Judgments of impairment and distress associated with symptoms of internalizing and externalizing disorders
Titel:
Judgments of impairment and distress associated with symptoms of internalizing and externalizing disorders
Auteur:
Howell, Andrew J. Watson, David C.
Verschenen in:
Anxiety, stress and coping
Paginering:
Jaargang 21 (2008) nr. 2 pagina's 143-154
Jaar:
2008-04
Inhoud:
The pattern of dysfunction (i.e. impairment vs. distress) judged to be associated with disorders empirically identified by Krueger, Caspi, Moffitt and Silva (1998) as internalizing (e.g. major depressive episode; agoraphobia) was compared to the pattern characterizing disorders classified as externalizing (e.g. antisocial personality disorder; alcohol dependence). In Study 1, lay raters (N=270) judged the social impairment, occupational impairment, and personal distress associated with symptoms of seven internalizing and four externalizing disorders. As predicted, symptoms composing internalizing disorders were perceived as involving a greater degree of distress, and a lesser degree of impairment, relative to symptoms composing externalizing disorders. In Study 2, conducted with a small sample of clinician judges (N=21), symptoms composing internalizing disorders were again judged as involving a greater degree of distress (but, in this case, not a lesser degree of impairment) relative to symptoms composing externalizing disorders. This research provides a novel means of validating the distinction between internalizing and externalizing groups of disorders.
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