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对于临床翻译而言,精神病理学层次分类法(HiTOP)必须自立门户。

For clinical translation, the Hierarchical Taxonomy of Psychopathology (HiTOP) must stand on its own two feet.

作者信息

Carmichael Jai, Haywood Darren

机构信息

Monash-Epworth Rehabilitation Research Centre, School of Psychological Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University.

Human Performance Research Centre, INSIGHT Research Institute, School of Sport, Exercise, and Rehabilitation, Faculty of Health, University of Technology Sydney (UTS).

出版信息

J Psychopathol Clin Sci. 2025 Apr 28. doi: 10.1037/abn0001004.

DOI:10.1037/abn0001004
PMID:40310187
Abstract

TThe Hierarchical Taxonomy of Psychopathology (HiTOP) offers an empirically derived, dimensional framework for conceptualizing mental health difficulties, designed with both research and clinical applications in mind. Although the HiTOP Consortium has made meaningful progress in developing clinical tools and training resources, current messaging frames HiTOP primarily as a corrective to shortcomings of the Diagnostic and Statistical Manual of Mental Disorders (DSM) and International Classification of Diseases (ICD) classification systems. We argue that this framing may not resonate with clinicians, who tend to engage with existing nosologies pragmatically-using them flexibly for billing, administration, and communication-rather than adhering rigidly to their criteria and may therefore be less concerned with their limitations. In this Viewpoint, we contend that any clinical uptake of HiTOP would be better supported by highlighting its strengths and practical benefits in their own right, without relying on critiques of the DSM and ICD. To this end, we outline five foci for communicating HiTOP's potential clinical value, grounded in its intrinsic strengths rather than positioning it merely as a remedy for shortcomings of traditional nosologies. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

摘要

精神病理学层次分类法(HiTOP)提供了一个基于实证得出的维度框架,用于对心理健康问题进行概念化,其设计兼顾了研究和临床应用。尽管HiTOP联盟在开发临床工具和培训资源方面取得了有意义的进展,但目前的宣传主要将HiTOP定位为对《精神疾病诊断与统计手册》(DSM)和《国际疾病分类》(ICD)分类系统缺点的一种纠正。我们认为这种框架可能无法引起临床医生的共鸣,临床医生倾向于务实对待现有的疾病分类法——灵活地将它们用于计费、管理和交流,而不是严格遵循其标准,因此可能不太关心它们的局限性。在这一观点中,我们认为,突出HiTOP自身的优势和实际益处,而不依赖于对DSM和ICD的批评,将能更好地促进临床医生对HiTOP的接受。为此,我们概述了五个重点,用于传达HiTOP的潜在临床价值,这些重点基于其内在优势,而不仅仅是将其定位为传统疾病分类法缺点的补救措施。(PsycInfo数据库记录(c)2025美国心理学会,保留所有权利)

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