TY - JOUR
T1 - State of the Science
T2 - The Hierarchical Taxonomy of Psychopathology (HiTOP)
AU - Cicero, David C.
AU - Ruggero, Camilo J.
AU - Balling, Caroline E.
AU - Bottera, Angeline R.
AU - Cheli, Simone
AU - Elkrief, Laurent
AU - Forbush, Kelsie T.
AU - Hopwood, Christopher J.
AU - Jonas, Katherine G.
AU - Jutras-Aswad, Didier
AU - Kotov, Roman
AU - Levin-Aspenson, Holly F.
AU - Mullins-Sweatt, Stephanie N.
AU - Johnson-Munguia, Sara
AU - Narrow, William E.
AU - Negi, Sonakshi
AU - Patrick, Christopher J.
AU - Rodriguez-Seijas, Craig
AU - Sheth, Shreya
AU - Simms, Leonard J.
AU - Thomeczek, Marianna L.
N1 - Publisher Copyright:
© 2024 Association for Behavioral and Cognitive Therapies
PY - 2024/11
Y1 - 2024/11
N2 - The Hierarchical Taxonomy of Psychopathology (HiTOP) is a dimensional framework for psychopathology advanced by a consortium of nosologists. In the HiTOP system, psychopathology is grouped hierarchically from super-spectra, spectra, and subfactors at the upper levels to homogeneous symptom components and maladaptive traits and their constituent symptoms, and maladaptive behaviors at the lower levels. HiTOP has the potential to improve clinical outcomes by planning treatment based on symptom severity rather than heterogeneous diagnoses, targeting treatment across different levels of the hierarchy, and assessing distress and impairment separately from the observed symptom profile. Assessments can be performed according to this framework with the recently developed HiTOP-Self-Report (HiTOP-SR). Examples of how to use HiTOP in clinical practice are provided for the internalizing spectrum, including the use of the Unified Protocol and other modularized treatments, measurement-based care, psychopharmacology, and in traditionally underserved populations. Future directions are discussed in this State of the Science review including HiTOP's use in further developing transdiagnostic treatments, extending the model to include other information such as environmental factors, establishing the treatment utility of clinical assessment for the HiTOP-SR, developing new treatments, and disseminating the model.
AB - The Hierarchical Taxonomy of Psychopathology (HiTOP) is a dimensional framework for psychopathology advanced by a consortium of nosologists. In the HiTOP system, psychopathology is grouped hierarchically from super-spectra, spectra, and subfactors at the upper levels to homogeneous symptom components and maladaptive traits and their constituent symptoms, and maladaptive behaviors at the lower levels. HiTOP has the potential to improve clinical outcomes by planning treatment based on symptom severity rather than heterogeneous diagnoses, targeting treatment across different levels of the hierarchy, and assessing distress and impairment separately from the observed symptom profile. Assessments can be performed according to this framework with the recently developed HiTOP-Self-Report (HiTOP-SR). Examples of how to use HiTOP in clinical practice are provided for the internalizing spectrum, including the use of the Unified Protocol and other modularized treatments, measurement-based care, psychopharmacology, and in traditionally underserved populations. Future directions are discussed in this State of the Science review including HiTOP's use in further developing transdiagnostic treatments, extending the model to include other information such as environmental factors, establishing the treatment utility of clinical assessment for the HiTOP-SR, developing new treatments, and disseminating the model.
KW - clinical utility
KW - dimensional
KW - nosology
KW - transdiagnostic
UR - https://www.scopus.com/pages/publications/85198057257
U2 - 10.1016/j.beth.2024.05.001
DO - 10.1016/j.beth.2024.05.001
M3 - Review article
C2 - 39443056
AN - SCOPUS:85198057257
SN - 0005-7894
VL - 55
SP - 1114
EP - 1129
JO - Behavior Therapy
JF - Behavior Therapy
IS - 6
ER -