Literature · Scientific foundation ·

    The scientificfoundation of dimetriq.

    dimetriq is based on the Hierarchical Taxonomy of Psychopathology (HiTOP) – an empirically derived, dimensional model of psychological burdens that complements and surpasses traditional categorical systems such as DSM-5 and ICD-11.

    The HiTOP model

    The Hierarchical Taxonomy of Psychopathology (HiTOP) organises psychological burdens in an empirically derived, dimensional hierarchy – from the overarching p-factor through spectra and subfactors to individual symptoms.

    Hierarchical levels

    Official HiTOP Working Model – hierarchical taxonomy of psychopathology

    Right-click the image above to download a copy, or click here to download an editable PowerPoint file. Published under CC BY 4.0 on OSF: osf.io/rscqf

    Advantages & implications

    Advantages vs. DSM-5 / ICD-11

    Methodological

    • ▸Higher reliability through dimensional measurement
    • ▸Reduction of artificial comorbidity
    • ▸Empirically grounded structure instead of expert consensus
    • ▸Capture of subclinical burdens
    • ▸Compatible with transdiagnostic therapy approaches

    Clinical implications

    Practical

    • ▸Individual burden profiles instead of binary diagnoses
    • ▸More sensitive progress measurement across sessions
    • ▸Better treatment planning through spectra profiles
    • ▸More differentiated communication with patients
    • ▸Integration into existing documentation systems
    Key literature

    Sources

    Studies

    Kotov, R., Krueger, R. F., Watson, D., et al. (2017)

    The Hierarchical Taxonomy of Psychopathology (HiTOP): A dimensional alternative to traditional nosologies.

    Journal of Abnormal Psychology, 126(4), 454–477 · DOI: 10.1037/abn0000258

    Ruggero, C. J., Kotov, R., Hopwood, C. J., et al. (2019)

    Integrating the Hierarchical Taxonomy of Psychopathology (HiTOP) into clinical practice.

    Journal of Consulting and Clinical Psychology, 87(12), 1069–1084 · DOI: 10.1037/ccp0000452

    Conway, C. C., Forbes, M. K., Forbush, K. T., et al. (2019)

    A hierarchical taxonomy of psychopathology can transform mental health research.

    Perspectives on Psychological Science, 14(3), 419–436 · DOI: 10.1177/1745691618810696

    Frequently asked

    Frequently asked from research

    Methodological, ethical and collaboration-related questions around dimensional diagnostics with dimetriq.

    Interested in research collaboration?

    We welcome exchange with researchers, students and everyone interested in dimensional psychodiagnostics.