Les progrès dans la réalisation de la classification quantitative de la psychopathologie.
Classification
Clinical utility
DSM
Dimensions
Hierarchical taxonomy of psychopathology
ICD
Mental disorder
Nosology
Personality
Psychopathology
RDoC
Journal
Annales medico-psychologiques
ISSN: 0003-4487
Titre abrégé: Ann Med Psychol (Paris)
Pays: France
ID NLM: 2984692R
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
entrez:
26
7
2021
pubmed:
27
7
2021
medline:
27
7
2021
Statut:
ppublish
Résumé
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 organization of psychopathology; the connection between personality and psychopathology; the utility of empirically based psychopathology constructs in both research and the clinic; and the development of novel and comprehensive models and corresponding assessment instruments for psychopathology constructs derived from an empirical approach.
Identifiants
pubmed: 34305151
doi: 10.1016/j.amp.2020.11.015
pmc: PMC8309948
mid: NIHMS1721484
doi:
Types de publication
English Abstract
Journal Article
Langues
fre
Pagination
95-106Subventions
Organisme : NIMH NIH HHS
ID : L30 MH101760
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH121409
Pays : United States
Organisme : NIDA NIH HHS
ID : R21 DA040717
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH107444
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH123619
Pays : United States
Organisme : NIA NIH HHS
ID : R01 AG053217
Pays : United States
Organisme : NIMH NIH HHS
ID : K01 MH109765
Pays : United States
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