NDLI: The dimensionality of alcohol use disorders and alcohol consumption in a cross-national perspective.

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The dimensionality of alcohol use disorders and alcohol consumption in a cross-national perspective.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Borges, Guilherme Ye, Yu Bond, Jason Cherpitel, Cheryl J. Cremonte, Mariana Moskalewicz, Jacek Swiatkiewicz, Grazyna Rubio-Stipec, Maritza
Spatial Coverage	Argentina United States Poland Mexico
Description	Country affiliation: Mexico Author Affiliation: Borges G ( National Institute of Psychiatry, Calzada Mexico Xochimilco No 101- Col. San Lorenzo Huipulco, Mexico D.F. C.P.14370, Mexico. guibor@imp.edu.mx)
Abstract	AIMS: To replicate the finding that there is a single dimension trait in alcohol use disorders and to test whether the usual 5+ drinks for men and 4+ drinks for women and other measures of alcohol consumption help to improve alcohol use disorder criteria in a series of diverse patients from emergency departments (EDs) in four countries. DESIGN: Cross-sectional surveys of patients aged 18 years and older that reflected consecutive arrival at the ED. The Composite International Diagnostic Interview Core was used to obtain a diagnosis of DSM-IV alcohol dependence and alcohol abuse; quantity and frequency of drinking and drunkenness as well as usual number of drinks consumed during the last year. SETTING: Participants were 5195 injured and non-injured patients attending seven EDs in four countries: Argentina, Mexico, Poland and the United States (between 1995-2001). FINDINGS: Using exploratory factor analyses alcohol use disorders can be described as a single, unidimensional continuum without any clear-cut distinction between the criteria for dependence and abuse in all sites. RESULTS: from item response theory analyses showed that the current DSM-IV criteria tap people in the middle-upper end of the alcohol use disorder continuum. Alcohol consumption (amount and frequency of use) can be used in all EDs with the current DSM-IV diagnostic criteria to help tap the middle-lower part of this continuum. Even though some specific diagnostic criteria and some alcohol consumption variables showed differential item function across sites, test response curves were invariant for ED sites and their inclusion would not impact the final (total) performance of the diagnostic system. CONCLUSIONS: DSM-IV abuse and dependence form a unidimensional continuum in ED patients regardless of country of survey. Alcohol consumption variables, if added, would help to tap patients with more moderate severity. The DSM diagnostic system for alcohol use disorders showed invariance and performed extremely well in these samples.
File Format	HTM / HTML
ISSN	09652140
e-ISSN	13600443
DOI	10.1111/j.1360-0443.2009.02778.x
Journal	Addiction
Issue Number	2
Volume Number	105
Language	English
Publisher	Wiley-Blackwell
Publisher Date	2010-02-01
Publisher Place	Great Britain (UK)
Access Restriction	Open
Subject Keyword	Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't Cross-sectional Studies Psychology Alcohol Drinking Discipline Addiction Epidemiology Questionnaires Diagnosis Severity Of Illness Index Diagnostic And Statistical Manual Of Mental Disorders Health Surveys Sex Factors Mexico Alcohol-related Disorders
Content Type	Text
Resource Type	Article
Subject	Psychiatry and Mental Health

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