| Convergent validity of DSM-III-R and DSM-IV alcohol dependence: results from the National Longitudinal Alcohol Epidemiologic Survey. | |
| | |
MedLine Citation:
|
PMID: 9494941 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The purpose of this study was to separately examine the associations between ethanol intake and alcohol dependence, as defined in the DSM-III-R and DSM-IV, in conjunction with an identical set of external correlates, with a view toward assessing the convergent validity of the two diagnostic definitions of dependence. Although the sociodemographic, alcohol, drug and comorbid profiles of respondents classified as DSM-III-R and DSM-IV dependent were similar, the results of the linear logistic regression analyses differed for each of the diagnostic definitions. The risk of DSM-III-R dependence was reduced among blacks and increased among early onset drinkers. Given equivalent levels of ethanol intake, the risk of DSM-III-R dependence was greater for these respondents who had experienced a recent death of close relative compared to those who had not. In contrast, the risk of DSM-IV dependence was greatest among respondents with a current alcoholic spouse or partner relative to those without an alcoholic spouse or partner. Major differences in the content and structure of the two definitions of dependence were useful in predicting the observed discrepancies between the risk gradients associated with the DSM-III-R and DSM-IV classifications. Implications of these findings were discussed in terms of differential coverage of the DSM-III-R and DSM-IV diagnostic categories and the impact of the absence of complete convergent validity on epidemiologic research. |
| | |
Authors:
|
B F Grant |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of substance abuse Volume: 9 ISSN: 0899-3289 ISO Abbreviation: J Subst Abuse Publication Date: 1997 |
Date Detail:
|
Created Date: 1998-05-21 Completed Date: 1998-05-21 Revised Date: 2007-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 9001404 Medline TA: J Subst Abuse Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 89-102 Citation Subset: IM |
Affiliation:
|
Division of Biometry and Epidemiology, National Institute on Alcohol Abuse and Alcoholism, Bethesda, MD 20892-7003, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Aged Alcohol Drinking / epidemiology* Alcohol-Related Disorders / diagnosis*, epidemiology* Comorbidity Confidence Intervals Depressive Disorder / epidemiology Health Surveys Humans Longitudinal Studies Male Manuals as Topic / standards* Middle Aged Multivariate Analysis Odds Ratio Prevalence Regression Analysis Reproducibility of Results Risk Factors Sampling Studies Substance-Related Disorders / epidemiology United States / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Recovering from alcoholism in communal-living settings: exploring the characteristics of African Ame...
Next Document: Age at onset of alcohol use and its association with DSM-IV alcohol abuse and dependence: results fr...