Article Content
Abstract
The transdiagnostic approach has recently emerged in psychopathology and offers a new understanding of psychiatric disorders. However, this conceptualization has mainly focused on anxiety and depression. To fill this gap, researchers recently developed the Symptomatic Transdiagnostic Test (S2T). This tool offers a broader evaluation of patients, more than the assessment of anxiety and depression. However, this scale is time-consuming, and its psychometric properties have not been assessed in a clinical population. This study aims to develop a short version of such tool and to assess its psychometric properties within a clinical sample. We recruited 2 741 participants from the general population and 252 patients suffering from psychiatric disorders. They completed the s-S2T and the Transdiagnostic Skills Scale. We evaluated the factorial structure of the scale, its internal consistency, its concurrent validity and ecological validity. We found good fit indexes for a B-ESEM model composed of a general psychopathological factor and 10 specific factors. We found good internal consistency and concurrent validity with the transdiagnostic skills scale. Such results were found within both general and clinical population. Finally, we demonstrated higher levels of symptoms among the clinical population than among the general population except for addictive and eating disorder symptoms. The s-S2T has good psychometric properties within both general population and clinical population. It can be administrated quickly and offers a broad evaluation of psychopathology for clinicians and researchers.
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Data Availability
The datasets used and/or analyzed during the current study can be consulted on reasonable request addressed to the corresponding author.
References
-
American Psychiatric Association (2022). DSM-5-TR Classification (5e édition). American Psychiatric Association Publishing.
-
Asparouhov, T., & Muthén, B. (2009). Exploratory structural equation modeling. Structural Equation Modeling: A Multidisciplinary Journal, 16(3), 397–438. https://doi.org/10.1080/10705510903008204
-
Barlow, D. H., Farchione, T. J., Fairholme, C. P., Ellard, K. K., Boisseau, C. L., Allen, L. B., & May, J. T. E. (2010). Unified protocol for transdiagnostic treatment of emotional disorders: Therapist guide. OUP USA.
-
Beck, A. T. (1979). Cognitive therapy of depression. Guilford Press.
-
Brown, T. A., Campbell, L. A., Lehman, C. L., Grisham, J. R., & Mancill, R. B. (2001). Current and lifetime comorbidity of the DSM-IV anxiety and mood disorders in a large clinical sample. Journal of Abnormal Psychology, 110(4), 585–599. https://doi.org/10.1037//0021-843x.110.4.585
-
Carrozzino, D., Christensen, K. S., & Cosci, F. (2021). Construct and criterion validity of patient-reported outcomes (PROs) for depression: A clinimetric comparison. Journal of Affective Disorders, 283, 30–35. https://doi.org/10.1016/j.jad.2021.01.043
-
Caspi, A., Houts, R. M., Fisher, H. L., Danese, A., & Moffitt, T. E. (2023). The general factor of psychopathology (p): Choosing among competing models and interpreting p. Clinical Psychological Science. https://doi.org/10.1177/21677026221147872. Scopus.
-
Chen, F. F. (2007). Sensitivity of goodness of fit indexes to lack of measurement invariance. Structural Equation Modeling, 14(3), 464–504. https://doi.org/10.1080/10705510701301834
-
Chen, F. F., West, S. G., & Sousa, K. H. (2006). A comparison of bifactor and Second-Order models of quality of life. Multivariate Behavioral Research, 41(2), 189–225. https://doi.org/10.1207/s15327906mbr4102_5
-
Clark, D. M., & Wells, A. (1995). A cognitive model of social phobia. Social phobia: Diagnosis, assessment, and treatment (pp. 69–93). The Guilford Press.
-
Cohen, J. (1992). A power primer. Psychological Bulletin, 112(1), 155–159. https://doi.org/10.1037//0033-2909.112.1.155
-
David, D., Lynn, S. J., & Ellis, A. (2010). (Éds.). Rational and Irrational Beliefs: Research, Theory, and Clinical Practice. Oxford University Press.
