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Chunk #24 — 3. Results — 3.3. Personality Disorder as Indicators of Externalizing/Internalizing Disorders

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DSM-IV personality disorders and associations with externalizing and internalizing disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions.
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Based on the ESEM, all of the PDs and common psychiatric disorders were included in a CFA. Because the PDs were assessed in different waves, it was necessary to adjust for correlated errors for PDs assessed at wave 2. We also retained the cross-loading for generalized anxiety for the two internalizing factors. The CFA modeling for the combined set of Axis I and Axis II disorders fit the data well (CFI = .97; TLI = .96, RMSEA = .02) and the standardized estimates are shown in the Figure 1 (unstandardized estimates provided in supplemental material). Similar to the ESEM model, factor 2 (internalizing fear) is well defined by the majority of PDs and DSM-IV anxiety disorders, while several PDs have negative associations with factor 3 (internalizing distress). DSM-IV Cluster B PDs are significantly related to externalizing disorders (factor 1).