Another study limitation is that DSM-IV diagnoses and specific historical criteria for maternal and paternal alcohol disorders and other parental emotional and behavioral disorders were not obtained. However, the AUDADIS-IV structured interview has shown good to excellent reliability and validity for parental family history measures (Grant et al., 1995, 2003; Hasin et al., 1997). Lastly, the NESARC is based on respondent self-report, which can be affected by recall bias and social desirability. However, measures were of the type commonly used in large epidemiological studies, and the NESARC employed a carefully structured interview to assess aspects of clinical history that agreed well with psychiatrist evaluations (Canino et al., 1999).