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The Hierarchical Taxonomy of Psychopathology (HiTOP): A dimensional alternative to traditional nosologies.

Publication ,  Journal Article
Kotov, R; Krueger, RF; Watson, D; Achenbach, TM; Althoff, RR; Bagby, RM; Brown, TA; Carpenter, WT; Caspi, A; Clark, LA; Eaton, NR; Forbes, MK ...
Published in: Journal of abnormal psychology
May 2017

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

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Published In

Journal of abnormal psychology

DOI

EISSN

1939-1846

ISSN

0021-843X

Publication Date

May 2017

Volume

126

Issue

4

Start / End Page

454 / 477

Related Subject Headings

  • Psychopathology
  • Personality
  • Mental Disorders
  • Humans
  • Comorbidity
  • Clinical Psychology
  • 5204 Cognitive and computational psychology
  • 5203 Clinical and health psychology
  • 5201 Applied and developmental psychology
  • 1702 Cognitive Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Kotov, R., Krueger, R. F., Watson, D., Achenbach, T. M., Althoff, R. R., Bagby, R. M., … 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
Kotov, Roman, Robert F. Krueger, David Watson, Thomas M. Achenbach, Robert R. Althoff, R Michael Bagby, Timothy A. Brown, et al. “The Hierarchical Taxonomy of Psychopathology (HiTOP): A dimensional alternative to traditional nosologies.Journal of Abnormal Psychology 126, no. 4 (May 2017): 454–77. https://doi.org/10.1037/abn0000258.
Kotov R, Krueger RF, Watson D, Achenbach TM, Althoff RR, Bagby RM, et al. The Hierarchical Taxonomy of Psychopathology (HiTOP): A dimensional alternative to traditional nosologies. Journal of abnormal psychology. 2017 May;126(4):454–77.
Kotov, Roman, et al. “The Hierarchical Taxonomy of Psychopathology (HiTOP): A dimensional alternative to traditional nosologies.Journal of Abnormal Psychology, vol. 126, no. 4, May 2017, pp. 454–77. Epmc, doi:10.1037/abn0000258.
Kotov R, Krueger RF, Watson D, Achenbach TM, Althoff RR, Bagby RM, Brown TA, Carpenter WT, Caspi A, Clark LA, Eaton NR, Forbes MK, Forbush KT, Goldberg D, Hasin D, Hyman SE, Ivanova MY, Lynam DR, Markon K, Miller JD, Moffitt TE, Morey LC, Mullins-Sweatt SN, Ormel J, Patrick CJ, Regier DA, Rescorla L, Ruggero CJ, Samuel DB, Sellbom M, Simms LJ, Skodol AE, Slade T, South SC, Tackett JL, Waldman ID, Waszczuk MA, Widiger TA, Wright AGC, Zimmerman M. The Hierarchical Taxonomy of Psychopathology (HiTOP): A dimensional alternative to traditional nosologies. Journal of abnormal psychology. 2017 May;126(4):454–477.

Published In

Journal of abnormal psychology

DOI

EISSN

1939-1846

ISSN

0021-843X

Publication Date

May 2017

Volume

126

Issue

4

Start / End Page

454 / 477

Related Subject Headings

  • Psychopathology
  • Personality
  • Mental Disorders
  • Humans
  • Comorbidity
  • Clinical Psychology
  • 5204 Cognitive and computational psychology
  • 5203 Clinical and health psychology
  • 5201 Applied and developmental psychology
  • 1702 Cognitive Sciences