A Hierarchical Taxonomy of Psychopathology Can Transform Mental Health Research

被引:250
作者
Conway, Christopher C. [1 ]
Forbes, Miriam K. [2 ]
Forbush, Kelsie T. [3 ]
Fried, Eiko I. [4 ]
Hallquist, Michael N. [5 ]
Kotov, Roman [6 ]
Mullins-Sweatt, Stephanie N. [7 ]
Shackman, Alexander J. [8 ,9 ]
Skodol, Andrew E. [10 ]
South, Susan C. [11 ]
Sunderland, Matthew [12 ]
Waszczuk, Monika A. [6 ]
Zald, David H. [13 ]
Afzali, Mohammad H. [14 ]
Bornovalova, Marina A. [15 ]
Carragher, Natacha [16 ]
Docherty, Anna R. [17 ]
Jonas, Katherine G. [6 ]
Krueger, Robert F. [18 ]
Patalay, Praveetha [19 ]
Pincus, Aaron L. [5 ]
Tackett, Jennifer L. [20 ]
Reininghaus, Ulrich [21 ,22 ]
Waldman, Irwin D. [23 ]
Wright, Aidan G. C. [24 ]
Zimmermann, Johannes [25 ]
Bach, Bo [26 ]
Bagby, R. Michael [27 ,28 ]
Chmielewski, Michael [29 ]
Cicero, David C. [30 ]
Clark, Lee Anna [31 ]
Dalgleish, Tim [32 ]
DeYoung, Colin G. [18 ]
Hopwood, Christopher J. [33 ]
Ivanova, Masha Y. [34 ]
Latzman, Robert D. [35 ]
Patrick, Christopher J. [36 ]
Ruggero, Camilo J. [37 ]
Samuel, Douglas B. [11 ]
Watson, David [31 ]
Eaton, Nicholas R. [38 ]
机构
[1] Coll William & Mary, Dept Psychol Sci, 540 Landrum Dr, Williamsburg, VA 23188 USA
[2] Macquarie Univ, Dept Psychol, Ctr Emot Hlth, N Ryde, NSW, Australia
[3] Univ Kansas, Dept Psychol, Lawrence, KS 66045 USA
[4] Univ Amsterdam, Dept Psychol, Amsterdam, Netherlands
[5] Penn State Univ, Dept Psychol, University Pk, PA 16802 USA
[6] SUNY Stony Brook, Dept Psychiat, Stony Brook, NY 11794 USA
[7] Oklahoma State Univ, Dept Psychol, Stillwater, OK 74078 USA
[8] Univ Maryland, Dept Psychol, College Pk, MD 20742 USA
[9] Univ Maryland, Neurosci & Cognit Sci Program, College Pk, MD 20742 USA
[10] Univ Arizona, Dept Psychiat, Tucson, AZ 85721 USA
[11] Purdue Univ, Dept Psychol Sci, W Lafayette, IN 47907 USA
[12] Univ New South Wales, Natl Hlth & Med Res Council Ctr Res Excellence Me, Natl Drug & Alcohol Res Ctr, Sydney, NSW, Australia
[13] Vanderbilt Univ, Dept Psychol, Nashville, TN 37240 USA
[14] Univ Montreal, Dept Psychiat, Montreal, PQ, Canada
[15] Univ S Florida, Dept Psychol, Tampa, FL USA
[16] Univ New South Wales, Fac Med, Med Educ & Student Off, Sydney, NSW, Australia
[17] Univ Utah, Dept Psychiat, Salt Lake City, UT 84112 USA
[18] Univ Minnesota, Dept Psychol, Minneapolis, MN 55455 USA
[19] Univ Liverpool, Inst Psychol Hlth & Soc, Liverpool, Merseyside, England
[20] Northwestern Univ, Dept Psychol, Evanston, IL 60208 USA
[21] Maastricht Univ, Dept Psychiat & Psychol, Maastricht, Netherlands
[22] Kings Coll London, Ctr Epidemiol & Publ Hlth, Hlth Serv & Populat Res Dept, Inst Psychiat Psychol & Neurosci, London, England
[23] Emory Univ, Dept Psychol, Atlanta, GA 30322 USA
[24] Univ Pittsburgh, Dept Psychol, Pittsburgh, PA 15260 USA
[25] Univ Kassel, Dept Psychol, Kassel, Germany
[26] Slagelse Psychiat Hosp, Psychiat Res Unit, Slagelse, Denmark
[27] Univ Toronto, Dept Psychol, Toronto, ON, Canada
[28] Univ Toronto, Dept Psychiat, Toronto, ON, Canada
[29] Southern Methodist Univ, Dept Psychol, Dallas, TX USA
[30] Univ Hawaii Manoa, Dept Psychol, Honolulu, HI 96822 USA
[31] Univ Notre Dame, Dept Psychol, Notre Dame, IN 46556 USA
[32] MRC, Cognit & Brain Sci Unit, Cambridge, England
[33] Univ Calif Davis, Dept Psychol, Davis, CA 95616 USA
