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Chunk #9 — Methods — Measures — Diagnostic Criteria for Alcohol Dependence and Abuse

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The dimensionality of alcohol use disorders and alcohol consumption in a cross-national perspective.
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An adaptation of the Alcohol Section of the Composite International Diagnostic Interview (CIDI) Core[19] was used to obtain a diagnosis of DSM-IV alcohol dependence and alcohol abuse. The CIDI diagnostic interview was developed as a joint project by the World Health Organization and the U.S. Alcohol, Drug Abuse and Mental Health Administration, and has been tested in several countries. The alcohol section of the CIDI has been found to perform well, is easy to use, and is acceptable to subjects in almost all cultures[20]. The DSM-IV criteria for 12 month dependence consist of three positive responses across seven domains (tolerance, withdrawal, drinking more than intended, unsuccessful efforts to control, giving up pleasures or interests to drink, spending a great deal of time in drinking activities, continued alcohol use despite problems). Also obtained was a diagnosis for DSM-IV alcohol abuse as lifetime presence among 12-month drinkers based on any one of four items: role, physical, legal or social consequences of drinking.