The dimensionality of alcohol abuse and dependence: factor analysis of DSM-III-R and proposed DSM-IV criteria in the 1988 National Health Interview Survey.
The dimensionality of alcohol abuse and dependence: factor analysis of DSM-III-R and proposed DSM-IV criteria in the 1988 National Health Interview Survey.
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酒精滥用和依赖的维度：DSM-III-R 的因素分析和 1988 年全国健康访谈调查中提出的 DSM-IV 标准。
DOI：
10.1111/j.1360-0443.1993.tb02127.x
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发表时间：
1993
期刊：
影响因子：
--
通讯作者：
Hasin,D
中科院分区：
文献类型：
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作者：
Muthén,BO;Grant,B;Hasin,D
关于DSM-IV酒精滥用和依赖标准最终版本的决定将主要由阿帕的药物滥用现场试验决定，这些试验主要在治疗的临床样本中进行。实地试验的主要目标之一是研究滥用和依赖之间的界限，并确定界定滥用类别的具体标准。然而，关于修订DSM-IV中滥用和依赖标准的决定也应参考未治疗或一般人群样本的数据。本研究使用来自大型一般人群调查（1988年全国健康访谈调查（NHIS 88））的最新数据来解决田间试验目标。该文件报告了因素分析，以评估NHIS 88中实施的DSM-III-R和DSM-IV依赖和滥用标准的潜在维度。分析的重点是是否需要具有多个维度的模型，如果需要，则维度与DSM-III-R和DSM-IV中定义的标准集的对应性。分析表明需要二维模型。这些维度被解释为滥用和依赖，但定义每个维度的标准集与DSM定义中使用的标准集存在重大偏差。
Decisions on the final version of the DSM‐IV alcohol abuse and dependence criteria will be determined largely by the APA's substance abuse field trials, conducted primarily in treated, clinical samples. Among the major objectives of the field trials are to study the boundaries between abuse and dependence, and to identify specific criteria that define the abuse category. The decisions on revisions of the abuse and dependence criteria in DSM‐IV should, however, be informed by data from non‐treated or general population samples as well. The present study addresses the field trial objectives using recent data from a large general population survey, the 1988 National Health Interview Survey (NHIS88). The paper reports on factor analyses to assess the dimensions underlying the DSM‐III‐R and DSM‐IV dependence and abuse criteria as operationalized in the NHIS88. The focus of the analyses is on whether models with more than one dimension are needed and if so, the correspondence of the dimensions to criteria sets defined in the DSM‐III‐R and DSM‐IV. The analyses show that a two‐dimensional model is required. The dimensions are interpreted as abuse and dependence, but the sets of criteria that define each of the dimensions show important deviations from the criteria sets used in the DSM definitions.