Journal article
The Hierarchical Taxonomy of Psychopathology (HiTOP): A dimensional alternative to traditional nosologies
Journal of abnormal psychology (1965), Vol.126(4), pp.454-477
05/2017
DOI: 10.1037/abn0000258
PMID: 28333488
Abstract
The reliability and validity of traditional taxonomies are limited by arbitrary boundaries between psychopathology and normality, often unclear boundaries between disorders, frequent disorder co-occurrence, heterogeneity within disorders, and diagnostic instability. These taxonomies went beyond evidence available on the structure of psychopathology and were shaped by a variety of other considerations, which may explain the aforementioned shortcomings. The Hierarchical Taxonomy Of Psychopathology (HiTOP) model has emerged as a research effort to address these problems. It constructs psychopathological syndromes and their components/subtypes based on the observed covariation of symptoms, grouping related symptoms together and thus reducing heterogeneity. It also combines co-occurring syndromes into spectra, thereby mapping out comorbidity. Moreover, it characterizes these phenomena dimensionally, which addresses boundary problems and diagnostic instability. Here, we review the development of the HiTOP and the relevant evidence. The new classification already covers most forms of psychopathology. Dimensional measures have been developed to assess many of the identified components, syndromes, and spectra. Several domains of this model are ready for clinical and research applications. The HiTOP promises to improve research and clinical practice by addressing the aforementioned shortcomings of traditional nosologies. It also provides an effective way to summarize and convey information on risk factors, etiology, pathophysiology, phenomenology, illness course, and treatment response. This can greatly improve the utility of the diagnosis of mental disorders. The new classification remains a work in progress. However, it is developing rapidly and is poised to advance mental health research and care significantly as the relevant science matures. (PsycINFO Database Record
Details
- Title: Subtitle
- The Hierarchical Taxonomy of Psychopathology (HiTOP): A dimensional alternative to traditional nosologies
- Creators
- Roman Kotov - Department of PsychiatryRobert F Krueger - Department of Psychology, University of MinnesotaDavid Watson - Department of Psychology, University of Notre DameThomas M Achenbach - Department of Psychiatry, University of VermontRobert R Althoff - Department of Psychiatry, University of VermontR Michael Bagby - Department of Psychology, University of TorontoTimothy A Brown - Department of Psychology, Boston UniversityWilliam T Carpenter - Department of Psychiatry, University of Maryland School of MedicineAvshalom Caspi - Department of Psychology and Neuroscience, Duke UniversityLee Anna Clark - Department of Psychology, University of Notre DameNicholas R Eaton - Department of Psychology, Stony Brook UniversityMiriam K Forbes - Department of Psychology, University of MinnesotaKelsie T Forbush - Department of Psychology, University of KansasDavid Goldberg - Institute of Psychiatry, Psychology & Neuroscience, King's College LondonDeborah Hasin - Department of Psychiatry, College of Physicians and Surgeons, Columbia UniversitySteven E Hyman - Stanley Center for Psychiatric Research, Broad Institute of MITMasha Y Ivanova - Department of Psychiatry, University of VermontDonald R Lynam - Department of Psychological Sciences, Purdue UniversityKristian Markon - Department of Psychological and Brain Sciences, University of IowaJoshua D Miller - Department of Psychology, University of GeorgiaTerrie E Moffitt - Department of Psychology and Neuroscience, Duke UniversityLeslie C Morey - Department of Psychology, Texas A&M UniversityStephanie N Mullins-Sweatt - Department of Psychology, Oklahoma State UniversityJohan Ormel - Department of Psychiatry, University of GroningenChristopher J Patrick - Department of Psychology, Florida State UniversityDarrel A Regier - Department of Psychiatry, Uniformed Services UniversityLeslie Rescorla - Department of Psychology, Bryn Mawr CollegeCamilo J Ruggero - Department of Psychology, University of North TexasDouglas B Samuel - Department of Psychological Sciences, Purdue UniversityMartin Sellbom - Department of Psychology, University of OtagoLeonard J Simms - Department of Psychology, University at BuffaloAndrew E Skodol - Department of Psychiatry, University of ArizonaTim Slade - Nation Drug and Alcohol Research Centre, University of New South WalesSusan C South - Department of Psychological Sciences, Purdue UniversityJennifer L Tackett - Department of Psychology, Northwestern UniversityIrwin D Waldman - Department of Psychology, Emory UniversityMonika A Waszczuk - Department of Psychiatry, Stony Brook UniversityThomas A Widiger - Department of Psychology, University of KentuckyAidan G C Wright - Department of Psychology, University of PittsburghMark Zimmerman - Department of Psychiatry and Human Behavior, Brown Alpert Medical School
- Resource Type
- Journal article
- Publication Details
- Journal of abnormal psychology (1965), Vol.126(4), pp.454-477
- DOI
- 10.1037/abn0000258
- PMID
- 28333488
- NLM abbreviation
- J Abnorm Psychol
- ISSN
- 0021-843X
- eISSN
- 1939-1846
- Grant note
- MR/P005918/1 / Medical Research Council
- Language
- English
- Date published
- 05/2017
- Academic Unit
- Psychological and Brain Sciences
- Record Identifier
- 9984083898502771
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