Review
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Jun 19, 2023; 13(6): 278-297
Published online Jun 19, 2023. doi: 10.5498/wjp.v13.i6.278
Operational definitions and measurement of externalizing behavior problems: An integrative review including research models and clinical diagnostic systems
Lidia Torres-Rosado, Oscar M Lozano, Manuel Sanchez-Garcia, Fermín Fernández-Calderón, Carmen Diaz-Batanero
Lidia Torres-Rosado, Oscar M Lozano, Manuel Sanchez-Garcia, Fermín Fernández-Calderón, Carmen Diaz-Batanero, Department of Clinical and Experimental Psychology, University of Huelva, Huelva 21071, Spain
Oscar M Lozano, Manuel Sanchez-Garcia, Fermín Fernández-Calderón, Carmen Diaz-Batanero, Research Center for Natural Resources, Health and Environment, University of Huelva, Huelva 21071, Spain
Author contributions: Lozano OM, Sanchez-Garcia M, and Diaz-Batanero C contributed on the conception, design of study and acquisition of data; Torres-Rosado L, Lozano OM, Sanchez-Garcia M, and Diaz-Batanero C participated on the interpretation of data; Lozano OM, Sanchez-Garcia M, and Diaz-Batanero C drafted the manuscript; Torres-Rosado L, Lozano OM, and Fernández-Calderón F revised the manuscript critically for intellectual content; and all authors approved the final version of the manuscript submitted.
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) and by the grant FPU20/06606.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Carmen Diaz-Batanero, PhD, Associate Professor, Department of Clinical and Experimental Psychology, University of Huelva, Campus El Carmen, Avda Fuerzas Armadas s/n, Huelva 21071, Spain. carmen.diaz@dpsi.uhu.es
Received: December 27, 2022
Peer-review started: December 27, 2022
First decision: February 20, 2023
Revised: March 4, 2023
Accepted: April 20, 2023
Article in press: April 20, 2023
Published online: June 19, 2023
Core Tip

Core Tip: Diagnostic and Statistical Manual of Mental Disorders and the International Classification of Diseases have evolved as a clinical tool but with several limitations associated to the operational definition for measuring externalizing disorders. Approaches such a Hierarchical Taxonomy of Psychopathology improve the conceptualization giving a general framework for psychopathology, although providing a more complex solution for clinicians. Present review shows a lack of measurement instruments integrating new theoretical advances and clinical utility.