Department of Psychology.
Mind Research Network.
Psychol Assess. 2022 Oct;34(10):912-922. doi: 10.1037/pas0001161. Epub 2022 Jul 18.
Externalizing traits are extremely costly for society and disproportionately prevalent among incarcerated individuals. The Hierarchical Taxonomy of Psychopathology (HiTOP) is an empirically derived classification system that approaches psychopathology dimensionally and was developed in response to critiques of current diagnostic classification systems. The Externalizing Spectrum Inventory-100 item version (ESI-100) is an assessment of externalizing problems that fits within the HiTOP framework and characterizes dimensional externalizing traits. The present study aimed to replicate prior research examining the convergent validity of the ESI Total Score by examining associations with psychopathy, conduct disorder, and substance use among incarcerated males. A total of 1,808 participants had ESI-100 data, although sample sizes across criterion measures varied. The majority of results replicated relationships between the ESI 159-item version and externalizing disorders and negative emotionality. Less is known about the dimensional relationships between externalizing traits as measured by the ESI-100 and internalizing disorders and symptoms, and other correlates of externalizing. The study extended previous results by examining associations between the ESI-100 and internalizing disorders, impulsivity, childhood trauma, and emotion regulation (ER) as a test of discriminant validity. Analyses revealed associations between the ESI-100 and childhood trauma, impulsivity, emotion regulation difficulties, and symptoms (but not diagnoses) of internalizing disorders. These results enhance our understanding of dimensional traits of externalizing and suggest nuanced relationships between externalizing and internalizing traits. Results have important implications (e.g., transdiagnostic treatment targets) for treatment of mental health disorders by highlighting the importance of cross-diagnostic treatment approaches. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
外化特质对社会造成极大的负担，且在被监禁的个体中尤为常见。精神病理学的层级分类（HiTOP）是一种基于经验的分类系统，从维度上研究精神病理学，并针对当前诊断分类系统的批评做出回应。外化谱量表-100 项版本（ESI-100）是一种评估外化问题的量表，它符合 HiTOP 框架，并描述了维度上的外化特质。本研究旨在通过检验与监禁男性的精神变态、品行障碍和物质使用的相关性，复制先前研究检验 ESI 总分的聚合效度的研究。共有 1808 名参与者有 ESI-100 数据，尽管各准则测量的样本量不同。大多数结果复制了 ESI159 项版本与外化障碍和负性情绪之间的关系。对于 ESI-100 测量的外化特质与内化障碍和其他外化相关因素之间的维度关系，了解较少。该研究通过检验 ESI-100 与内化障碍、冲动性、儿童创伤和情绪调节（ER）之间的关联，扩展了先前的结果，以检验区分效度。分析显示，ESI-100 与儿童创伤、冲动性、情绪调节困难和内化障碍的症状（但不是诊断）之间存在关联。这些结果增强了我们对外化维度特质的理解，并表明外化和内化特质之间存在微妙的关系。这些结果通过强调跨诊断治疗方法的重要性，对心理健康障碍的治疗具有重要意义（例如，跨诊断治疗目标）。（PsycInfo 数据库记录（c）2022 APA，保留所有权利）。
