Applying DSM-5 criteria for AUDs to a nationally representative U.S. sample resulted in a modest 11.3% increase (from 9.7% to 10.8%) in AUDs. Analyses indicated “diagnostic switching’ occurred only rarely with those switching from affected to unaffected (3.3% of DSM-IV affected) primarily endorsing hazardous use and those switching from unaffected to affected (19.6% of DSM-IV unaffected) most frequently endorsing larger/longer or quit/cut back. Both groups of “diagnostic switches” represent less involved drinking with those switching from unaffected to affected drinking somewhat more frequently.
