Features of the DSM-IV Anxiety and Mood Disorders: Implications for Assessment and Treatment","volume":"21","author":"Brown","year":"2009","journal-title":"Psychol. Assess."},{"key":"ref_11","unstructured":"World Health Organization (2017). Depression and Other Common Mental Disorders: Global Health Estimates, World Health Organization."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.1016\/S0140-6736(20)31404-5","article-title":"Five insights from the Global Burden of Disease Study 2019","volume":"396","author":"Murray","year":"2020","journal-title":"Lancet"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1080\/03069880600942624","article-title":"Measuring, monitoring and managing the psychological well-being of first year university students","volume":"34","author":"Cooke","year":"2006","journal-title":"Br. J. Guid. Counc."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"2955","DOI":"10.1017\/S0033291716001665","article-title":"Mental disorders among college students in the World Health Organization world mental health surveys","volume":"46","author":"Auerbach","year":"2016","journal-title":"Psychol. Med."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"400","DOI":"10.1002\/da.22461","article-title":"Psychological treatment of depression in college students: A metaanalysis","volume":"33","author":"Cuijpers","year":"2016","journal-title":"Depress. Anxiety"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/j.jpsychires.2012.11.015","article-title":"A systematic review of studies of depression prevalence in university students","volume":"47","author":"Ibrahim","year":"2013","journal-title":"J. Psychiatr. Res."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.beth.2020.01.010","article-title":"Unified Protocol for the Transdiagnostic Prevention of Emotional Disorders: Evaluation of a Brief, Online Course for College Freshmen","volume":"52","author":"Tirpak","year":"2021","journal-title":"Behav. Ther."},{"key":"ref_18","unstructured":"Osma, J., Mart\u00ednez-Loredo, V., D\u00edaz-Garc\u00eda, A., Quilez-Orden, A., and Peris-Baquero, \u00d3. Validity Evidence of the Overall Anxiety and Depression Severity and Impairment Scales among Spanish University Students, pre-print, under review."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Costa, P.T., and McCrae, R.R. (1999). Revised NEO Personality Inventory (NEO-PI-R) and NEO Five-Factor Inventory (NEO-FFI), TEA Ediciones.","DOI":"10.1037\/10520-172"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1037\/1040-3590.19.2.176","article-title":"Robust dimensions of anxiety sensitivity: Development and initial validation of the Anxiety Sensitivity Index-3","volume":"19","author":"Taylor","year":"2007","journal-title":"Psychol. Assess."},{"key":"ref_21","first-page":"91","article-title":"ASI-3: Nueva escala para la evaluaci\u00f3n de la sensibilidad a la ansiedad","volume":"12","author":"Valiente","year":"2007","journal-title":"Rev. Psicopatol. Psicol. Clin."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1177\/0146167283093007","article-title":"A Brief Version of the Fear of Negative Evaluation Scale","volume":"9","author":"Leary","year":"1983","journal-title":"Personal. Soc. Psychol. Bull."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1017\/S1138741600002626","article-title":"Brief version of the fear of negative evaluation scale\u2014Straightforward items (BFNE-S): Psychometric properties in a Spanish population","volume":"13","author":"Pitarch","year":"2010","journal-title":"Span. J. Psychol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1016\/0005-7967(94)00075-U","article-title":"The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories","volume":"33","author":"Lovibond","year":"1995","journal-title":"Behav. Res. Ther."},{"key":"ref_25","first-page":"679","article-title":"Psychometric properties of the Spanish version of depression, anxiety and stress scales (DASS)","volume":"17","author":"Bados","year":"2005","journal-title":"Psicothema"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1037\/1040-3590.14.4.485","article-title":"The Obsessive-Compulsive Inventory: Development and validation of a short version","volume":"14","author":"Foa","year":"2002","journal-title":"Psychol. Assess."