The DOI matches its Crossref record; 357 of the 357 references it cites were found in a registry or an index.
Validity and utility of Hierarchical Taxonomy of Psychopathology (HiTOP): I. Psychosis superspectrum
Open accessAbstract
The Hierarchical Taxonomy of Psychopathology (HiTOP) is a scientific effort to address shortcomings of traditional mental disorder diagnoses, which suffer from arbitrary boundaries between psychopathology and normality, frequent disorder co‐occurrence, heterogeneity within disorders, and diagnostic instability. This paper synthesizes evidence on the validity and utility of the thought disorder and detachment spectra of HiTOP. These spectra are composed of symptoms and maladaptive traits currently subsumed within schizophrenia, other psychotic disorders, and schizotypal, paranoid and schizoid personality disorders. Thought disorder ranges from normal reality testing, to maladaptive trait psychoticism, to hallucinations and delusions. Detachment ranges from introversion, to maladaptive detachment, to blunted affect and avolition. Extensive evidence supports the validity of thought disorder and detachment spectra, as each spectrum reflects common genetics, environmental risk factors, childhood antecedents, cognitive abnormalities, neural alterations, biomarkers, and treatment response. Some of these characteristics are specific to one spectrum and others are shared, suggesting the existence of an overarching psychosis superspectrum. Further research is needed to extend this model, such as clarifying whether mania and dissociation belong to thought disorder, and explicating processes that drive development of the spectra and their subdimensions. Compared to traditional diagnoses, the thought disorder and detachment spectra demonstrated substantially improved utility: greater reliability, larger explanatory and predictive power, and higher acceptability to clinicians. Validated measures are available to implement the system in practice. The more informative, reliable and valid characterization of psychosis‐related psychopathology offered by HiTOP can make diagnosis more useful for research and clinical care.
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Cites
The Positive and Negative Syndrome Scale (PANSS) for schizophrenia.
Kay, S. R., Fiszbein, A., & Opler, L. A. (1987) · Schizophrenia Bulletin · doi:10.1093/schbul/13.2.261 · Cited by 21,378
The Brief Psychiatric Rating Scale.
Overall, J. E., & Gorham, D. R. (1962) · Psychological Reports · doi:10.2466/pr0.1962.10.3.799 · Cited by 11,090
Handbook of Personality: Theory and Research
Krueger, R. F., & Johnson, W. (2008) · Cited by 7,884
Self-citationBiological insights from 108 schizophrenia-associated genetic loci
Schizophrenia Working Group of the Psychiatric Genomics Consortium (2014) · Nature · doi:10.1038/nature13595 · Cited by 7,577
A New Initiative on Precision Medicine
Collins, F. S., & Varmus, H. (2015) · New England Journal of Medicine · doi:10.1056/nejmp1500523 · Cited by 5,202
Kotov, R., Krueger, R. F., Watson, D., Achenbach, T. M., Althoff, R. R., Bagby, R. M., Brown, T. A., Carpenter, W. T., Caspi, A., Clark, L. A., et al. (2017) · Journal of Abnormal Psychology · doi:10.1037/abn0000258 · Cited by 3,335
Self-citationScale for the Assessment of Negative Symptoms (SANS)*
(1989) · British Journal of Psychiatry · doi:10.1192/s0007125000291502 · Cited by 2,701
Personality Development: Stability and Change
Caspi, A., Roberts, B. W., & Shiner, R. L. (2005) · Annual Review of Psychology · doi:10.1146/annurev.psych.55.090902.141913 · Cited by 2,699
The p Factor: One General Psychopathology Factor in the Structure of Psychiatric Disorders?
