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Chunk #10 — Measures — DSM-IV and DSM-5 alcohol use disorders (AUD) diagnoses

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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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Although the final DSM-5 criteria for AUD were not published at the time the CHOICE trial began, the addition of a craving criterion was expected. All CHOICE trial participants were therefore also asked the following question about craving, after the DSM-IV MINI: “Was there ever a time in your life when you often had such a strong desire to drink that you couldn’t stop yourself from taking a drink or found it difficult to think of anything else?” from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) [19]. Of note, the question’s timeframe of “ever” was inadvertently not changed to the “past year” for use in our measure of past year DSM-5 AUD, and the prevalence of lifetime craving is likely greater than past year craving.