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"893","DOI":"10.1016\/j.janxdis.2004.10.004","article-title":"Psychometric properties of the Spanish version of the Obsessive\u2013Compulsive Inventory\u2014Revised in a non-clinical sample","volume":"19","author":"Fullana","year":"2005","journal-title":"J. Anxiety Disord."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1017\/S0033291796004229","article-title":"Assessment of a new self-rating scale for post-traumatic stress disorder","volume":"27","author":"Davidson","year":"1997","journal-title":"Psychol. Med."},{"key":"ref_29","first-page":"207","article-title":"Evaluaci\u00f3n de las propiedades psicom\u00e9tricas de la versi\u00f3n espa\u00f1ola de cinco cuestionarios para la evaluaci\u00f3n del trastorno de estr\u00e9s postraum\u00e1tico","volume":"28","author":"Bobes","year":"2000","journal-title":"Actas Esp. Psiquiatr."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1037\/a0034473","article-title":"The brief experiential avoidance questionnaire: Development and initial validation","volume":"26","author":"Chmielewski","year":"2014","journal-title":"Psychol. Assess."},{"key":"ref_31","first-page":"335","article-title":"Validation of a Spanish version of the Brief Experiential Avoidance Questionnaire (BEAQ) in clinical population","volume":"31","year":"2019","journal-title":"Psicothema"},{"key":"ref_32","unstructured":"(2017). Qualtrics, Qualtrics. Computer Program."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1080\/15305058.2017.1398166","article-title":"ITC Guidelines for Translating and Adapting Tests (Second Edition)","volume":"18","author":"Commission","year":"2018","journal-title":"Int. J. Test."},{"key":"ref_34","unstructured":"Muth\u00e9n, L.K., and Muth\u00e9n, B.O. (2010). Growth modeling with latent variable using Mplus: Advanced growth models, survival analysis and missing data. Mplus Short Courses, Available online: https:\/\/citeseerx.ist.psu.edu\/viewdoc\/download?doi=10.1.1.508.8237&rep=rep1&type=pdf."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1037\/a0023353","article-title":"Dimensionality assessment of ordered polytomous items with parallel analysis","volume":"16","author":"Timmerman","year":"2011","journal-title":"Psychol. Methods"},{"key":"ref_36","first-page":"34","article-title":"Modelos de ecuaciones estructurales","volume":"31","author":"Ruiz","year":"2010","journal-title":"Pap. Psic\u00f3l."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1080\/10705519909540118","article-title":"Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives","volume":"6","author":"Hu","year":"2009","journal-title":"Struct. Equ. Model."},{"key":"ref_38","doi-asserted-by":"crossref","unstructured":"Fried, E.I., and de Beurs, E. (2021, May 19). From Mandating Common Measures to Mandating Common Metrics: A Plea to Harmonize Measurement Results (Pre-Print, Under Review). Available online: https:\/\/europepmc.org\/article\/ppr\/ppr321865.","DOI":"10.31234\/osf.io\/m4qzb"},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1177\/1073191110382848","article-title":"The NEO Five-Factor Inventory: Latent structure and relationships with dimensions of anxiety and depressive disorders in a large clinical sample","volume":"18","author":"Rosellini","year":"2011","journal-title":"Assessment"},{"key":"ref_40","first-page":"639","article-title":"The Spanish Norms of the neo Five-Factor Inventory: New Data and Analyses for its Improvement","volume":"4","author":"Manga","year":"2004","journal-title":"Int. J. Psychol. Psychol. Ther."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1177\/1073191112460273","article-title":"Measurement Invariance of the Beck Depression Inventory-Second Edition (BDI-II) Across Gender, Race, and Ethnicity in College Students","volume":"20","author":"Whisman","year":"2013","journal-title":"Assessment"},{"key":"ref_42","unstructured":"Instituto Nacional de Estad\u00edstica Graduados Seg\u00fan Nivel Educativo (2020). Pruebas de Acceso a la Universidad. Estudiantes Matriculados en Educaci\u00f3n Universitaria, Instituto Nacional de Estad\u00edstica Graduados seg\u00fan nivel educativo."},{"key":"ref_43","doi-asserted-by":"crossref","unstructured":"Barlow, D.H., Farchione, T.J., Sauer-Zavala, S., Murray-Latin, H., Ellard, K.K., Bullis, J.R., Bentley, K.H., Boettcher, H.T., and Cassiello-Robbins, C. (2018). Unified Protocol for Transdiagnostic Treatment of Emotional Disorders: Therapist Guide, Oxford University Press. 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