The article "Reinterpreting Comorbidity: A Model-Based Approach to Understanding and Classifying Psychopathology" by Robert F. Krueger and Kristian E. Markon reviews the concept of comorbidity in psychopathology and proposes a model-based approach to understanding and classifying it. The authors highlight the persistent puzzle of comorbidity, where mental disorders often co-occur more frequently than expected by chance. They discuss the historical origins of the comorbidity concept, its conceptual challenges, and the need for a more nuanced understanding.
The article introduces the liability spectrum model, which posits that specific mental disorders are manifestations of latent liability factors. These liability factors are correlated, explaining the comorbidity observed across multiple disorders. The authors present a meta-analysis of this model, showing that a hierarchical model with internalizing and externalizing liabilities fits the data well. This model suggests that comorbidity is not due to discrete categories of disorders but rather to underlying liability constructs.
The article also explores the nosological implications of the liability spectrum model, suggesting that it can lead to a more hierarchical and continuous organization of psychopathology. It discusses the discreteness versus continuity of liabilities and the etiological aspects of the model, emphasizing the importance of empirical evaluation through model-fitting frameworks. The authors conclude that the liability spectrum model offers a promising approach to understanding and classifying psychopathology, providing a more nuanced and empirical perspective on comorbidity.The article "Reinterpreting Comorbidity: A Model-Based Approach to Understanding and Classifying Psychopathology" by Robert F. Krueger and Kristian E. Markon reviews the concept of comorbidity in psychopathology and proposes a model-based approach to understanding and classifying it. The authors highlight the persistent puzzle of comorbidity, where mental disorders often co-occur more frequently than expected by chance. They discuss the historical origins of the comorbidity concept, its conceptual challenges, and the need for a more nuanced understanding.
The article introduces the liability spectrum model, which posits that specific mental disorders are manifestations of latent liability factors. These liability factors are correlated, explaining the comorbidity observed across multiple disorders. The authors present a meta-analysis of this model, showing that a hierarchical model with internalizing and externalizing liabilities fits the data well. This model suggests that comorbidity is not due to discrete categories of disorders but rather to underlying liability constructs.
The article also explores the nosological implications of the liability spectrum model, suggesting that it can lead to a more hierarchical and continuous organization of psychopathology. It discusses the discreteness versus continuity of liabilities and the etiological aspects of the model, emphasizing the importance of empirical evaluation through model-fitting frameworks. The authors conclude that the liability spectrum model offers a promising approach to understanding and classifying psychopathology, providing a more nuanced and empirical perspective on comorbidity.