-
Fava, G. A., Tomba, E., & Sonino, N. (2012). Clinimetrics: The science of clinical measurements. International Journal of Clinical Practice, 66(1), 11–15. https://doi.org/10.1111/j.1742-1241.2011.02825.x
-
Fusar-Poli, P., Solmi, M., Brondino, N., Davies, C., Chae, C., Politi, P., Borgwardt, S., Lawrie, S. M., Parnas, J., & McGuire, P. (2019). Transdiagnostic psychiatry: A systematic review. World Psychiatry: Official Journal of the World Psychiatric Association (WPA), 18(2), 192–207. https://doi.org/10.1002/wps.20631
-
Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1), 1–55. https://doi.org/10.1080/10705519909540118
-
Kinderman, P. (2005). A psychological model of mental disorder. Harvard Review of Psychiatry, 13(4), 206–217. https://doi.org/10.1080/10673220500243349
-
Kinderman, P., & Tai, S. (2007). Empirically grounded clinical interventions clinical implications of a psychological model of mental disorder. Behavioural and Cognitive Psychotherapy, 35(01), 1. https://doi.org/10.1017/S1352465806003274
-
King, A. M., Plateau, C. R., Turner, M. J., Young, P., & Barker, J. B. (2024). A systematic review of the nature and efficacy of rational emotive behaviour therapy interventions. PLOS ONE, 19(7), e0306835. https://doi.org/10.1371/journal.pone.0306835
-
Kline, R. B. (2015). Principles and Practice of Structural Equation Modeling, Fourth Edition (4e éd.). Guilford Press.
-
Kotov, R., Krueger, R. F., Watson, D., Achenbach, T. M., Althoff, R. R., Bagby, R. M., Brown, T. A., Carpenter, W. T., Caspi, A., Clark, L. A., Eaton, N. R., Forbes, M. K., Forbush, K. T., Goldberg, D., Hasin, D., Hyman, S. E., Ivanova, M. Y., Lynam, D. R., Markon, K., & Zimmerman, M. (2017). The hierarchical taxonomy of psychopathology (HiTOP): A dimensional alternative to traditional nosologies. Journal of Abnormal Psychology, 126(4), 454–477. https://doi.org/10.1037/abn0000258
-
Marsh, H., Scalas, L. F., & Nagengast, B. (2010). Longitudinal tests of competing factor structures for the Rosenberg Self-Esteem scale: Traits, ephemeral artifacts, and stable response styles. Psychological Assessment, 22, 366–381. https://doi.org/10.1037/a0019225
-
Morin, A. J. S., Arens, A. K., & Marsh, H. W. (2016). A bifactor exploratory structural equation modeling framework for the identification of distinct sources of Construct-Relevant psychometric multidimensionality. Structural Equation Modeling: A Multidisciplinary Journal, 23(1), 116–139. https://doi.org/10.1080/10705511.2014.961800
-
Nef, F., Philippot, P., & Verhofstadt, L. (2012). L’approche processuelle en évaluation et intervention cliniques: Une approche psychologique intégrée. Revue Francophone de Clinique Comportementale et Cognitive, 17,?.
-
Philippot, P., Bouvard, M., Baeyens, C., & Dethier, V. (2015). Vers Un Protocole de traitement processuel et modulaire des troubles anxio-dépressifs. Journal De Thérapie Comportementale Et Cognitive, 25(3), 106–116. https://doi.org/10.1016/j.jtcc.2015.07.001
-
Reise, S., Moore, T., & Maydeu-Olivares, A. (2011). Target rotations and assessing the impact of model violations on the parameters of unidimensional item response theory models. Educational and Psychological Measurement, 71, 684–711. https://doi.org/10.1177/0013164410378690
-
Sakiris, N., & Berle, D. (2019). A systematic review and meta-analysis of the unified protocol as a transdiagnostic emotion regulation based intervention. Clinical Psychology Review, 72, 101751. https://doi.org/10.1016/j.cpr.2019.101751
-
Smith, G. T., McCarthy, D. M., & Anderson, K. G. (2000). On the sins of short-form development. Psychological Assessment, 12(1), 102–111. https://doi.org/10.1037//1040-3590.12.1.102
-
>University Hospital, T. (2024). Effectiveness of the SKILLS Program in the Management of Psychiatric Disorders: A Pilot Randomized Controlled Trial (Clinical trial registration No. NCT06622993). clinicaltrials.gov. https://clinicaltrials.gov/study/NCT06622993
-
Van der Linden, M. (2016). Chapitre 1. S’affranchir du DSM Ou d’une vision essentialiste des problèmes psychologiques. L’approche transdiagnostique En psychopathologie. Céline Bayens. https://www.cairn.info/l-approche-transdiagnostique-en-psychopathologie–9782100750283.htm Jean Louis Monestes.
