ReviewFrontiers in psychiatry2015
Causality in Psychiatry: A Hybrid Symptom Network Construct Model.
Review in Frontiers in psychiatry, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Is Richard Baxter's Melancholia Still Relevant Today?: Comparative Network Structures of Depressive Symptoms in Asian Individuals With Guilt-Rich and Guilt-Free Depression.Psychiatry investigation · 2026Article
- Psychological Reserve/External Psychological Control in Psychotherapy: Review and New Models.Behavioral sciences (Basel, Switzerland) · 2026Review
- Psychotherapeutic Change Mechanisms and Causal Psychotherapy: Applications to Child Abuse and Trauma.Journal of child & adolescent trauma · 2022Article
- Mental health progress requires causal diagnostic nosology and scalable causal discovery.Frontiers in psychiatry · 2022Review
- A network analysis of social problem-solving and anxiety/depression in adolescents.Frontiers in psychiatry · 2022Article
- Network Analysis of the Symptoms of Depressive Disorders Over the Course of Therapy: Changes in Centrality Measures.Psychiatry investigation · 2021Article
- Challenges and Strategies for Current Classifications of Depressive Disorders: Proposal for Future Diagnostic Standards.Advances in experimental medicine and biology · 2021Review
- An exploration of the DSM-5 posttraumatic stress disorder symptom latent variable network.European journal of psychotraumatology · 2020Article
- Network analysis of the depressive symptom profiles in Asian patients with depressive disorders: Findings from the Research on Asian Psychotropic Prescription Patterns for Antidepressants (REAP-AD).Psychiatry and clinical neurosciences · 2020Article
- The network approach to psychopathology: a review of the literature 2008-2018 and an agenda for future research.Psychological medicine · 2020Review
- Anxiety disorder symptoms at age 10 predict eating disorder symptoms and diagnoses in adolescence.Journal of child psychology and psychiatry, and allied disciplines · 2019Article
- Understanding the Multidimensional Nature of Student Engagement During the First Year of Higher Education.Frontiers in psychology · 2019Article
- Evidence that psychopathology symptom networks have limited replicability.Journal of abnormal psychology · 2017Article
Corrections and comments
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Authors and funding
1 author.
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Abstract
Causality or etiology in psychiatry is marked by standard biomedical, reductionistic models (symptoms reflect the construct involved) that inform approaches to nosology, or classification, such as in the DSM-5 [Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition; (1)]. However, network approaches to symptom interaction [i.e., symptoms are formative of the construct; e.g., (2), for posttraumatic stress disorder (PTSD)] are being developed that speak to bottom-up processes in mental disorder, in contrast to the typical top-down psychological construct approach. The present article presents a hybrid top-down, bottom-up model of the relationship between symptoms and mental disorder, viewing symptom expression and their causal complex as a reciprocally dynamic system with multiple levels, from lower-order symptoms in interaction to higher-order constructs affecting them. The hybrid model hinges on good understanding of systems theory in which it is embedded, so that the article reviews in depth non-linear dynamical systems theory (NLDST). The article applies the concept of emergent circular causality (3) to symptom development, as well. Conclusions consider that symptoms vary over several dimensions, including: subjectivity; objectivity; conscious motivation effort; and unconscious influences, and the degree to which individual (e.g., meaning) and universal (e.g., causal) processes are involved. The opposition between science and skepticism is a complex one that the article addresses in final comments.
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