The DOI matches its Crossref record; 73 of the 73 references it cites were found in a registry or an index.
Externalizing disorders: Cluster 5 of the proposed meta-structure for DSM-V and ICD-11: Paper 6 of 7 of the thematic section: ‘A proposal for a meta-structure for DSM-V and ICD-11’
Open accessAbstract
Background: The extant major psychiatric classifications DSM-IV and ICD-10 are purportedly atheoretical and largely descriptive. Although this achieves good reliability, the validity of a medical diagnosis is greatly enhanced by an understanding of the etiology. In an attempt to group mental disorders on the basis of etiology, five clusters have been proposed. We consider the validity of the fifth cluster, externalizing disorders, within this proposal. Method: We reviewed the literature in relation to 11 validating criteria proposed by the Study Group of the DSM-V Task Force, in terms of the extent to which these criteria support the idea of a coherent externalizing spectrum of disorders. Results: This cluster distinguishes itself by the central role of disinhibitory personality in mental disorders spread throughout sections of the current classifications, including substance dependence, antisocial personality disorder and conduct disorder. Shared biomarkers, co-morbidity and course offer additional evidence for a valid cluster of externalizing disorders. Conclusion: Externalizing disorders meet many of the salient criteria proposed by the Study Group of the DSM-V Task Force to suggest a classification cluster.
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“It was rapidly recognized that the application of such 'validators' was much more meaningful for larger groups or disorder spectra than for individual categorical diagnoses.”
From The DSM-5: Classification and criteria changes (2013) · cites this paper as [32]
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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-citationThe DSM-5: Classification and criteria changes
Regier, D. A., Kuhl, E. A., & Kupfer, D. J. (2013) · World Psychiatry · doi:10.1002/wps.20050 · Cited by 1,138
What is conscientiousness and how can it be assessed?
Roberts, B., Lejuez, C., Krueger, R., Richards, J., & Hill, P. (2014) · Developmental Psychology · doi:10.1037/a0031109 · Cited by 595
Self-citationNew Dimensions in the Quantitative Classification of Mental Illness
Kotov, R. (2011) · Archives of General Psychiatry · doi:10.1001/archgenpsychiatry.2011.107 · Cited by 381
Ullsperger, J. M., & Nikolas, M. A. (2017) · Psychological Bulletin · doi:10.1037/bul0000106 · Cited by 293
Metadata
- Authors
- Krueger, R. F., & South, S. C.
- Affiliations
- Washington University in St. Louis (US)
- Purdue University West Lafayette (US)
- Corresponding author
- Krueger, R. F.
- Venue
- Psychological Medicine
- Publisher
- Cambridge University Press (CUP)
- Published
- 2009-10-01
- Volume
- 39
- Issue
- 12
- Pages
- 2061-2070
- ISSN
- 0033-2917 (ISSN-L)
- 1469-8978
- OpenAlex
- W2060288140
- Semantic Scholar
- 0fb1e02b3e604b73a798a18e46c31dcc65cf374f
- Cited by
- 145
- References
- 71
- Citations by year
- 2026: 1 · 2024: 12 · 2023: 4 · 2022: 4 · 2021: 13 · 2020: 4 · 2019: 3 · 2018: 5 · 2017: 12 · 2016: 13 · 2015: 8 · 2014: 9 · 2013: 12 · 2012: 15
- FWCI
- 2.02
- Type
- journal article
- Language
- en
- Open access
- Locations
- Psychological Medicine (publishedVersion)
- PubMed (publishedVersion)
- Digital Commons@Becker (Washington University School of Medicine) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- externalizing disorders, psychiatric classification, DSM-V, ICD-11, antisocial personality disorder, conduct disorder, substance dependence, comorbidities, shared biomarkers, course of mental disorders, classification validity
- MeSH terms
- Aggression, Antisocial Personality Disorder, Mental Disorders, Cognition Disorders, Humans, Internal-External Control, Personality Disorders, Phenotype, Prognosis, Risk Factors, Social Environment, Temperament, Comorbidity, Personal Construct Theory, Conduct Disorder, Substance-Related Disorders, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders
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