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[email protected] on 27 August 2019 Common Taxonomy of Traits and Symptoms: Linking Schizophrenia Symptoms, Schizotypy, and Normal Personality David C. Cicero*,1, Katherine G. Jonas2, , Kaiqiao Li2, Greg Perlman2, and Roman Kotov2 1Department of Psychology, University of Hawaii at Manoa, Honolulu, HI; 2Department of Psychiatry, Stony Brook University, Stony Brook, NY *To whom correspondence should be addressed; tel: 808-956-3695, fax: 808-956-4700, e-mail:
[email protected] The associations among normal personality and many Introduction mental disorders are well established, but it remains Trait-based paradigms, which have treated psychopa- unclear whether and how symptoms of schizophrenia and thology as fully dimensional, have been useful in under- schizotypal traits align with the personality taxonomy. standing psychopathology, particularly internalizing and This study examined the joint factor structure of nor- externalizing disorders.1–3 The Hierarchical Taxonomy mal personality, schizotypy, and schizophrenia symptoms of Psychopathology (HiTOP) seeks to improve on tra- in people with psychotic disorders (n = 288) and never- ditional diagnostic systems, such as the Diagnostic and psychotic adults (n = 257) in the Suffolk County Mental Statistical Manual of Mental Disorders (DSM) and Health Project. First, we evaluated the structure of International Classification of Diseases (ICD), and con- schizotypal (positive schizotypy, negative schizotypy, and ceptualize psychopathology dimensionally.4 A major mistrust) and normal traits. In both the psychotic-disor- dimension within HiTOP is the psychotic spectrum, der and never-psychotic groups, the best-fitting model had which ranges from normal personality to schizotypal 5 factors: neuroticism, extraversion, conscientiousness, traits to frank psychosis.