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Categorical diagnostic systems, such as the Diagnostic and Statistical Manual of Mental Disorders (DSM), remain dominant in psycho\u2010oncology despite concerns about reliability, validity, and clinical utility for this population. Dimensional frameworks, such as the Hierarchical Taxonomy of Psychopathology (HiTOP), offer a more precise alternative; however, they have not yet been widely applied in cancer survivors. Accordingly, the objective of this research was to examine the applicability of HiTOP to cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data from 1389 participants in 28 countries (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0728 cancer survivors;\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0661 community\/psychiatric) were collected using the 405\u2010item HiTOP\u2010SR, alongside demographic, clinical, and cancer\u2010specific measures. The HiTOP\u2010SR normative sample (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0780) was also used. Analyses included parametric, non\u2010parametric, and factor analytic approaches.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All HiTOP\u2010SR scales demonstrated strong homogeneity and reliability in cancer survivors. Cancer survivors showed significant elevations across Internalising and Somatoform spectra, with current cancer associated with additional elevations in domains of Thought Disorder and components of Disinhibited and Antagonistic psychopathology. An 11\u2010factor model was developed and supported for both cancer and community\/psychiatric samples, though the magnitudes of the factor loadings sometimes varied between samples. External validity was strong with theoretically aligned associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The HiTOP\u2010SR appears reliable within cancer survivors and provides utility in quantifying a broad array of psychopathology experienced. The results highlight the potential applicability and utility of HiTOP to improve cancer research and clinical practice in psycho\u2010oncology.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pon.70533","type":"journal-article","created":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T12:21:08Z","timestamp":1782476468000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Advancing Dimensional Models of Psychopathology in Cancer: Insights From Applying the Hierarchical Taxonomy of Psychopathology (HiTOP)"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9317-4135","authenticated-orcid":false,"given":"Darren","family":"Haywood","sequence":"first","affiliation":[{"name":"Human Performance Research Centre Faculty of Health INSIGHT Research Institute University of Technology Sydney (UTS)  Sydney New South Wales Australia"},{"name":"Department of Mental Health St. Vincent's Hospital Melbourne  Fitzroy Victoria Australia"},{"name":"Department of Psychiatry Melbourne Medical School, Dentistry and Health Sciences University of Melbourne  Parkville Victoria Australia"},{"name":"School of Population Health Faculty of Health Sciences Curtin University  Bentley Western Australia Australia"},{"name":"Centre for Mental Health and Brain Sciences Swinburne University of Technology  Hawthorn Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jai","family":"Carmichael","sequence":"additional","affiliation":[{"name":"School of Psychological Sciences Monash University  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miriam K.","family":"Forbes","sequence":"additional","affiliation":[{"name":"School of Psychological Sciences Macquarie University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roman","family":"Kotov","sequence":"additional","affiliation":[{"name":"Department of Psychiatry &amp; Behavioral Health Stony Brook University  Stony Brook New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9127-5509","authenticated-orcid":false,"given":"Robert F.","family":"Krueger","sequence":"additional","affiliation":[{"name":"Department of Psychology University of Minnesota  Minneapolis Minnesota USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aidan G. 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