Progress in achieving quantitative classification of psychopathology

作者：Robert Frank Krueger, Roman Kotov, David Watson, Miriam K. Forbes, Nicholas R. Eaton, Camilo J. Ruggero, Leonard J. Simms, Thomas A. Widiger, Thomas M. Achenbach, Bo Bach, Robert Michael Bagby, Marina A. Bornovalova, William T. Carpenter, Michael S. Chmielewski, David Colin Cicero, Lee Anna Clark, Christopher Conway, Barbara J. De Clercq, Colin G. DeYoung, Anna R. Docherty, Laura E. Drislane, Michael B. First, Kelsie Terese Forbush, Michael N. Hallquist, John David Haltigan, Christopher James Hopwood, Masha Y. Ivanova, Katherine Grace Jonas, Robert D. Latzman, Kristian E. Markon, Joshua D. Miller, Leslie C. Morey, Stephanie N. Mullins‐Sweatt, Johan Ormel, Praveetha Patalay, Christopher J. Patrick, Aaron L. Pincus, Darrel A. Regier, Ulrich Reininghaus, Leslie A. Rescorla, Douglas B. Samuel, Martin Sellbom, Alexander J. Shackman, Andrew E. Skodol, Tim N Slade, Susan C. South, Matthew Sunderland, Jennifer L. Tackett, Noah C. Venables, Irwin D. Waldman, Monika A. Waszczuk, Mark H. Waugh, Aidan G.C. Wright, David Harold Zald, Johannes Zimmermann · 发表于：World Psychiatry · 年份：2018 · DOI：10.1002/wps.20566 · 被引用次数：509 · 研究领域：Personality Disorders and Psychopathology、Mental Health and Psychiatry、Mental Health Research Topics

Shortcomings of approaches to classifying psychopathology based on expert consensus have given rise to contemporary efforts to classify psychopathology quantitatively. In this paper, we review progress in achieving a quantitative and empirical classification of psychopathology. A substantial empirical literature indicates that psychopathology is generally more dimensional than categorical. When the discreteness versus continuity of psychopathology is treated as a research question, as opposed to being decided as a matter of tradition, the evidence clearly supports the hypothesis of continuity. In addition, a related body of literature shows how psychopathology dimensions can be arranged in a hierarchy, ranging from very broad "spectrum level" dimensions, to specific and narrow clusters of symptoms. In this way, a quantitative approach solves the "problem of comorbidity" by explicitly modeling patterns of co-occurrence among signs and symptoms within a detailed and variegated hierarchy of dimensional concepts with direct clinical utility. Indeed, extensive evidence pertaining to the dimensional and hierarchical structure of psychopathology has led to the formation of the Hierarchical Taxonomy of Psychopathology (HiTOP) Consortium. This is a group of 70 investigators working together to study empirical classification of psychopathology. In this paper, we describe the aims and current foci of the HiTOP Consortium. These aims pertain to continued research on the empirical organiz...