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Chunk #17 — Results — Exploratory Analyses – Alternative diagnostic algorithm

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Toward DSM-V: an item response theory analysis of the diagnostic process for DSM-IV alcohol abuse and dependence in adolescents.
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The alternative algorithm results in improved discrimination across diagnostic categories as measured by both IRT-based severity estimates (F=4428.56, p<.001, η2=.85) and symptom count (F=2563.91, p<.001, η2=.77). As evidenced by comparing the η2 (i.e., explained variance) for the current DSM-IV algorithm versus the alternative algorithm, the difference in our ability to predict the severity of AUDs is marked, predicting 85% of the variance under the alternative diagnostic algorithm versus 69% under DSM-IV.