The role of alcohol consumption in future classifications of alcohol use disorders
The role of alcohol consumption in future classifications of alcohol use disorders
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DOI：
10.1016/j.drugalcdep.2006.12.003
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发表时间：
2007-06-15
影响因子：
4.2
通讯作者：
Grant, Bridget F.
中科院分区：
文献类型：
--
作者：
Saha, Tulshi D.;Stinson, Frederick S.;Grant, Bridget F.
背景资料：项目反应理论（IRT）被用来确定是否DSM-IV酒精滥用和依赖和消费标准排列沿着一个连续的severity.Methods：数据来自一个大的，全国代表性的美国成年人口的样本。DSM-IV酒精滥用和依赖标准形成了一个连续的酒精使用障碍严重程度沿着饮酒5+/4+在过去的一年里，至少每周一次。标准是不变的性别，种族，民族和年龄subgroup.Conclusion：饮酒5+/4+高风险饮酒模式被确定为一个合适的标准，为未来的DSM-IV酒精使用障碍的分类。有些依赖标准属于最不严重的标准，有些滥用标准属于最严重的标准，这些结果质疑《精神疾病诊断和统计手册》第四版滥用和依赖类别作为不同实体的有效性，也不支持将滥用作为依赖的前驱症状的假设。身体依赖和成瘾被确定为连续体的定义要素。进一步的研究检查他们的尺寸属性和关系的高风险饮酒模式似乎是必要的。一种方法，强调更重要的作用，在未来的酒精使用障碍的分类定义广泛，包括所有与酒精有关的伤害，包括成瘾和身体依赖，消费进行了讨论。(c)2006爱思唯尔爱尔兰有限公司保留所有权利。
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. (c) 2006 Elsevier Ireland Ltd. All rights reserved.