The factor structure of the DSM-III-R and ICD-10 concepts of alcohol dependence.
The factor structure of the DSM-III-R and ICD-10 concepts of alcohol dependence.
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DSM-III-R 和 ICD-10 酒精依赖概念的因子结构。
DOI：
10.1093/oxfordjournals.alcalc.a045004
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发表时间：
1990
期刊：
影响因子：
--
通讯作者：
Caetano,R
中科院分区：
文献类型：
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作者：
Caetano,R
本文介绍了两个精神病学分类，DSM-III-R和ICD-10中提出的酒精依赖概念的因素结构。受试者是219名男性和162名女性，他们在加州康特拉科斯塔县的九个不同的治疗项目中接受了酒精相关问题的治疗。验证性因素分析拒绝了支持单因素和双因素结构的依赖性的假设检验。探索性因素分析的结果表明，DSM-IH-R中的依赖概念存在四因素结构。对于ICD-10，男性有四个因素解决方案，女性有三个因素解决方案。这些因素的项目构成因性别和两个分类而异。然而，根据DSM-III-R和ICD-10标准测量的依赖性之间存在良好的一致性。由于DSM-IV的工作正在进行中，本研究旨在为未来的变化提供一些经验基础。
This paper describes the factor structure of the concept of alcohol dependence as proposed in two psychiatric classifications, the DSM-III-R and the ICD-10. Subjects are 219 men and 162 women who were interviewed while in treatment for alcohol-related problems in nine different treatment programs in Contra Costa county, California. Tests of hypotheses supporting a single factor and a dual factor structure of dependence were rejected by confirmatory factor analysis. Results from exploratory factor analysis show a four factor structure for the concept of dependence in DSM-IH-R. For ICD-10 there is a four factor solution among men and a three factor solution among women. The item composition of these factors vary by gender and across the two classifications. However, there is good agreement between dependence as measured by DSM-III-R and ICD-10 criteria. Since work on DSM-IV is now under way, the present research aims to provide some empirical base for how future changes should be made.