Operational definitions and measurement of externalizing behavior problems:An integrative review including research models and clinical diagnostic systems  

作　　者：Lidia Torres-Rosado Oscar M Lozano Manuel Sanchez-Garcia Fermín Fernández-Calderón Carmen Diaz-Batanero 

机构地区：[1]Department of Clinical and Experimental Psychology,University of Huelva,Huelva 21071,Spain [2]Research Center for Natural Resources,Health and Environment,University of Huelva,Huelva 21071,Spain

出　　处：《World Journal of Psychiatry》2023年第6期278-297,共20页世界精神病学杂志

基　　金：Supported by the “Reliable and clinical relevant change of Inventory of Depression and Anxiety Symptoms Ⅱ-IDAS Ⅱ:a longitudinal clinical utility study (RELY-IDAS-Ⅱ)”,project PID2020-116187RB-I00 on Proyectos I+D+i 2020 “Retos del Conocimiento” provided by Ministerio de Ciencia e Innovación (Spain);by the grant FPU20/06606

摘　　要：Measurement of externalizing disorders such as antisocial disorders,attentiondeficit/hyperactivity disorder or borderline disorder have relevant implications for the daily lives of people with these disorders.While the Diagnostic and Statistical Manual of Mental Disorders(DSM)and the International Classification of Diseases(ICD)have provided the diagnostic framework for decades,recent dimensional frameworks question the categorical approach of psychopathology,inherent in traditional nosotaxies.Tests and instruments develop under the DSM or ICD framework preferentially adopt this categorical approach,providing diagnostic labels.In contrast,dimensional measurement instruments provide an individualized profile for the domains that comprise the externalizing spectrum,but are less widely used in practice.Current paper aims to review the operational definitions of externalizing disorders defined under these different frameworks,revise the different measurement alternatives existing,and provide an integrative operational definition.First,an analysis of the operational definition of externalizing disorders among the DSM/ICD diagnostic systems and the recent Hierarchical Taxonomy of Psychopathology(HiTOP)model is carried out.Then,in order to analyze the coverage of operational definitions found,a description of measurement instruments among each conceptualization is provided.Three phases in the development of the ICD and DSM diagnosis systems can be observed with direct implications for measurement.ICD and DSM versions have progressively introduced systematicity,providing more detailed descriptions of diagnostic criteria and categories that ease the measurement instrument development.However,it is questioned whether the DSM/ICD systems adequately modelize externalizing disorders,and therefore their measurement.More recent theoretical approaches,such as the HiTOP model seek to overcome some of the criticism raised towards the classification systems.Nevertheless,several issues concerning this model raise mesasurement challe

关 键 词：Externalizing disorders Measurement Diagnostic and Statistical Manual of Mental Disorders International Classification of Diseases Hierarchical Taxonomy of Psychopathology PSYCHOPATHOLOGY 

分 类 号：R749[医药卫生—神经病学与精神病学]