Concordance between ICD-10 alcohol and drug use disorder criteria and diagnoses as measured by the AUDADIS-ADR, CIDI and SCAN: results of a cross-national study

Pull, Charles; Saunders, John B.; Mavreas, Venetsanos; Cottler, Linda B.; Grant, Bridget F.; Hasin, Deborah S.; Blaine, Jack; Mager, Douglas E.; Üstün, Berna

doi:10.1016/s0376-8716(97)00091-4

Cited by 187 publications

(144 citation statements)

References 8 publications

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“…As reported in detail elsewhere, the reliability and validity were good to excellent for alcohol use disorder diagnoses (Muthén et al 1993;Grant et al 1995Grant et al , 2003Grant et al , 2004Chatterji et al 1997;Cottler et al 1997;Hasin et al 1997;2003;Pull et al 1997;Ustun et al 1997;Canino et al 1999;Hasin and Paykin, 1999;Nelson et al 1999;Compton et al 2004). Reliability ) and validity for alcohol abuse and dependence criteria were fair to good as assessed in clinical reappraisal studies conducted by psychiatrists using a semi-structured diagnostic interview.…”

Section: Dsm-iv Alcohol Abuse and Dependence Criteriamentioning

confidence: 81%

The role of alcohol consumption in future classifications of alcohol use disorders

Saha

Stinson

Grant

2007

Drug and Alcohol Dependence

200

201

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Background-Item response theory (IRT) was used to determine whether DSM-IV alcohol abuse and dependence and consumption criteria were arrayed along a continuum of severity.Methods-Data came from a large, nationally representative sample of the U.S. adult population.Results-DSM-IV alcohol abuse and dependence criteria formed a continuum of alcohol use disorder severity along with the drinking 5+/4+ at least once a week in the past year criterion. Criteria were invariant across sex, race-ethnicity, and age subgroups. Conclusion-The drinking 5+/4+ high-risk drinking pattern was identified as a suitable criterion for future classifications of DSM-IV alcohol use disorder. Some dependence criteria were among the least severe criteria, and some abuse criteria were among the most severe, findings that question the validity of DSM-IV abuse and dependence categories as distinct entities and that do not support the assumption of abuse as prodromal to dependence. Physical dependence and addiction were identified as defining elements of the continuum. Further research examining their dimensional properties and relationships to high-risk drinking patterns appears warranted. An approach highlighting a more important role of consumption in future classifications of alcohol use disorder defined broadly to encompass all alcohol-related harm, including addiction and physical dependence is discussed.

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Section: Dsm-iv Alcohol Abuse and Dependence Criteriamentioning

confidence: 81%

The role of alcohol consumption in future classifications of alcohol use disorders

Saha

Stinson

Grant

2007

Drug and Alcohol Dependence

200

201

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“…This set of limitations has been discussed quite thoroughly in past NCS papers published in the Archives of General Psychiatry and elsewhere (e.g., see Kessler et al 1994Kessler et al , 1997Anthony et al 1994;Warner et al 1995;Kessler and Mroczek 1996;Wittchen 1996;Hasin et al 1997;Pull et al 1997;Lachner et al 1998;Wittchen et al 1999). Here, we would like to add a note of clarification: large-sample epidemiological studies do not provide the same context for studies of reliability and validity as one can create in a smaller sample study where there might be multiple opportunities for repeated assessment and increasingly detailed diagnostic cross-examination.…”

Section: Discussionmentioning

confidence: 99%

From First Drug Use to Drug Dependence Developmental Periods of Risk for Dependence upon Marijuana, Cocaine, and Alcohol

