Abstract
Dit commentaar bevat belangrijke overwegingen in ons begrip van het verband tussen de persoonlijkheidsdimensie neuroticisme en de ontwikkeling van veelvoorkomende mentale stoornissen vanuit het perspectief van het HiTOP dimensionele model van psychopathologie. Processes op het individuele niveau moeten worden aangetoond om het model substantie te geven.
Highlights
Most fundamental, I welcome the aims of the Hierarchical Taxonomy of Psychopathology (HiTOP) model to overcome some limitations of categorical diagnostic systems [2]
The HiTOP frequency-approach remains largely similar to the Diagnostic and Statistical Manual of Mental Disorders [DSM-5, [3]] insofar that it negates the time dimension and most intra-individual dynamics and developmental interconnections between the various system levels [e.g., Fisher et al [4], Jeronimus [5], and Molenaar [6]], from emotions [over hours, e.g., Kuppens et al [7]] to mood problems [over weeks, e.g., Wichers [8]] and interpersonal and personality processes [over months and years, e.g., Hopwood [9] and Mobbs [10]], their co-development [e.g., Durbin and Hicks [11] and Ormel et al [12]], underlying processes [e.g., Kunnen et al [13]] and origins [e.g., Kendler et al [14]; or Nickels et al [15] for some problems with the HiTOP], among others
Neuroticism may be linked to the emergence of symptoms and psychopathology [(1), p. 243] but proof requires studies and manipulations that cover intra-individual changes across various time scales [e.g., Jeronimus [5] and Hamaker and Wichers [16]]
Summary
I agree with most of the great review by Brandes and Tackett [1] about the connection between neuroticism and psychopathology as conceptualized in the Hierarchical Taxonomy of Psychopathology (HiTOP), there are several limitations and future research directions on which I wish to elaborate. The HiTOP frequency-approach remains largely similar to the Diagnostic and Statistical Manual of Mental Disorders [DSM-5, [3]] insofar that it negates the time dimension and most intra-individual dynamics and developmental interconnections between the various system levels [e.g., Fisher et al [4], Jeronimus [5], and Molenaar [6]], from emotions [over hours, e.g., Kuppens et al [7]] to mood problems [over weeks, e.g., Wichers [8]] and interpersonal and personality processes [over months and years, e.g., Hopwood [9] and Mobbs [10]], their co-development [e.g., Durbin and Hicks [11] and Ormel et al [12]], underlying processes [e.g., Kunnen et al [13]] and origins [e.g., Kendler et al [14]; or Nickels et al [15] for some problems with the HiTOP], among others.
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