A hierarchical taxonomy of psychopathology can transform mental health research

Christopher C. Conway; Miriam K. Forbes; Kelsie T. Forbush; Eiko I. Fried; Michael N. Hallquist; Roman Kotov; Stephanie N. Mullins-Sweatt; Alexander J. Shackman; Andrew E. Skodol; Susan C. South; Matthew Sunderland; Monika A. Waszczuk; David H. Zald; Mohammad H. Afzali; Marina A. Bornovalova; Natacha Carragher; Anna R. Docherty; Katherine G. Jonas; Robert F. Krueger; Praveetha Patalay; Aaron L. Pincus; Jennifer L. Tackett; Ulrich Reininghaus; Irwin D. Waldman; Aidan G. C. Wright; Johannes Zimmermann; Bo Bach; R. Michael Bagby; Michael Chmielewski; David C. Cicero; Lee Anna Clark; Tim Dalgleish; Colin G. DeYoung; Christopher J. Hopwood; Masha Y. Ivanova; Robert D. Latzman; Christopher J. Patrick; Camilo J. Ruggero; Douglas B. Samuel; David Watson; Nicholas R. Eaton

doi:10.1177/1745691618810696

A hierarchical taxonomy of psychopathology can transform mental health research

Christopher C. Conway^*, Miriam K. Forbes, Kelsie T. Forbush, Eiko I. Fried, Michael N. Hallquist, Roman Kotov, Stephanie N. Mullins-Sweatt, Alexander J. Shackman, Andrew E. Skodol, Susan C. South, Matthew Sunderland, Monika A. Waszczuk, David H. Zald, Mohammad H. Afzali, Marina A. Bornovalova, Natacha Carragher, Anna R. Docherty, Katherine G. Jonas, Robert F. Krueger, Praveetha PatalayAaron L. Pincus, Jennifer L. Tackett, Ulrich Reininghaus, Irwin D. Waldman, Aidan G. C. Wright, Johannes Zimmermann, Bo Bach, R. Michael Bagby, Michael Chmielewski, David C. Cicero, Lee Anna Clark, Tim Dalgleish, Colin G. DeYoung, Christopher J. Hopwood, Masha Y. Ivanova, Robert D. Latzman, Christopher J. Patrick, Camilo J. Ruggero, Douglas B. Samuel, David Watson, Nicholas R. Eaton

^*Corresponding author for this work

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Abstract

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.

Original language	English
Pages (from-to)	419-436
Number of pages	18
Journal	Perspectives on Psychological Science
Volume	14
Issue number	3
DOIs	https://doi.org/10.1177/1745691618810696
Publication status	Published - 1 May 2019

Keywords

mental illness
nosology
individual differences
transdiagnostic
Hierarchical Taxonomy of Psychopathology
HiTOP
ICD
DSM
RDoC

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Conway, C. C., Forbes, M. K., Forbush, K. T., Fried, E. I., Hallquist, M. N., Kotov, R., Mullins-Sweatt, S. N., Shackman, A. J., Skodol, A. E., South, S. C., Sunderland, M., Waszczuk, M. A., Zald, D. H., Afzali, M. H., Bornovalova, M. A., Carragher, N., Docherty, A. R., Jonas, K. G., Krueger, R. F., ... Eaton, N. R. (2019). A hierarchical taxonomy of psychopathology can transform mental health research. Perspectives on Psychological Science, 14(3), 419-436. https://doi.org/10.1177/1745691618810696

