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 B.; Clark, Lee Anna; Skodol, Andrew E.; Mullins-Sweatt, Stephanie N.; Patrick, Christopher J.; Bach, Bo; Cicero, David C.; Docherty, Anna; Simms, Leonard J.; Bagby, Robert Michael; Krueger, Robert F.; Callahan, Jennifer L.; Chmielewski, Michael; Conway, Christopher C.; De Clercq, Barbara; 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, 12.2019, p. 1069-1084.Research output: Contribution to journal › Journal article › Research › peer-review
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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 B.
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 - Bagby, Robert Michael
AU - Krueger, Robert F.
AU - Callahan, Jennifer L.
AU - Chmielewski, Michael
AU - Conway, Christopher C.
AU - De Clercq, Barbara
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
Y1 - 2019/12
N2 - Diagnosis is a cornerstone of clinical practice for mental health care providers, yet traditional diagnostic systems have well-known shortcomings, including inadequate reliability in daily practice, high co-morbidity, 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 dimension-based 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. To this end, the present work outlines the HiTOP model and describes the core principles to guide its integration into clinical practice. We review potential advantages and limitations for clinical utility, including case conceptualization and treatment planning. We illustrate what a HiTOP approach might look like in practice relative to traditional nosology. Finally, we discuss common barriers to using HiTOP in real-world healthcare settings and how they can be addressed.
AB - Diagnosis is a cornerstone of clinical practice for mental health care providers, yet traditional diagnostic systems have well-known shortcomings, including inadequate reliability in daily practice, high co-morbidity, 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 dimension-based 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. To this end, the present work outlines the HiTOP model and describes the core principles to guide its integration into clinical practice. We review potential advantages and limitations for clinical utility, including case conceptualization and treatment planning. We illustrate what a HiTOP approach might look like in practice relative to traditional nosology. Finally, we discuss common barriers to using HiTOP in real-world healthcare settings and how they can be addressed.
U2 - 10.1037/ccp0000452
DO - 10.1037/ccp0000452
M3 - Tidsskriftartikel
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 -
ID: 365596500