Caspi, A., Houts, R. M., Belsky, D. W., Goldman-Mellor, S. J., Harrington, H., Israel, S., Meier, M. H., Ramrakha, S., Shalev, I., Poulton, R., et al. (2014) · Clinical Psychological Science · doi:10.1177/2167702613497473 · Cited by 2,449
Varese, F., Smeets, F., Drukker, M., Lieverse, R., Lataster, T., Viechtbauer, W., Read, J., van Os, J., & Bentall, R. P. (2012) · Schizophrenia Bulletin · doi:10.1093/schbul/sbs050 · Cited by 2,436
Research works printed but not linked: 10
- Claridge G, 1995, Fully and quasi‐dimensional constructions of schizotypy. Schizotypal personality, 192
- 10.1111/j.1440-1614.2006.01860.x · doi:10.1111/j.1440-1614.2006.01860.x · Paper page
- 10.1037/0022-006X.56.2.292 · DOI
- ChmielewskiMS.The structure of common and severe psychopathology: analyses of syndromes and symptoms. PhD Thesis University of Iowa 2012.
- 10.1037/abn0000192 · doi:10.1037/abn0000192
- American Psychiatric Association, 2004, Practice guideline for the treatment of patients with schizophrenia, 2nd ed, Am J Psychiatry, 161, 1
- National Institute for Health and Care Excellence, 2014, Psychosis and schizophrenia in adults: treatment and management
- 10.1037/per0000322 · doi:10.1037/per0000322
- Achenbach TM, 2001, Manual for the ASEBA school‐age forms and profiles
- Achenbach TM, 2003, Manual for the ASEBA adult forms and profiles
Cited by
Kotov, R., Krueger, R. F., Watson, D., Cicero, D. C., Conway, C. C., DeYoung, C. G., Eaton, N. R., Forbes, M. K., Hallquist, M. N., Latzman, R. D., et al. (2021) · Annual Review of Clinical Psychology · doi:10.1146/annurev-clinpsy-081219-093304 · Cited by 596
Self-citationStein, D. J., Shoptaw, S. J., Vigo, D. V., Lund, C., Cuijpers, P., Bantjes, J., Sartorius, N., & Maj, M. (2022) · World Psychiatry · doi:10.1002/wps.20998 · Cited by 331
Watson, D., Levin‐Aspenson, H. F., Waszczuk, M. A., Conway, C. C., Dalgleish, T., Dretsch, M. N., Eaton, N. R., Forbes, M. K., Forbush, K. T., Hobbs, K. A., et al. (2022) · World Psychiatry · doi:10.1002/wps.20943 · Cited by 265
Self-citationCortese, S., Solmi, M., Michelini, G., Bellato, A., Blanner, C., Canozzi, A., Eudave, L., Farhat, L. C., Højlund, M., Köhler‐Forsberg, O., et al. (2023) · World Psychiatry · doi:10.1002/wps.21037 · Cited by 147
Narrative identity in the psychosis spectrum: A systematic review and developmental model
Cowan, H. R., Mittal, V. A., & McAdams, D. P. (2021) · Clinical Psychology Review · doi:10.1016/j.cpr.2021.102067 · Cited by 82
Metadata
- Authors
- Kotov, R., Jonas, K. G., Carpenter, W. T., Dretsch, M. N., Eaton, N. R., Forbes, M. K., Forbush, K. T., Hobbs, K., Reininghaus, U., Slade, T., South, S. C., Sunderland, M., Waszczuk, M. A., Widiger, T. A., Wright, A. G. C., Zald, D. H., Krueger, R. F., Watson, D., & Workgroup, H. U.
- Venue
- World Psychiatry
- Publisher
- Wiley
- Published
- 2020-05-11
- Volume
- 19
- Issue
- 2
- Pages
- 151-172
- ISSN
- 1723-8617 (ISSN-L)
- 2051-5545
- OpenAlex
- W3025481747
- Cited by
- 309
- References
- 357
- FWCI
- 26.65
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Kotov, R., Jonas, K. G., Carpenter, W. T., Dretsch, M. N., Eaton, N. R., Forbes, M. K., Forbush, K. T., Hobbs, K., Reininghaus, U., Slade, T., South, S. C., Sunderland, M., Waszczuk, M. A., Widiger, T. A., Wright, A. G. C., Zald, D. H., Krueger, R. F., Watson, D., & Workgroup, H. U. (2020). Validity and utility of Hierarchical Taxonomy of Psychopathology (HiTOP): I. Psychosis superspectrum. World Psychiatry. https://doi.org/10.1002/wps.20730
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