ArticleComprehensive psychiatry2017
Delineating the joint hierarchical structure of clinical and personality disorders in an outpatient psychiatric sample.
Article in Comprehensive psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- The neurodevelopmental spectrum: phenotypic architecture, etiology, predictive utility, and specificity across development.Molecular psychiatry · 2026Article
- Locating triarchic model constructs in the hierarchical structure of a comprehensive trait-based psychopathy measure: Implications for research and clinical assessment.Psychological assessment · 2024Article
- The hierarchical taxonomy of psychopathology in clinical high risk for psychosis: Validation and extension.Journal of psychopathology and clinical science · 2024Article
- Do general and specific factors of preschool psychopathology predict preadolescent outcomes? A transdiagnostic hierarchical approach.Psychological medicine · 2023Article
- Article
- Factor analysis in personality disorders research: Modern issues and illustrations of practical recommendations.Personality disorders · 2023Review
- Validity and utility of Hierarchical Taxonomy of Psychopathology (HiTOP): III. Emotional dysfunction superspectrum.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2022Article
- Development of the Thought Disorder Measure for the Hierarchical Taxonomy of Psychopathology.Assessment · 2022Article
- Higher-order dimensions of psychopathology in a neurodevelopmental transdiagnostic sample.Journal of abnormal psychology · 2021Article
- Validity and utility of Hierarchical Taxonomy of Psychopathology (HiTOP): II. Externalizing superspectrum.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2021Article
- A detailed hierarchical model of psychopathology: From individual symptoms up to the general factor of psychopathology.Clinical psychological science : a journal of the Association for Psychological Science · 2021Article
- Article
- Preliminary validity and reliability evidence of the Brief Antisocial Behavior Scale (B-ABS) in young adults from four countries.PloS one · 2021Article
- Criterion validity and relationships between alternative hierarchical dimensional models of general and specific psychopathology.Journal of abnormal psychology · 2020Article
- Testing structural models of psychopathology at the genomic level.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2020Article
- Transdiagnostic Risk and Protective Factors for Psychopathology in Young People: Systematic Review Protocol.JMIR research protocols · 2020Article
- Validity and utility of Hierarchical Taxonomy of Psychopathology (HiTOP): I. Psychosis superspectrum.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2020Article
- Delineating and validating higher-order dimensions of psychopathology in the Adolescent Brain Cognitive Development (ABCD) study.Translational psychiatry · 2019Article
- Identifying the Internalizing Disorder Clusters Among Recently Hospitalized Cardiovascular Disease Patients: A Receiver Operating Characteristics Study.Frontiers in psychology · 2019Article
- Personality Pathology and Schizophrenia.Schizophrenia bulletin · 2018Review
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Authors and funding
6 authors.
Funding
Abstract
backgroundA large body of research has focused on identifying the optimal number of dimensions - or spectra - to model individual differences in psychopathology. Recently, it has become increasingly clear that ostensibly competing models with varying numbers of spectra can be synthesized in empirically derived hierarchical structures. METHODS AND MATERIALS: We examined the convergence between top-down (bass-ackwards or sequential principal components analysis) and bottom-up (hierarchical agglomerative cluster analysis) statistical methods for elucidating hierarchies to explicate the joint hierarchical structure of clinical and personality disorders. Analyses examined 24 clinical and personality disorders based on semi-structured clinical interviews in an outpatient psychiatric sample (n=2900).
resultsThe two methods of hierarchical analysis converged on a three-tier joint hierarchy of psychopathology. At the lowest tier, there were seven spectra - disinhibition, antagonism, core thought disorder, detachment, core internalizing, somatoform, and compulsivity - that emerged in both methods. These spectra were nested under the same three higher-order superspectra in both methods: externalizing, broad thought dysfunction, and broad internalizing. In turn, these three superspectra were nested under a single general psychopathology spectrum, which represented the top tier of the hierarchical structure.
conclusionsThe hierarchical structure mirrors and extends upon past research, with the inclusion of a novel compulsivity spectrum, and the finding that psychopathology is organized in three superordinate domains. This hierarchy can thus be used as a flexible and integrative framework to facilitate psychopathology research with varying levels of specificity (i.e., focusing on the optimal level of detailed information, rather than the optimal number of factors).
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