ISSN 2051-8315
Psychopathology Review
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 Volume 2, Issue 1, 110-128, 2015
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A Transdiagnostic Temperament-Phenotype Profile Approach to Emotional Disorder Classification: An Update

Authors
  Anthony Rosellini - Center for Anxiety and Related Disorders, Boston University, Boston, MA. & Department of Health Care Policy, Harvard Medical School, Boston, MA
  Hannah Boettcher - Center for Anxiety and Related Disorders, Boston University, Boston, MA
  Timothy Brown - Center for Anxiety and Related Disorders, Boston University, Boston, MA
  David Barlow - Center for Anxiety and Related Disorders, Boston University, Boston, MA

Volume 2, Issue 1, 2015, Pages 110-128
DOI: http://dx.doi.org/10.5127/pr.036014

Abstract
Although the emotional disorders (EDs) have achieved favorable reliability in the Diagnostic and Statistical Manual of Mental Disorders (DSM), accumulating evidence continues to underscore limitations in ED diagnostic validity. In particular, taxometric, comorbidity, and other descriptive psychopathology studies of transdiagnostic phenotypes suggest that the EDs may be best conceptualized as dimensional entities that are more similar than different. Despite optimism that the fifth edition of the DSM (DSM-5) would constitute a meaningful shift toward dimensional ED assessment and diagnosis, most changes contribute little movement in that direction. In the present report, we summarize past and anticipate persisting (i.e., in DSM-5) limitations of a purely categorical approach to ED diagnosis. We then review our alternative dimensional-categorical profile approach to ED assessment and classification, including preliminary evidence in support of its validity and presentation of two ED profile case examples using our newly developed Multidimensional Emotional Disorder Inventory. We end by discussing the transdiagnostic treatment implications of our profile approach to ED classification and directions for future research.

Table of Contents
Introduction
Reliability and Validity of the Emotional Disorders
Changes to the Emotional Disorders in DSM-5
Alternative Approaches for Emotional Disorder Classification
A Profile Approach to Emotional Disorder Classification
The Multidimensional Emotional Disorder Inventory
  Case A
  Case B
Treatment Implications of the Profile Approach
Acknowledgements
References

Correspondence to
Anthony J. Rosellini, 180 Longwood Avenue, Department of Health Care Policy, Harvard Medical School, Boston, MA 02115.

Keywords
DSM-5, emotional disorders; internalizing disorders; diagnostic reliability; diagnostic validity; categorical versus dimensional classification; hybrid dimensional-categorical classification; multidimensional emotional disorder inventory; transdiagnostic dimensions; transdiagnostic treatments

Dates
Received 14 Feb 2014; Revised 2 May 2014; Accepted 19 May 2014; In Press 14 Feb 2015







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