Concordance of DSM-IV alcohol and drug use disorder criteria and diagnoses as measured by AUDADIS-ADR, CIDI and SCAN
Concordance of DSM-IV alcohol and drug use disorder criteria and diagnoses as measured by AUDADIS-ADR, CIDI and SCAN
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DOI：
10.1016/s0376-8716(97)00090-2
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发表时间：
1997-09-25
影响因子：
4.2
通讯作者：
Mager, D
中科院分区：
文献类型：
--
作者：
Cottler, LB;Grant, BF;Mager, D
本研究旨在检验WHO/NIH三种诊断工具（AUDADIS-ADR、CIDI和SCAN）对DSM-IV酒精和药物使用障碍诊断的一致性。这个子研究在三个国家进行，希腊；卢森堡和美国参与了关于精神障碍以及酒精和毒品相关问题的诊断和分类的较大联合项目，该项目的启动是为了评估这些工具和标准的跨文化适用性。总体而言，三种评估的一致性对酒精和阿片类药物依赖较好，对可卡因和镇静剂依赖较好，对安非他明依赖较低。大麻依赖一致性的差异明显大于其他物质。所检查的所有物质对滥用的一致意见都很低。此外，还检查了每种物质的DSM-IV标准的一致性。最后，基于差异访谈协议方法，对评估结果差异的原因进行了研究。进一步的调查将有助于完善这些工具，以便更彻底地了解酒精和药物滥用的诊断。(C) 1997爱思唯尔科学爱尔兰有限公司
This study was designed to examine the agreement of DSM-IV alcohol and drug use disorder diagnoses generated by three WHO/NIH diagnostic instruments, the AUDADIS-ADR, the CIDI, and the SCAN. This substudy, conducted in three countries, Greece; Luxembourg, and the United States: was parr of the larger joint project on diagnosis and classification of mental disorders and alcohol and drug-related problems, which was initiated to evaluate the cross-cultural applicability of the instruments and the criteria. Overall, concordance among the three assessments was good for alcohol and opiate dependence, fair to good for cocaine and sedative dependence, and low for amphetamine dependence. Cannabis dependence concordance was significantly more discrepant than any other substance. Agreement on abuse was low for all substances examined. In addition, the concordance of DSM-IV criteria for each substance was examined. Finally, reasons for discrepancies in responses among assessments were examined: based on discrepancy interview protocol methodology. Further investigation will help to refine these instruments in order to provide a more thorough understanding of alcohol and drug abuse diagnoses. (C) 1997 Elsevier Science Ireland Ltd.