-
Vancappel, A., & El-Hage, W. (2023). A cognitive behavioral model for dissociation: Conceptualization, empirical evidence and clinical implications. Journal of Behavioral and Cognitive Therapy, 33(2), 127–137. https://doi.org/10.1016/j.jbct.2023.05.003
-
Vancappel, A., Raysseguier, C., Bouyer, C., Jansen, E., Mangolini, A., Brunault, P., Barbe, P. G., Réveillère, C., & El-Hage, W. (2022). Development of the transdiagnostic skills scale (T2S). Nordic Journal of Psychiatry, 1–14. https://doi.org/10.1080/08039488.2022.2082522
-
Vancappel, A., Raysseguier, C., Coillot, H., Jansen, E., Bouyer, C., Mangolini, A., Barbe, P. G., Debout-Courtault, C., Pierre-le Seac’h, M., Kazour, F., Courtois, R., & El-Hage, W. (2023). Development and validation of the symptomatic transdiagnostic test (S2T). L’Encephale, S0013-7006(22)00264-0. https://doi.org/10.1016/j.encep.2022.11.004
-
Vancappel, A., El-Hage, W., Kazour, F., & Courtois, R. (2024a). The bifocal model: A two-level clinical model of psychiatric disorders integrating diagnostic and transdiagnostic approaches. L’Encéphale, 50(1), 111–114. https://doi.org/10.1016/j.encep.2023.06.009
-
Vancappel, A., Gillet, N., Fouquereau, E., Chevalier, S., Aubouin-Bonnaventure, J., Coillot, H., Mangolini, A., Jansen, E., Dicosimo, C., & El-Hage, W. (2024b). Development of a revised version of the transdiagnostic skills scale (T2S-R). Frontiers in Psychology, 15. https://www.frontiersin.org/journals/psychology/articles/https://doi.org/10.3389/fpsyg.2024.1290692
-
Vancappel, A., Jansen, E., Mangolini, A., Dicosimo, C., & El-Hage, W. (2025). Preliminary effectiveness of the SKILLS program in reducing transdiagnostic symptoms: An exploratory study. Journal of Behavioral and Cognitive Therapy, 35(1), 100514. https://doi.org/10.1016/j.jbct.2024.100514
-
World Medical Association. (2013). World medical association declaration of helsinki: Ethical principles for medical research involving human subjects. Journal of the American Medical Association, 310(20), 2191–2194. https://doi.org/10.1001/jama.2013.281053
-
Zimmerman, M., Ellison, W., Young, D., Chelminski, I., & Dalrymple, K. (2015). How many different ways do patients Meet the diagnostic criteria for major depressive disorder? Comprehensive Psychiatry, 56, 29–34. https://doi.org/10.1016/j.comppsych.2014.09.007
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Deshayes, A., Leroy, A. & Vancappel, A. Development & Validation of a Short Version of the Symptomatic Transdiagnostic Test (s-S2T): A New Quick Screening Tool for Clinicians. J Rat-Emo Cognitive-Behav Ther 43, 33 (2025). https://doi.org/10.1007/s10942-025-00605-1
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- DOI https://doi.org/10.1007/s10942-025-00605-1
Keywords
- Transdiagnostic
- Psychiatry
- Questionnaire
- Psychometric
- Psychopathology
- Factorial structure