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Integrating the Hierarchical Taxonomy of Psychopathology (HiTOP) into clinical practice

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Integrating the Hierarchical Taxonomy of Psychopathology (HiTOP) into clinical practice. / 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.; Michael Bagby, R.; Krueger, Robert F.; Callahan, Jennifer L.; Chmielewski, Michael; Conway, Christopher C.; Clercq, Barbara De; 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 G.C.; Zimmermann, Johannes.

In: Journal of Consulting and Clinical Psychology, Vol. 87, No. 12, 01.12.2019, p. 1069-1084.

Research output: Contribution to journalArticle

Harvard

Ruggero, CJ, Kotov, R, Hopwood, CJ, First, M, Clark, LA, Skodol, AE, Mullins-Sweatt, SN, Patrick, CJ, Bach, B, Cicero, DC, Docherty, A, Simms, LJ, Michael Bagby, R, Krueger, RF, Callahan, JL, Chmielewski, M, Conway, CC, Clercq, BD, Dornbach-Bender, A, Eaton, NR, Forbes, MK, Forbush, KT, Haltigan, JD, Miller, JD, Morey, LC, Patalay, P, Regier, DA, Reininghaus, U, Shackman, AJ, Waszczuk, MA, Watson, D, Wright, AGC & Zimmermann, J 2019, 'Integrating the Hierarchical Taxonomy of Psychopathology (HiTOP) into clinical practice', Journal of Consulting and Clinical Psychology, vol. 87, no. 12, pp. 1069-1084. https://doi.org/10.1037/ccp0000452

APA

Ruggero, C. J., Kotov, R., Hopwood, C. J., First, M., Clark, L. A., Skodol, A. E., ... Zimmermann, J. (2019). Integrating the Hierarchical Taxonomy of Psychopathology (HiTOP) into clinical practice. Journal of Consulting and Clinical Psychology, 87(12), 1069-1084. https://doi.org/10.1037/ccp0000452

Vancouver

Ruggero CJ, Kotov R, Hopwood CJ, First M, Clark LA, Skodol AE et al. Integrating the Hierarchical Taxonomy of Psychopathology (HiTOP) into clinical practice. Journal of Consulting and Clinical Psychology. 2019 Dec 1;87(12):1069-1084. https://doi.org/10.1037/ccp0000452

Author

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. ; Michael Bagby, R. ; Krueger, Robert F. ; Callahan, Jennifer L. ; Chmielewski, Michael ; Conway, Christopher C. ; Clercq, Barbara De ; 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 G.C. ; Zimmermann, Johannes. / Integrating the Hierarchical Taxonomy of Psychopathology (HiTOP) into clinical practice. In: Journal of Consulting and Clinical Psychology. 2019 ; Vol. 87, No. 12. pp. 1069-1084.

Bibtex Download

@article{9dbbd5353d644684bb2e965f39a5bdf8,
title = "Integrating the Hierarchical Taxonomy of Psychopathology (HiTOP) into clinical practice",
abstract = "Objective: Diagnosis 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. Method: The present work outlines the HiTOP model and describes the core principles to guide its integration into clinical practice. Results: Potential 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. Conclusions: HiTOP represents a viable alternative to classifying mental illness that can be integrated into practice today, although research is needed to further establish its utility.",
keywords = "Classification, Diagnosis, Nosology, Psychopathology, Treatment",
author = "Ruggero, {Camilo J.} and Roman Kotov and Hopwood, {Christopher J.} and Michael First and Clark, {Lee Anna} and Skodol, {Andrew E.} and Mullins-Sweatt, {Stephanie N.} and Patrick, {Christopher J.} and Bo Bach and Cicero, {David C.} and Anna Docherty and Simms, {Leonard J.} and {Michael Bagby}, R. and Krueger, {Robert F.} and Callahan, {Jennifer L.} and Michael Chmielewski and Conway, {Christopher C.} and Clercq, {Barbara De} and Allison Dornbach-Bender and Eaton, {Nicholas R.} and Forbes, {Miriam K.} and Forbush, {Kelsie T.} and Haltigan, {John D.} and Miller, {Joshua D.} and Morey, {Leslie C.} and Praveetha Patalay and Regier, {Darrel A.} and Ulrich Reininghaus and Shackman, {Alexander J.} and Waszczuk, {Monika A.} and David Watson and Wright, {Aidan G.C.} and Johannes Zimmermann",
year = "2019",
month = "12",
day = "1",
doi = "10.1037/ccp0000452",
language = "English",
volume = "87",
pages = "1069--1084",
journal = "Journal of Consulting and Clinical Psychology",
issn = "0022-006X",
publisher = "American Psychological Association Inc.",
number = "12",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Integrating the Hierarchical Taxonomy of Psychopathology (HiTOP) into clinical practice

AU - Ruggero, Camilo J.

AU - Kotov, Roman

AU - Hopwood, Christopher J.

AU - First, Michael

AU - Clark, Lee Anna

AU - Skodol, Andrew E.

AU - Mullins-Sweatt, Stephanie N.

AU - Patrick, Christopher J.

AU - Bach, Bo

AU - Cicero, David C.

AU - Docherty, Anna

AU - Simms, Leonard J.

AU - Michael Bagby, R.

AU - Krueger, Robert F.

AU - Callahan, Jennifer L.

AU - Chmielewski, Michael

AU - Conway, Christopher C.

AU - Clercq, Barbara De

AU - Dornbach-Bender, Allison

AU - Eaton, Nicholas R.

AU - Forbes, Miriam K.

AU - Forbush, Kelsie T.

AU - Haltigan, John D.

AU - Miller, Joshua D.

AU - Morey, Leslie C.

AU - Patalay, Praveetha

AU - Regier, Darrel A.

AU - Reininghaus, Ulrich

AU - Shackman, Alexander J.

AU - Waszczuk, Monika A.

AU - Watson, David

AU - Wright, Aidan G.C.

AU - Zimmermann, Johannes

PY - 2019/12/1

Y1 - 2019/12/1

N2 - Objective: Diagnosis 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. Method: The present work outlines the HiTOP model and describes the core principles to guide its integration into clinical practice. Results: Potential 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. Conclusions: HiTOP represents a viable alternative to classifying mental illness that can be integrated into practice today, although research is needed to further establish its utility.

AB - Objective: Diagnosis 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. Method: The present work outlines the HiTOP model and describes the core principles to guide its integration into clinical practice. Results: Potential 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. Conclusions: HiTOP represents a viable alternative to classifying mental illness that can be integrated into practice today, although research is needed to further establish its utility.

KW - Classification

KW - Diagnosis

KW - Nosology

KW - Psychopathology

KW - Treatment

UR - http://www.scopus.com/inward/record.url?scp=85074680588&partnerID=8YFLogxK

U2 - 10.1037/ccp0000452

DO - 10.1037/ccp0000452

M3 - Article

C2 - 31724426

AN - SCOPUS:85074680588

VL - 87

SP - 1069

EP - 1084

JO - Journal of Consulting and Clinical Psychology

JF - Journal of Consulting and Clinical Psychology

SN - 0022-006X

IS - 12

ER -

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