A Hierarchical Taxonomy of Psychopathology (HiTOP) Primer for Mental Health Researchers

Conway, Christopher; Forbes, Miriam K.; South, Susan C.

doi:10.1177/21677026211017834

Cited by 52 publications

(50 citation statements)

References 128 publications

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“…This enables researchers and practitioners to use different levels of analysis, in accordance with their practical or theoretical utility. While for some treatment decisions or research questions, the presence or absence of specific symptoms might be of utmost importance (e.g., insomnia), other decisions/questions aim at higher order levels (e.g., the emotional dysfunction common to disorders from the internalizing spectrum; Conway et al, 2022). Thus, HiTOP enables researchers and clinicians to account for both heterogeneity within, as well as similarities across, classical diagnostic categories when describing individual patients.…”

Section: Dimensional Models Of Psychopathologymentioning

confidence: 99%

Development and validation of the Inventory of Depression and Anxiety Symptoms–II—German version.

Wester¹,

Rubel²,

Zimmermann³

et al. 2022

Psychological Assessment

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The expanded version of the Inventory of Depression and Anxiety Symptoms (IDAS-II) is a 99-item self-report measure containing 18 nonoverlapping dimensional scales assessing symptoms of depression, anxiety, and mania. The aim of this study was to develop and validate a German adaptation of the IDAS-II. Participants from a community sample (N = 1,054) completed the IDAS-II (German version). In addition, part of the sample (N = 550) completed a series of additional measures of depression (Patient Health Questionnaire–9, WHO–Five Well-Being Index, Symptom Checklist–90 Revised—Short Version) and anxiety disorders (Generalized Anxiety Disorder Scale–7, Fear of Negative Evaluation Scale–5, Dimensional Obsessive–Compulsive Scale, The International Trauma Questionnaire). We conducted item-level confirmatory factor analyses (CFA) separately for the 15 nonsaturated IDAS-II scales, which confirmed unidimensionality. McDonald’s ω indicated good internal consistency (ω > .8) of all symptom scales except Euphoria (ω = .751) and Ordering (ω = .728). A CFA of the IDAS-II scales, based on exploratory results by Watson et al. (2012), confirmed a three-factor model of “Distress,” “Obsessions/Fear,” and “Positive Mood.” Correlational analyses with additional symptom measures supported the convergent and discriminant validity of the IDAS-II scales. The IDAS-II (German version) allows for a reliable assessment of the severity of depression, anxiety, and bipolar symptoms and is one of the first clinical measures for German-speaking samples that is consistent with the Hierarchical Taxonomy of Psychopathology (HiTOP).

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Section: Dimensional Models Of Psychopathologymentioning

confidence: 99%

Development and validation of the Inventory of Depression and Anxiety Symptoms–II—German version.

Wester¹,

Rubel²,

Zimmermann³

et al. 2022

Psychological Assessment

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“…Prevalence investigations in Peru have left PD relegated; however, studies of other mental disorders can serve as a link to identify the presence of PD; given its comorbidity according to the Hierarchical Taxonomy of Psychopathology, HiTOP ( 13 ). For example, according to a national study ( 14 ), it is evident that in Peruvian women there is a higher prevalence of internalizing symptoms, while in men externalizing manifestations prevail.…”

Section: Peruvian Culture As a Contextualizing Agent Of Personalitymentioning

confidence: 99%

Cultural lenses of the utility of the ICD-11-PD model: Integrating the Peruvian context

Hualparuca-Olivera

2022

Front. Psychiatry

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“…Respondents were desirous of but largely unfamiliar with alternatives to DSM , despite a growing body of rigorous scholarship on them (Conway et al, 2022; Cuthbert, 2022; Harper & Cromby, 2022; Huprich et al, 2019; Polychronis & Keyes, 2022). This finding should serve as a clarion call for education and training.…”

Section: Discussionmentioning

confidence: 99%

“…The Hierarchical Taxonomy of Psychopathology (HiTOP) offers a noncategorical diagnostic approach, seeking to replace DSM ’ s hundreds of categories with six scientifically derived spectra dimensions (Conway et al, 2022; Kotov et al, 2021). HiTOP aims to overcome DSM’s comorbidity issues by offering a simpler diagnostic approach grounded in empirical assessment data.…”

Section: Psychologist Attitudes Toward the Dsmmentioning

confidence: 99%

Psychologist attitudes toward DSM-5 and its alternatives.

Raskin¹,

Maynard²,

Gayle³

2022

Professional Psychology: Research and Practice

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A survey of psychologists’ attitudes toward the Diagnostic and Statistical Manual of Mental Disorders–5 (DSM-5), and its alternatives was conducted. Almost 90% of psychologists reported regularly consulting DSM-5, despite dissatisfaction with it. However, opinions varied by theoretical orientation. Cognitive-behavioral psychologists held positive attitudes about DSM, whereas psychodynamic and humanistic/constructivist/systems psychologists were negatively inclined toward it. Integrative/eclectic psychologists were in between. Diagnostic codes and identifying pathology were seen as DSM-5’s biggest advantages, and the medicalization of psychosocial problems and obscuring individual differences as its biggest disadvantages. Psychologists supported developing alternatives to DSM-5, but when asked about six alternatives—International Classification of Diseases (ICD), Research Domain Criteria (RDoC), Psychodynamic Diagnostic Manual–2 (PDM), Operationalized Psychodynamic Diagnosis (OPD), Hierarchical Taxonomy of Psychopathology (HiTOP), and Power Threat Meaning Framework (PTMF)—they were generally unfamiliar with them except for ICD. Although not wishing to abandon the medical model, psychologists (except for cognitive-behaviorists) said DSM-5 relies too much on medical semantics and questioned whether mental disorders should be considered a subset of medical disorders. Overall, psychologists use DSM for practical reasons (diagnostic categories and codes) more than scientific ones (validity and reliability). This finding affirms something remarkable: Despite ongoing attention to revising and improving DSM over the past four decades, psychologists remain lukewarm toward it and strongly interested in alternatives. However, until alternatives are better known and provide the necessary practical advantages, psychologists will likely continue to use DSM despite their mixed feelings about it.

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A Hierarchical Taxonomy of Psychopathology (HiTOP) Primer for Mental Health Researchers

Cited by 52 publications

References 128 publications

Development and validation of the Inventory of Depression and Anxiety Symptoms–II—German version.

Development and validation of the Inventory of Depression and Anxiety Symptoms–II—German version.

Cultural lenses of the utility of the ICD-11-PD model: Integrating the Peruvian context

Psychologist attitudes toward DSM-5 and its alternatives.

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