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title = "A hierarchical taxonomy of psychopathology can transform mental health research",

abstract = "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.",

keywords = "mental illness, nosology, individual differences, transdiagnostic, Hierarchical Taxonomy of Psychopathology, HiTOP, ICD, DSM, RDoC",

author = "Conway, {Christopher C.} and Forbes, {Miriam K.} and Forbush, {Kelsie T.} and Fried, {Eiko I.} and Hallquist, {Michael N.} and Roman Kotov and Mullins-Sweatt, {Stephanie N.} and Shackman, {Alexander J.} and Skodol, {Andrew E.} and South, {Susan C.} and Matthew Sunderland and Waszczuk, {Monika A.} and Zald, {David H.} and Afzali, {Mohammad H.} and Bornovalova, {Marina A.} and Natacha Carragher and Docherty, {Anna R.} and Jonas, {Katherine G.} and Krueger, {Robert F.} and Praveetha Patalay and Pincus, {Aaron L.} and Tackett, {Jennifer L.} and Ulrich Reininghaus and Waldman, {Irwin D.} and Wright, {Aidan G. C.} and Johannes Zimmermann and Bo Bach and Bagby, {R. Michael} and Michael Chmielewski and Cicero, {David C.} and Clark, {Lee Anna} and Tim Dalgleish and DeYoung, {Colin G.} and Hopwood, {Christopher J.} and Ivanova, {Masha Y.} and Latzman, {Robert D.} and Patrick, {Christopher J.} and Ruggero, {Camilo J.} and Samuel, {Douglas B.} and David Watson and Eaton, {Nicholas R.}",

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doi = "10.1177/1745691618810696",

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Conway, CC, Forbes, MK, Forbush, KT, Fried, EI, Hallquist, MN, Kotov, R, Mullins-Sweatt, SN, Shackman, AJ, Skodol, AE, South, SC, Sunderland, M, Waszczuk, MA, Zald, DH, Afzali, MH, Bornovalova, MA, Carragher, N, Docherty, AR, Jonas, KG, Krueger, RF, Patalay, P, Pincus, AL, Tackett, JL, Reininghaus, U, Waldman, ID, Wright, AGC, Zimmermann, J, Bach, B, Bagby, RM, Chmielewski, M, Cicero, DC, Clark, LA, Dalgleish, T, DeYoung, CG, Hopwood, CJ, Ivanova, MY, Latzman, RD, Patrick, CJ, Ruggero, CJ, Samuel, DB, Watson, D & Eaton, NR 2019, 'A hierarchical taxonomy of psychopathology can transform mental health research', Perspectives on Psychological Science, vol. 14, no. 3, pp. 419-436. https://doi.org/10.1177/1745691618810696

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AU - Conway, Christopher C.

AU - Forbes, Miriam K.

AU - Forbush, Kelsie T.

AU - Fried, Eiko I.

AU - Hallquist, Michael N.

AU - Kotov, Roman

AU - Mullins-Sweatt, Stephanie N.

AU - Shackman, Alexander J.

AU - Skodol, Andrew E.

AU - South, Susan C.

AU - Sunderland, Matthew

AU - Waszczuk, Monika A.

AU - Zald, David H.

AU - Afzali, Mohammad H.

AU - Bornovalova, Marina A.

AU - Carragher, Natacha

AU - Docherty, Anna R.

AU - Jonas, Katherine G.

AU - Krueger, Robert F.

AU - Patalay, Praveetha

AU - Pincus, Aaron L.

AU - Tackett, Jennifer L.

AU - Reininghaus, Ulrich

AU - Waldman, Irwin D.

AU - Wright, Aidan G. C.

AU - Zimmermann, Johannes

AU - Bach, Bo

AU - Bagby, R. Michael

AU - Chmielewski, Michael

AU - Cicero, David C.

AU - Clark, Lee Anna

AU - Dalgleish, Tim

AU - DeYoung, Colin G.

AU - Hopwood, Christopher J.

AU - Ivanova, Masha Y.

AU - Latzman, Robert D.

AU - Patrick, Christopher J.

AU - Ruggero, Camilo J.

AU - Samuel, Douglas B.

AU - Watson, David

AU - Eaton, Nicholas R.

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KW - nosology

KW - individual differences

KW - transdiagnostic

KW - Hierarchical Taxonomy of Psychopathology

KW - HiTOP

KW - ICD

KW - DSM

KW - RDoC

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JO - Perspectives on Psychological Science

JF - Perspectives on Psychological Science

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ER -

A hierarchical taxonomy of psychopathology can transform mental health research

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