Integrating the Hierarchical Taxonomy of Psychopathology (HiTOP) into clinical practice
Camilo J. Ruggero,Roman Kotov,Christopher J. Hopwood,Michael B. First,Lee Anna Clark,Andrew E. Skodol,Stephanie N. Mullins-Sweatt,Christopher J. Patrick,Bo Bach,David C. Cicero,Anna R. Docherty,Leonard J. Simms,R. Michael Bagby,Robert F. Krueger,Jennifer L. Callahan,Michael Chmielewski,Christopher C. Conway,Barbara De Clercq,Allison Dornbach-Bender,Nicholas R. Eaton,Miriam K. Forbes,Kelsie T. Forbush,John D. Haltigan,Joshua D. Miller,Leslie C. Morey,Praveetha Patalay,Darrel A. Regier,Ulrich Reininghaus,Alexander J. Shackman,Monika A. Waszczuk,David Watson,Aidan G. C. Wright,Johannes Zimmermann +32 more
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Highland Hierarchical Taxonomy of Psychopathology represents a viable alternative to classifying mental illness that can be integrated into practice today, although research is needed to further establish its utility.Abstract:
Author(s): Ruggero, Camilo J; Kotov, Roman; Hopwood, Christopher J; First, Michael; Clark, Lee Anna; Skodol, Andrew E; Mullins-Sweatt, Stephanie N; Patrick, Christopher J; Bach, Bo; Cicero, David C; Docherty, Anna; Simms, Leonard J; Bagby, R Michael; Krueger, Robert F; Callahan, Jennifer L; Chmielewski, Michael; Conway, Christopher C; De Clercq, Barbara; Dornbach-Bender, Allison; Eaton, Nicholas R; Forbes, Miriam K; Forbush, Kelsie T; Haltigan, John D; Miller, Joshua D; Morey, Leslie C; Patalay, Praveetha; Regier, Darrel A; Reininghaus, Ulrich; Shackman, Alexander J; Waszczuk, Monika A; Watson, David; Wright, Aidan GC; Zimmermann, Johannes | Abstract: ObjectiveDiagnosis is a cornerstone of clinical practice for mental health care providers, yet traditional diagnostic systems have well-known shortcomings, including inadequate reliability, high comorbidity, and marked within-diagnosis heterogeneity. The Hierarchical Taxonomy of Psychopathology (HiTOP) is a data-driven, hierarchically based alternative to traditional classifications that conceptualizes psychopathology as a set of dimensions organized into increasingly broad, transdiagnostic spectra. Prior work has shown that using a dimensional approach improves reliability and validity, but translating a model like HiTOP into a workable system that is useful for health care providers remains a major challenge.MethodThe present work outlines the HiTOP model and describes the core principles to guide its integration into clinical practice.ResultsPotential advantages and limitations of the HiTOP model for clinical utility are reviewed, including with respect to case conceptualization and treatment planning. A HiTOP approach to practice is illustrated and contrasted with an approach based on traditional nosology. Common barriers to using HiTOP in real-world health care settings and solutions to these barriers are discussed.ConclusionsHiTOP represents a viable alternative to classifying mental illness that can be integrated into practice today, although research is needed to further establish its utility. (PsycINFO Database Record (c) 2019 APA, all rights reserved).read more
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Validity and utility of Hierarchical Taxonomy of Psychopathology (HiTOP): I. Psychosis superspectrum.
Roman Kotov,Katherine G. Jonas,William T. Carpenter,Michael N. Dretsch,Nicholas R. Eaton,Miriam K. Forbes,Kelsie T. Forbush,Kelsey A Hobbs,Ulrich Reininghaus,Ulrich Reininghaus,Tim Slade,Susan C. South,Matthew Sunderland,Monika A. Waszczuk,Thomas A. Widiger,Aidan G. C. Wright,David H. Zald,Robert F. Krueger,David Watson,HiTOP Utility Workgroup +19 more
TL;DR: Evidence is synthesized on the validity and utility of the thought disorder and detachment spectra of HiTOP, which demonstrated substantially improved utility: greater reliability, larger explanatory and predictive power, and higher acceptability to clinicians.
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Journal ArticleDOI
The Hierarchical Taxonomy of Psychopathology (HiTOP): A Dimensional Alternative to Traditional Nosologies
Roman Kotov,Robert F. Krueger,David Watson,Thomas M. Achenbach,Robert R. Althoff,R. Michael Bagby,Timothy A. Brown,William T. Carpenter,Avshalom Caspi,Lee Anna Clark,Nicholas R. Eaton,Miriam K. Forbes,Kelsie T. Forbush,David Goldberg,Deborah S. Hasin,Steven E. Hyman,Masha Y. Ivanova,Donald R. Lynam,Kristian E. Markon,Joshua D. Miller,Terrie E. Moffitt,Leslie C. Morey,Stephanie N. Mullins-Sweatt,Johan Ormel,Christopher J. Patrick,Darrel A. Regier,Leslie Rescorla,Camilo J. Ruggero,Douglas B. Samuel,Martin Sellbom,Leonard J. Simms,Andrew E. Skodol,Tim Slade,Susan C. South,Jennifer L. Tackett,Irwin D. Waldman,Monika A. Waszczuk,Thomas A. Widiger,Aidan G. C. Wright,Mark Zimmerman +39 more
TL;DR: The HiTOP promises to improve research and clinical practice by addressing the aforementioned shortcomings of traditional nosologies and provides an effective way to summarize and convey information on risk factors, etiology, pathophysiology, phenomenology, illness course, and treatment response.
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