A Hierarchical Taxonomy of Psychopathology Can Transform Mental Health Research.,Perspectives on Psychological Science

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A Hierarchical Taxonomy of Psychopathology Can Transform Mental Health Research.
Perspectives on Psychological Science ( IF 10.5 ) Pub Date : 2019-03-07 , DOI: 10.1177/1745691618810696
Christopher C Conway ₁ , Miriam K Forbes ₂ , Kelsie T Forbush ₃ , Eiko I Fried ₄ , Michael N Hallquist ₅ , Roman Kotov ₆ , Stephanie N Mullins-Sweatt ₇ , Alexander J Shackman ₈ , Andrew E Skodol ₉ , Susan C South ₁₀ , Matthew Sunderland ₁₁ , Monika A Waszczuk ₆ , David H Zald ₁₂ , Mohammad H Afzali ₁₃ , Marina A Bornovalova ₁₄ , Natacha Carragher ₁₅ , Anna R Docherty ₁₆ , Katherine G Jonas ₆ , Robert F Krueger ₁₇ , Praveetha Patalay ₁₈ , Aaron L Pincus ₅ , Jennifer L Tackett ₁₉ , Ulrich Reininghaus _{20,

21} , Irwin D Waldman ₂₂ , Aidan G C Wright ₂₃ , Johannes Zimmermann ₂₄ , Bo Bach ₂₅ , R Michael Bagby ₂₆ , Michael Chmielewski ₂₇ , David C Cicero ₂₈ , Lee Anna Clark ₂₉ , Tim Dalgleish ₃₀ , Colin G DeYoung ₁₇ , Christopher J Hopwood ₃₁ , Masha Y Ivanova ₃₂ , Robert D Latzman ₃₃ , Christopher J Patrick ₃₄ , Camilo J Ruggero ₃₅ , Douglas B Samuel ₁₀ , David Watson ₂₉ , Nicholas R Eaton ₃₆

Affiliation

1 Department of Psychological Sciences, College of William & Mary.
2 Centre for Emotional Health, Department of Psychology, Macquarie University.
3 Department of Psychology, University of Kansas.
4 Department of Psychology, University of Amsterdam.
5 Department of Psychology, Pennsylvania State University.
6 Department of Psychiatry, State University of New York.
7 Department of Psychology, Oklahoma State University.
8 Department of Psychology and Neuroscience and Cognitive Science Program, University of Maryland.
9 Department of Psychiatry, University of Arizona.
10 Department of Psychological Sciences, Purdue University.
11 National Health and Medical Research Council Centre for Research Excellence in Mental Health and Substance Use, National Drug and Alcohol Research Centre, University of New South Wales.
12 Department of Psychology, Vanderbilt University.
13 Department of Psychiatry, University of Montreal.
14 Department of Psychology, University of South Florida.
15 Medical Education and Student Office, Faculty of Medicine, University of New South Wales.
16 Department of Psychiatry, University of Utah.
17 Department of Psychology, University of Minnesota.
18 Institute of Psychology, Health and Society, University of Liverpool.
19 Department of Psychology, Northwestern University.
20 Department of Psychiatry and Psychology, Maastricht University.
21 Centre for Epidemiology and Public Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology & Neuroscience, King's College London.
22 Department of Psychology, Emory University.
23 Department of Psychology, University of Pittsburgh.
24 Department of Psychology, University of Kassel.
25 Psychiatric Research Unit, Slagelse Psychiatric Hospital.
26 Departments of Psychology and Psychiatry, University of Toronto.
27 Department of Psychology, Southern Methodist University.
28 Department of Psychology, University of Hawaii at Manoa.
29 Department of Psychology, University of Notre Dame.
30 Medical Research Council Cognition and Brain Sciences Unit, Cambridge, United Kingdom.
31 Department of Psychology, University of California, Davis.
32 Department of Psychiatry, University of Vermont.
33 Department of Psychology, Georgia State University.
34 Department of Psychology, Florida State University.
35 Department of Psychology, University of North Texas.
36 Department of Psychology, Stony Brook University.

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.

中文翻译：

精神病理学的层次分类法可以改变心理健康研究。

一个多世纪以来，精神病理学的研究一直集中在分类诊断上。尽管这项工作取得了重大发现，但越来越多的证据表明，维度方法对精神疾病科学的优越性。在这里，我们概述了这样一个维度系统——精神病理学层次分类法（HiTOP）——它基于心理症状之间共现的经验模式。我们重点介绍了该框架推进心理健康研究的关键方式，并提供了一些使用 HiTOP 测试精神病理学理论的启发方法。然后，我们回顾了支持心理科学不同研究领域的精神疾病分层维度模型价值的新证据。这些新数据表明，HiTOP 系统有潜力加速和改进对心理健康问题的研究，以及更有效地评估、预防和治疗精神疾病的努力。

更新日期：2019-03-07

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