As shown in Table 3, individuals positive solely for DSM-5 dependence(column 2) endorsed more AUD criteria despite lower rates of physiological dependence, were more likely to be male, to have private health insurance coverage and to have a comorbid drug use disorder, and reported fewer medical conditions than the those positive solely for DSM-IV dependence (column 1). Individuals positive for both DSM-IV dependence and DSM-5 severe AUD reported more AUD criteria, had higher rates of alcohol treatment and had lower levels of psychological functioning than those meeting only a single diagnosis. Compared to individuals positive solely for dependence, they were heavier drinkers, were more likely to have been responsible for an alcohol-related injury and had more life stressors and higher rates of DUD. Compared to individuals positive solely for severe AUD, they were more likely to endorse physiological dependence, had lower rates of private but higher rates of public health insurance coverage, and reported more medical conditions. The overall clinical profiles of dependence (column 4) and severe AUD(column 5) were very similar, the only significant difference being that individuals with severe AUD endorsed more AUD criteria.
