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Chunk #29 — Discussion

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Comparison of DSM-IV and DSM-5 criteria for alcohol use disorders in VA primary care patients with frequent heavy drinking enrolled in a trial.
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patient met criteria for DSM-IV AUD alone might be somewhat surprising. One might have expected more than 1 patient with frequent binge drinking to meet the DSM-IV AUD criteria with just 1 DSM-IV abuse criterion or 2 DSM-IV criteria that included legal consequences, which was excluded from DSM-5. However, drinking 5 or more drinks on an occasion is strongly associated with AUD symptoms [3], and thus restriction of our sample to frequent binge drinking could account for this finding. Further research is needed on other clinical samples of patients with frequent binge drinking to understand if this unexpected finding was unique to our study sample.