[34] Univ Vermont, Dept Psychiat, Burlington, VT 05405 USA
[35] Georgia State Univ, Dept Psychol, Atlanta, GA 30303 USA
[36] Florida State Univ, Dept Psychol, Tallahassee, FL 32306 USA
[37] Univ North Texas, Dept Psychol, Denton, TX USA
[38] SUNY Stony Brook, Dept Psychol, Stony Brook, NY 11794 USA
关键词
mental illness; nosology; individual differences; transdiagnostic; Hierarchical Taxonomy of Psychopathology; HiTOP; ICD; DSM; RDoC; DSM-IV CRITERIA; EMOTIONAL DISORDERS; GENERAL FACTOR; INTERNALIZING PSYCHOPATHOLOGY; TRANSDIAGNOSTIC TREATMENT; CHILDHOOD MALTREATMENT; PSYCHIATRIC-DISORDERS; PERSONALITY-DISORDER; STRESS GENERATION; COGNITIVE CONTROL;
D O I
10.1177/1745691618810696
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
For more than a century, research on psychopathology has focused on categorical diagnoses. Although this work has produced major discoveries, growing evidence points to the superiority of a dimensional approach to the science of mental illness. Here we outline one such dimensional system-the Hierarchical Taxonomy of Psychopathology (HiTOP)-that is based on empirical patterns of co-occurrence among psychological symptoms. We highlight key ways in which this framework can advance mental-health research, and we provide some heuristics for using HiTOP to test theories of psychopathology. We then review emerging evidence that supports the value of a hierarchical, dimensional model of mental illness across diverse research areas in psychological science. These new data suggest that the HiTOP system has the potential to accelerate and improve research on mental-health problems as well as efforts to more effectively assess, prevent, and treat mental illness.
引用
收藏
页码:419 / 436
页数:18
相关论文
共 112 条
[1]   CLASSIFICATION OF CHILDRENS PSYCHIATRIC SYMPTOMS - A FACTOR-ANALYTIC STUDY [J].
ACHENBAC.TM .
PSYCHOLOGICAL MONOGRAPHS, 1966, 80 (07) :1-&
[2]  
Achenbach T M, 1991, Monogr Soc Res Child Dev, V56, P1
[3]  
Achenbach TM., 1991, Manual for the Child Behavior Checklist/2-3 and profile
[4]  
[Anonymous], INTEGRATING DIMENSIO
[5]  
[Anonymous], REN SCH MED
[6]  
[Anonymous], REDEFINING PHENOTYPE
[7]   The Unified Protocol for Transdiagnostic Treatment of Emotional Disorders Compared With Diagnosis-Specific Protocols for Anxiety Disorders A Randomized Clinical Trial [J].
Barlow, David H. ;
Farchione, Todd J. ;
Bullis, Jacqueline R. ;
Gallagher, Matthew W. ;
Murray-Latin, Heather ;
Sauer-Zavala, Shannon ;
Bentley, Kate H. ;
Thompson-Hollands, Johanna ;
Conklin, Laren R. ;
Boswell, James F. ;
Ametaj, Amantia ;
Carl, Jenna R. ;
Boettcher, Hannah T. ;
Cassiello-Robbins, Clair .
JAMA PSYCHIATRY, 2017, 74 (09) :875-884
[8]   The Nature, Diagnosis, and Treatment of Neuroticism: Back to the Future [J].
Barlow, David H. ;
Sauer-Zavala, Shannon ;
Carl, Jenna R. ;
Bullis, Jacqueline R. ;
Ellard, Kristen K. .
CLINICAL PSYCHOLOGICAL SCIENCE, 2014, 2 (03) :344-365
[9]   The theoretical status of latent variables [J].
Borsboom, D ;
Mellenbergh, GJ ;
van Heerden, J .
PSYCHOLOGICAL REVIEW, 2003, 110 (02) :203-219
[10]   Kinds versus continua: a review of psychometric approaches to uncover the structure of psychiatric constructs [J].
Borsboom, D. ;
Rhemtulla, M. ;
Cramer, A. O. J. ;
van der Maas, H. L. J. ;
Scheffer, M. ;
Dolan, C. V. .
PSYCHOLOGICAL MEDICINE, 2016, 46 (08) :1567-1579