Evaluating the Validity of the DSM-5 Alcohol Use Disorder Diagnostic Criteria in a Sample of Treatment-seeking Native Americans.
Evaluating the Validity of the DSM-5 Alcohol Use Disorder Diagnostic Criteria in a Sample of Treatment-seeking Native Americans.
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评估 DSM-5 酒精使用障碍诊断标准在寻求治疗的美洲原住民样本中的有效性。
DOI：
10.1097/adm.0000000000000452
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发表时间：
2019
影响因子：
5.5
通讯作者：
Sarafin,RuthE
中科院分区：
文献类型：
--
作者：
Serier,KelseyN;Venner,KamillaL;Sarafin,RuthE
目的：尽管美洲原住民中酒精使用障碍（AUD）和酒精引起的死亡率很高，但对AUD诊断标准的结构效度的研究有限。本研究的目的是检验精神疾病诊断与统计手册（DSM-5） AUD标准在寻求治疗的印第安人群体中的有效性。方法：作为一项更大的研究的一部分，79名关注酒精或药物使用的印第安人从位于美国西南部保留地的物质使用治疗机构中招募。参与者接受《精神障碍诊断与统计手册》（DSM-IV-TR中的SCID）的结构化临床访谈，以评估DSM-5中AUD的11项标准。验证性因子分析（CFA）用于检验AUD诊断标准的有效性，项目反应理论（IRT）用于检验该美洲原住民样本中AUD诊断标准的项目特征。结果：CFA表明，11个项目的1因素模型提供了良好的拟合数据。IRT参数估计表明，“退缩”、“社会/人际问题”和“放弃使用活动”的歧视程度最高。“花在使用上的时间多”和“放弃使用的活动”与最严重的程度有关。结论：目前的研究为AUD DSM-5标准的有效性提供了支持，并在该寻求治疗的印第安人样本中建立了AUD的一维潜在结构。IRT分析重复了以前研究的结果。据我们所知，这是第一个在寻求治疗的印第安人样本中检验DSM-5 AUD标准有效性的研究。需要继续对其他美洲原住民样本进行研究。
Objective:Despite high rates of alcohol use disorder (AUD) and alcohol-induced deaths among Native Americans, there has been limited study of the construct validity of the AUD diagnostic criteria. The purpose of the current study was to examine the validity of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) AUD criteria in a treatment-seeking group of Native Americans.Methods:As part of a larger study, 79 Native Americans concerned about their alcohol or drug use were recruited from a substance use treatment agency located on a reservation in the southwestern United States. Participants were administered the Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders (SCID for DSM-IV-TR) reworded to assess 11 DSM-5 criteria for AUD. Confirmatory factor analysis (CFA) was used to test the validity of the AUD diagnostic criteria, and item response theory (IRT) was used to examine the item characteristics of the AUD diagnostic criteria in this Native American sample.Results:CFA indicated that a 1-factor model of the 11 items provided a good fit of the data. IRT parameter estimates suggested that “withdrawal,”“social/interpersonal problems,” and “activities given up to use” had the highest magnitude of discrimination.“Much time spent using” and “activities given up to use” were associated with the greatest severity.Conclusions:The current study provided support for the validity of the AUD DSM-5 criteria and a unidimensional latent construct of AUD in this sample of treatment-seeking Native Americans. IRT analyses replicate findings from previous studies. To our knowledge, this is the first study to examine the validity of the DSM-5 AUD criteria in a treatment-seeking sample of Native Americans. Continued research in other Native American samples is needed.