Although the DSM-5 revision addressed concerns about individuals being inappropriately classified with an AUD solely for endorsing impaired driving (Agrawal et al., 2010; Babor and Caetano, 2008), it has been criticized on other grounds. The predominant criticisms were that the revision was overly reliant on statistical evaluations of the dimensionality and severity of AUD criteria based on insufficiently validated symptom item indicators, that it combined core characteristics of AUD with its consequences and that it did not do enough to create a diagnosis that would correspond to a need for treatment or provide guidance for clinicians (Babor, 2011; Poznyak et al., 2011; Room, 2011).
