Alcohol dependence and abuse diagnoses: Concurrent validity in a nationally representative sample
Alcohol dependence and abuse diagnoses: Concurrent validity in a nationally representative sample
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DOI：
10.1111/j.1530-0277.1999.tb04036.x
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发表时间：
1999-01-01
影响因子：
3.2
通讯作者：
Paykin, A
中科院分区：
文献类型：
--
作者：
Hasin, D;Paykin, A
酒精依赖综合征的概念已经对主要的疾病分类系统产生了广泛的影响，最近它作为DSM-IV酒精依赖的操作化。尽管许多研究已经提供了临床样本中酒精依赖综合症有效性的证据，但在一般人群样本中几乎没有进行过有关DSM-IV酒精依赖或DSM-IV酒精依赖与DSM-IV酒精滥用的区别的验证工作。因此，我们研究了DSM-IV酒精依赖和滥用的横断面效度在27,616家庭居民谁参加了1992年全国调查酒精使用障碍。有效性进行了调查，通过测试一组五个“标准”变量，外部的酒精诊断标准，依赖和滥用诊断的关联。结果表明，依赖性诊断显着相关的所有标准变量相比，没有诊断，也与酒精滥用。这支持将依赖与虐待分开。与未诊断的受试者相比，滥用诊断与一些（但不是全部）标准变量相关。这份报告复制了在社区住户抽样中进行的类似调查的许多方面。在研究的下一步的影响进行了讨论。
The Alcohol Dependence Syndrome concept has had a widespread influence on the major nosological classification systems, most recently with its operationalization as DSM-IV alcohol dependence. Although many studies have provided evidence of the validity of the Alcohol Dependence Syndrome in clinical samples, little validation work has been conducted in general population samples on DSM-IV alcohol dependence or the distinction of DSM-IV alcohol dependence from DSM-IV alcohol abuse. We therefore examined the cross-sectional validity of DSM-IV alcohol dependence and abuse in 27,616 household residents who participated in a 1992 national survey on alcohol use disorders. Validity was investigated by testing the association of a set of five "criterion" variables, external to the alcohol diagnostic criteria, with dependence and abuse diagnoses. Results indicated that dependence diagnoses were significantly associated with all criterion variables when compared with those with no diagnosis and also when compared with alcohol abuse. This supported the separation of dependence from abuse. Abuse diagnoses were associated with some, but not all, criterion variables when compared with subjects with no diagnosis. This report replicates many aspects of a similar investigation in a community sample of household residents. Implications for the next steps in research are discussed.