Evidence map›Paper›PMID 41234003›Full record

ArticlePsychological medicine2025

The broad structure of psychopathology in the All of Us Research Program.

Alireza Ehteshami, Irwin D Waldman

Abstract read
In one paragraph

Article in Psychological medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

2 authors.

Alireza EhteshamiDepartment of Psychology, Emory University, Atlanta, GA, USA.ORCID 0009-0001-9637-1695
Irwin D WaldmanDepartment of Psychology, Emory University, Atlanta, GA, USA.ORCID 0000-0002-6862-1837

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGiven substantial comorbidity among, and considerable heterogeneity within, psychiatric diagnoses, researchers have suggested alternative systems for classifying psychopathology. The Hierarchical Taxonomy of Psychopathology (HiTOP) is a recently proposed framework for understanding mental disorders based on how symptoms and diagnoses tend to cluster across individuals. While the model is grounded in existing research and supported by recent meta-analytic evidence, its structure has not yet been directly tested using large, representative clinical datasets. In this study, we used electronic health record (EHR) data to examine the overall organization of mental disorders as proposed by HiTOP, with the goal of informing future research on biological and environmental risk factors as well as important life outcomes.

methodsData were drawn from the

resultsA model identifying six broad and correlated dimensions - Fear, Distress, Externalizing, Substance Use, Thought Problems, and Neurodevelopmental Disorders - provided the best fit to the data. This structure was highly consistent across analyses and showed strong split-half replicability and meaningful associations with relevant clinical and demographic characteristics.

conclusionsThese findings support a 6-factor model of psychopathology that broadly resembles major dimensions in the HiTOP framework. By addressing key gaps in the literature, this study advances our understanding of the structure and correlates of mental disorders. The results offer a foundation for more nuanced investigations into the etiology, progression, and treatment of mental health conditions.

Indexed as

Mental DisordersPsychopathologyAdultAgedComorbidityElectronic Health RecordsFemaleHumansMaleMiddle AgedUnited StatesClassificationElectronic health records (EHR)Factor analysisNosologyTaxonomyTransdiagnostic

Identifiers

PMID41234003
PMCPMC13058667

What Socratic holds

Textmetadata
LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.