Wagner

Anthony

2002

Neuropsychopharmacology

642

394

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The focal point of this paper is the transition from drug use to drug dependence. We present new evidence on risk for starting to use marijuana, cocaine, and alcohol, as well as risks for progression from first drug use to the onset of drug dependence, separately for each of these drugs. Data from the National Comorbidity Survey (NCS) were analyzed. The NCS had a representative sample of the United States population ages 15-54 years (n ϭ 8,098In an earlier report of evidence from the National Comorbidity Survey, our research group described some interesting features about the comparative epidemiology of drug dependence. For example, as a summary population average value for the estimated millions of Americans age 15-54 years who had tried cocaine at least one time by the early 1990s, about one in six had become dependent upon cocaine (about 16-17% NO . 4 marijuana at least one time, about one in 11 had become dependent upon it (about 9%). By comparison, among persons who had tried alcoholic beverages at least once, about one in 6 or 7, or 15%, had become alcohol dependent (Anthony et al. 1994). In the present study, we extend this look at the comparative epidemiology of drug dependence, but here our focus is upon estimation of the age-specific and time-specific risks of progression from first drug use to dependence, separately for marijuana, cocaine, and (for comparison) alcoholic beverages (hereinafter, 'alcohol').Prior studies have conveyed estimates of age-specific risk for first alcohol use and alcohol dependence, as well as risk estimates for initiation of illicit use and dependence on controlled drugs in general (e.g., Kandel and Logan 1984;Eaton et al. 1989;Warner et al. 1995;Chen and Kandel 1995;Johnson and Gerstein 1998;Perkonigg et al. 1999;DeWit et al. 2000). The role of early onset of drug use and progression to initial and problematic use of other drugs also has been studied in some detail (e.g., Kandel 1985;Anthony and Petronis 1995;Grant 1998;Grant and Dawson 1998). However, what is especially novel about the present study is its new look at both the cumulative and instantaneous risk of drug dependence in relation to time elapsed since first use of marijuana and cocaine, with alcohol for comparison.Whereas epidemiological studies of this type generally are regarded as valid sources of evidence, it is possible that some critics might call into question the validity or reliability of drug dependence assessments obtained in large-sample survey research as compared with what can be obtained via intensive clinical study of smaller samples (e.g., see Anthony et al. 1985;Brugha et al. 1999). Nonetheless, at least with respect to the drug dependence syndromes, recent empirical research provides evidence that epidemiologic studies can and do provide generally valid and reliable estimates of the occurrence of these conditions, as well as their corresponding ages of onset (e.g., see Prusoff et al. 1988;Langenbucher et al. 1994;Shillington et al. 1995;Wittchen et al. 1989Wittchen et al. , 1998Wittchen et ...

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“…The reliability of the AUDADIS-IV alcohol diagnoses is documented in clinical and general population samples Grant et al, 2003a;Hasin et al, 1997a) with test retest reliability ranging from good to excellent (κ = 0.70-0.84). Convergent, discriminant, and construct validity of AUDADIS-IV alcohol use disorder criteria and diagnoses were good to excellent (Hasin and Paykin, 1999;Hasin et al, 1990Hasin et al, , 1994Hasin et al, , 2003Hasin et al, , 1997c, including in the World Health Organization/National Institutes of Health International Study on Reliability and Validity Hasin et al, 1997b;Nelson et al, 1999;Pull et al, 1997;Ustun et al, 1997;Vrasti et al, 1998), where clinical reappraisals documented good validity of DSM-IV alcohol use disorder diagnoses (κ = 0.60-0.76) (Canino et al, 1999;Cottler et al, 1997;Hasin et al, 1997b;Nelson et al, 1999;Pull et al, 1997;Ustun et al, 1997;Vrasti et al, 1998).…”

Section: Source Of Datamentioning

confidence: 99%

Generalizability of clinical trials for alcohol dependence to community samples

Blanco

Olfson

Okuda

et al. 2008

Drug and Alcohol Dependence

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There is a growing concern that results of tightly controlled clinical trials of individuals with alcohol use disorders may not generalize to broader community samples. To assess the proportion of community-dwelling adults with alcohol dependence who would have been eligible for a typical alcohol dependence treatment study, we developed a new, simple method: we applied a standard set of eligibility criteria commonly used in alcohol outcome studies to a large (n = 43,093) representative US adult sample interviewed face-to-face, the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). We found that approximately one-half (50.5%) of all individuals with a DSM-IV diagnosis of alcohol dependence (n = 1484) and 79.4% of those who sought treatment (n = 185) were excluded by one or more study criteria. Individual study criteria excluded from 0.9% to 48.2% of the overall sample and 0.8% to 43.7% of the treatment-seeking sample. For the overall sample, the lack of motivation/compliance and financial situation criteria excluded the largest percentage of individuals. In the treatment-seeking subsample, comorbid medical conditions and legal problems excluded the largest proportions of individuals. Our study provides a new method to assess the generalizability of clinical trials, and gives further evidence that typical clinical trials for alcohol dependence likely exclude most adults with the disorder in the community and under care, and support the notion that clinical trials recruit "pure" rather than "typical" patients. Clinical trials should carefully evaluate the effects of the selected eligibility criteria on the generalizability of their results.

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Concordance between ICD-10 alcohol and drug use disorder criteria and diagnoses as measured by the AUDADIS-ADR, CIDI and SCAN: results of a cross-national study

Cited by 187 publications

References 8 publications

The role of alcohol consumption in future classifications of alcohol use disorders

The role of alcohol consumption in future classifications of alcohol use disorders

From First Drug Use to Drug Dependence Developmental Periods of Risk for Dependence upon Marijuana, Cocaine, and Alcohol

Generalizability of clinical trials for alcohol dependence to community samples

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