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      A Hierarchical Taxonomy of Psychopathology Can Transform Mental Health Research

      1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 6 , 12 , 13 , 14 , 15 , 16 , 6 , 17 , 18 , 5 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 17 , 31 , 32 , 33 , 34 , 35 , 10 , 29 , 36
      Perspectives on Psychological Science
      SAGE Publications
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          Abstract

          For over 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 psychological symptom co-occurrence. 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.

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          Author and article information

          Journal
          Perspectives on Psychological Science
          Perspect Psychol Sci
          SAGE Publications
          1745-6916
          1745-6924
          March 07 2019
          May 2019
          March 07 2019
          May 2019
          : 14
          : 3
          : 419-436
          Affiliations
          [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
          Article
          10.1177/1745691618810696
          6497550
          30844330
          862da7b4-8bd4-4da9-b4e8-df673dfc8be2
          © 2019

          http://journals.sagepub.com/page/policies/text-and-data-mining-license

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