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Rebuilding HiTOP from the ground up: Symptom-level analyses and a revised mapping to the DSM.

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Τίτλος: Rebuilding HiTOP from the ground up: Symptom-level analyses and a revised mapping to the DSM.
Συγγραφείς: Forbes MK; School of Psychological Sciences, Macquarie University., Pham T; School of Psychological Sciences, Macquarie University., Roberts M; School of Computing, Macquarie University., Johnco CJ; School of Psychological Sciences, Macquarie University.
Πηγή: Journal of psychopathology and clinical science [J Psychopathol Clin Sci] 2026 Oct; Vol. 135 (7), pp. 908-921. Date of Electronic Publication: 2026 May 04.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: American Psychological Association Country of Publication: United States NLM ID: 9918351179206676 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2769-755X (Electronic) Linking ISSN: 27697541 NLM ISO Abbreviation: J Psychopathol Clin Sci Subsets: MEDLINE
Imprint Name(s): Original Publication: Washington, DC : American Psychological Association, [2022]-
Ιατρικοί όροι (MeSH): Personality Disorders*/diagnosis , Personality Disorders*/classification , Mental Disorders*/classification , Mental Disorders*/diagnosis , Diagnostic and Statistical Manual of Mental Disorders* , Models, Psychological*, Humans ; Psychopathology ; Female ; Male
Περίληψη: The evidence for the structure of the Hierarchical Taxonomy of Psychopathology (HiTOP) model relies heavily on analyses of correlations among Diagnostic and Statistical Manual of Mental Disorders diagnoses, which entrenches some of their limitations. In this study, we deconstructed the mental disorders covered in HiTOP into individual symptoms-with personality disorders represented via item-level assessment of the Alternative Model for Personality Disorders facets-and rebuilt the HiTOP model from the ground up. Participants self-selected into an online mental health study and were randomly split into primary (n = 11,762) and holdout (n = 3,000) samples to identify a robust hierarchy of empirically derived constructs, ranging from symptoms and syndromes to very broad "superspectra" of psychopathology. In each sample, both hierarchical clustering and hierarchical principal components analyses were used; the final hierarchical structure was derived based on points of cross-sample and cross-method agreement. The resulting model was remarkably similar to the HiTOP model, including nearly all of the same subfactors, spectra, and superspectra-albeit with some reorganization in the structure. The inclusion of broad disinhibition/hypomania and pathological introversion dimensions represented the most prominent differences compared with the current higher order structure of HiTOP. The detailed lower order constructs found here also mirrored many of the existing components and traits in HiTOP, as well as indicating some potential areas for revision. Finally, we remapped the disorders included in the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders-5th Edition onto the new framework model. Overall, the results suggest that the structural foundations of the HiTOP model are largely sound. (PsycInfo Database Record (c) 2026 APA, all rights reserved).
Grant Information: National Health and Medical Research Council
Entry Date(s): Date Created: 20260504 Date Completed: 20260910 Latest Revision: 20260910
Update Code: 20260911
DOI: 10.1037/abn0001125
PMID: 42080848
Βάση Δεδομένων: MEDLINE
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  Data: Rebuilding HiTOP from the ground up: Symptom-level analyses and a revised mapping to the DSM.
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  Data: <searchLink fieldCode="AU" term="%22Forbes+MK%22">Forbes MK</searchLink>; School of Psychological Sciences, Macquarie University.<br /><searchLink fieldCode="AU" term="%22Pham+T%22">Pham T</searchLink>; School of Psychological Sciences, Macquarie University.<br /><searchLink fieldCode="AU" term="%22Roberts+M%22">Roberts M</searchLink>; School of Computing, Macquarie University.<br /><searchLink fieldCode="AU" term="%22Johnco+CJ%22">Johnco CJ</searchLink>; School of Psychological Sciences, Macquarie University.
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  Data: <searchLink fieldCode="JN" term="%229918351179206676%22">Journal of psychopathology and clinical science</searchLink> [J Psychopathol Clin Sci] 2026 Oct; Vol. 135 (7), pp. 908-921. <i>Date of Electronic Publication: </i>2026 May 04.
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  Data: <i>Original Publication</i>: Washington, DC : American Psychological Association, [2022]-
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  Data: <searchLink fieldCode="MM" term="%22Personality+Disorders%22">Personality Disorders*</searchLink>/<searchLink fieldCode="MM" term="%22Personality+Disorders+diagnosis%22">diagnosis</searchLink> <br /><searchLink fieldCode="MM" term="%22Personality+Disorders%22">Personality Disorders*</searchLink>/<searchLink fieldCode="MM" term="%22Personality+Disorders+classification%22">classification</searchLink> <br /><searchLink fieldCode="MM" term="%22Mental+Disorders%22">Mental Disorders*</searchLink>/<searchLink fieldCode="MM" term="%22Mental+Disorders+classification%22">classification</searchLink> <br /><searchLink fieldCode="MM" term="%22Mental+Disorders%22">Mental Disorders*</searchLink>/<searchLink fieldCode="MM" term="%22Mental+Disorders+diagnosis%22">diagnosis</searchLink> <br /><searchLink fieldCode="MM" term="%22Diagnostic+and+Statistical+Manual+of+Mental+Disorders%22">Diagnostic and Statistical Manual of Mental Disorders*</searchLink> <br /><searchLink fieldCode="MM" term="%22Models%2C+Psychological%22">Models, Psychological*</searchLink><br /><searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Psychopathology%22">Psychopathology</searchLink> ; <searchLink fieldCode="MH" term="%22Female%22">Female</searchLink> ; <searchLink fieldCode="MH" term="%22Male%22">Male</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: The evidence for the structure of the Hierarchical Taxonomy of Psychopathology (HiTOP) model relies heavily on analyses of correlations among Diagnostic and Statistical Manual of Mental Disorders diagnoses, which entrenches some of their limitations. In this study, we deconstructed the mental disorders covered in HiTOP into individual symptoms-with personality disorders represented via item-level assessment of the Alternative Model for Personality Disorders facets-and rebuilt the HiTOP model from the ground up. Participants self-selected into an online mental health study and were randomly split into primary (n = 11,762) and holdout (n = 3,000) samples to identify a robust hierarchy of empirically derived constructs, ranging from symptoms and syndromes to very broad "superspectra" of psychopathology. In each sample, both hierarchical clustering and hierarchical principal components analyses were used; the final hierarchical structure was derived based on points of cross-sample and cross-method agreement. The resulting model was remarkably similar to the HiTOP model, including nearly all of the same subfactors, spectra, and superspectra-albeit with some reorganization in the structure. The inclusion of broad disinhibition/hypomania and pathological introversion dimensions represented the most prominent differences compared with the current higher order structure of HiTOP. The detailed lower order constructs found here also mirrored many of the existing components and traits in HiTOP, as well as indicating some potential areas for revision. Finally, we remapped the disorders included in the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders-5th Edition onto the new framework model. Overall, the results suggest that the structural foundations of the HiTOP model are largely sound. (PsycInfo Database Record (c) 2026 APA, all rights reserved).
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  Data: National Health and Medical Research Council
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  Data: <i>Date Created: </i>20260504 <i>Date Completed: </i>20260910 <i>Latest Revision: </i>20260910
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  Data: 10.1037/abn0001125
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  Data: 42080848
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