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


Journal article


Camilo J. Ruggero, Roman Kotov, Christopher J. Hopwood, Michael First, Lee Anna Clark, Andrew E. Skodol, Stephanie N. Mullins-Sweatt, Christopher J. Patrick, Bo Bach, David C. Cicero, Anna Docherty, Leonard J. Simms, R. Michael Bagby, Robert F. Krueger, Jennifer L. Callahan, Michael Chmielewski, Christopher C. Conway, Barbara De Clercq, Allison Dornbach-Bender, Nicholas R. Eaton, Miriam K. Forbes, Kelsie T. Forbush, John D. Haltigan, Joshua D. Miller, Leslie C. Morey, Praveetha Patalay, Darrel A. Regier, Ulrich Reininghaus, Alexander J. Shackman, Monika A. Waszczuk, David Watson, Aidan G. C. Wright, Johannes Zimmermann
Journal of Consulting and Clinical Psychology, vol. 87(12), 2019 Nov 1, pp. 1069-1084


DOI APA PsycNet PubMed
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APA   Click to copy
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


Chicago/Turabian   Click to copy
Ruggero, Camilo J., Roman Kotov, Christopher J. Hopwood, Michael First, Lee Anna Clark, Andrew E. Skodol, Stephanie N. Mullins-Sweatt, et al. “Integrating the Hierarchical Taxonomy of Psychopathology (HiTOP) into Clinical Practice.” Journal of Consulting and Clinical Psychology 87, no. 12 (November 1, 2019): 1069–1084.


MLA   Click to copy
Ruggero, Camilo J., et al. “Integrating the Hierarchical Taxonomy of Psychopathology (HiTOP) into Clinical Practice.” Journal of Consulting and Clinical Psychology, vol. 87, no. 12, Nov. 2019, pp. 1069–84, doi:10.1037/ccp0000452.


BibTeX   Click to copy

@article{camilo2019a,
  title = {Integrating the Hierarchical Taxonomy of Psychopathology (HiTOP) into clinical practice},
  year = {2019},
  month = nov,
  day = {1},
  issue = {12},
  journal = {Journal of Consulting and Clinical Psychology},
  pages = {1069-1084},
  volume = {87},
  doi = {10.1037/ccp0000452},
  author = {Ruggero, Camilo J. and Kotov, Roman and Hopwood, Christopher J. and First, Michael and Clark, Lee Anna and Skodol, Andrew E. and Mullins-Sweatt, Stephanie N. and Patrick, Christopher J. and Bach, Bo and Cicero, David C. and Docherty, Anna and Simms, Leonard J. and Bagby, R. Michael and Krueger, Robert F. and Callahan, Jennifer L. and Chmielewski, Michael and Conway, Christopher C. and Clercq, Barbara De and Dornbach-Bender, Allison 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 Patalay, Praveetha and Regier, Darrel A. and Reininghaus, Ulrich and Shackman, Alexander J. and Waszczuk, Monika A. and Watson, David and Wright, Aidan G. C. and Zimmermann, Johannes},
  month_numeric = {11}
}

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. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


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