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Chunk #16 — 3. Results — 3.1. Personality Disorder and 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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The 3-factor ESEM model based on the 10 DSM-IV Axis I disorders and ASPD is shown in Table 1. The CFI and RMSEA indices indicate a generally good fit for the model (CFI = .97; TLI = .95, RMSEA = .01). Factor 1 (externalizing disorders) is well defined by ASPD and the three substance use disorders. Factor 2 (internalizing fear) is defined by panic with agoraphobia and social and specific phobia; factor 3 (internalizing misery) is defined by major depression and dysthymia. There are moderate cross-loadings on the two internalizing factors for panic without agoraphobia and for generalized anxiety. The residual covariation between the factors is as follows: factor 1 and factor 2 = 0.25 (99% CI = 0.20, 0.30); factor 1 and factor 3 = 0.30 (99% CI = 0.23, 0.37); and factor 2 and factor 3 = 0.32 (99% CI = 0.26, 0.39). The factors correlations are somewhat lower than those reported in other studies due to the inclusion of cross-loadings in the ESEM model.