Day 23 - P-factor Flashcards
In psychopathology, risk factors are largely ____
nonspecific
Genetic risk for psychopathology is (specific/general)
BOTH specific and general
(T/F) risk factors either increase risk for specific dimensions of psychopathology OR general psychopathology
FALSE, same risk factor can be both
(homotypic/heterotypic) continuity is most common in psychopathology
heterotypic
(T/F) the disorders people are diagnosed with tend to be the same over time
FALSE, lots of change over time
What is a correlated factors model of psychopathology?
- diff domains are simply associated w each other
- no “p” in this type of model
What is a hierarchical model of psychopathology?
- different domains of psychopathology cause specific disorders
- higher-order factor causes different domains
- higher-order factor indirectly causes specific disorders
What is “p”?
- hypothetical construct
- underlying vulnerability
- probably index of impairment/severity
- everyone has some degree of p
- think “g” factor in intelligence theories
What type of model is the HiTOP?
hierarchical-dimensional model (most used)
What is a bifactor model of psychopathology?
- specific factors cause specific disorders
- general psychopathology also DIRECTLY causes disorders
- top-down and bottom-up
- supported by research indicating lots of change in diagnoses over time
Why don’t we know what p is?
- empirically based (result of statistical modeling, not directly observed)
What are 4 challenges to the idea of the p factor?
- symptom networks (idea that symptoms across diff disorders cause each other, no underlying p that explains everything)
- p might be a common result (arrows go the other way)
- doesn’t fit with disorders like ASD (high homotypic continuity, high comorbidity but doesn’t morph into other disorders)
- ability of p to “explain” each disorder varies a lot across studies
What are the implications of p on aging?
- if p is real and we can intervene on it, we can improve all functioning and aging!
What is transdiagnostic treatment?
- tx underlying difficulties that occur across many disorders
What are 2 examples of transdiagnostic treatments and what evidence do we have for them?
- UP-CA (Unified Protocol Child+Teen V): moderate to large effects for anxiety and depression, most evidence for internalizing symptoms
- Match-ADTC (modular tx for Anxiety, Depression, Trauma, Conduct Problems): pick a starting point and follow flowchart to address all problem areas
