DSM-IV to DSM-5: the impact of proposed revisions on diagnosis of alcohol use disorders.
paper
Cited
Public
- Authors
- Agrawal, Arpana; Heath, Andrew C; Lynskey, Michael T
- Year
- 2011
- Journal
- Addiction (Abingdon, England)
- PMID
- 21631621
- DOI
- 10.1111/j.1360-0443.2011.03517.x
- PMCID
- PMC3480662
AIMS: To determine the prevalence of past 12-month DSM-5 alcohol use disorders (AUDs), to quantify and characterize individuals who remain stably unaffected or affected and those who 'switch' diagnostically between DSM-IV and DSM-5 classifications. DESIGN: Data from the nationally representative wave 2 of the National Epidemiological Survey of Alcohol and Related Conditions (NESARC) collected in 2004-05. SETTING: General population survey. PARTICIPANTS: All surveyed participants (n=34,653, aged 21 years and older) and 29,993 individuals reporting life-time alcohol use across both waves of NESARC. MEASUREMENTS: DSM-IV and DSM-5 criteria were coded using proposed guidelines. FINDINGS: The prevalence of DSM-5 AUDs was 10.8% with the corresponding prevalence of DSM-IV abuse/dependence being 9.7%, implying a modest 11.3% increase. Those who switched diagnostically from affected to unaffected (19.6% of DSM-IV affected) were most likely to have endorsed hazardous use, due particularly to drinking and driving, while those who transitioned from unaffected to affected (3.3% of DSM-IV unaffected) were primarily DSM-IV diagnostic orphans reporting larger/longer and quit/cut-back. Dropping the legal criterion did not affect the prevalence significantly, while the addition of craving also had a relatively modest impact on prevalence. CONCLUSION: The proposed DSM-5 revisions eliminate successfully individuals diagnosed previously with DSM-IV alcohol abuse due primarily to hazardous use alone and incorporate diagnostic orphans into the diagnostic realm. Definitions of craving and importantly, hazardous use require considerable attention as it is likely that they will contribute to variations in reports of increased prevalence of alcohol use disorders between DSM-IV to DSM-5.
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β Prev
21β27 of 27
| Name | Type |
|---|---|
| affected | phenotype |
| Affected to Unaffected local | cohort |
| Affected_to_Unaffected_group local | cohort |
| alcohol | phenotype |
| alcohol abuse | phenotype |
| alcohol dependence | phenotype |
| Alcohol Use Disorder | phenotype |
| Alcohol users local | cohort |
| AUD | phenotype |
| Babor and Caetano study local | cohort |
| comorbidity | phenotype |
| craving | phenotype |
| dependence | phenotype |
| diagnostic orphans | phenotype |
| Diagnostic switching local | phenotype |
| Diagnostic Switching local | phenotype |
| Drinking and driving local | phenotype |
| Drinking and Driving local | phenotype |
| DSM-5 AUD | phenotype |
| DSM-5 diagnosis of Alcohol Use Disorders local | phenotype |
| DSM-5 moderate AUD local | phenotype |
| DSM-5 Moderate AUD local | phenotype |
| DSM-5 unaffected local | phenotype |
| DSM-IV | phenotype |
| DSM-IV affected local | phenotype |
| DSM-IV criteria for Alcohol Use Disorders local | phenotype |
| DSM-IV Legal Problems local | phenotype |
| failure to fulfill role obligations local | phenotype |
| family history of alcoholism | phenotype |
| full sample | cohort |
| Hasin & Paykin study local | cohort |
| hazardous use | phenotype |
| Heavy_drinking local | phenotype |
| Hierarchical abuse local | phenotype |
| ICD-10 classification local | cohort |
| income | phenotype |
| intermediate vulnerability local | phenotype |
| interpersonal conflict | phenotype |
| Item A (drinking and driving) local | phenotype |
| Item B (drinking and driving) local | phenotype |
| Item C local | phenotype |
| Keyes and Hasin study local | cohort |
| Larger/longer drinking local | phenotype |
| Larger/Longer Drinking local | phenotype |
| legal criterion | phenotype |
| legal problems | phenotype |
| lifetime alcohol use | phenotype |
| lifetime alcohol users local | cohort |
| mania | phenotype |
| Mewton et al local | cohort |
| Mewton et al. study local | cohort |
| Moderate Alcohol Use Disorder local | phenotype |
| Moderate DSM-5 AUD local | phenotype |
| Moderately affected local | phenotype |
| nationally representative sample | cohort |
| NESARC | cohort |
| NSMHWB local | cohort |
| Other abuse/dependence criteria local | phenotype |
| other substances | phenotype |
| physical abuse | phenotype |
| psychiatric disorders | phenotype |
| Quit/Cut Back local | phenotype |
| Quit/cut back drinking local | phenotype |
| risky drinking | phenotype |
| severe alcohol use disorder | phenotype |
| Socio-demographic characteristics local | phenotype |
| socio-economic status | phenotype |
| stably affected local | phenotype |
| Stably affected local | phenotype |
| Stably Affected local | cohort |
| Stably affected group local | cohort |
| stably unaffected local | phenotype |
| Stably Unaffected local | cohort |
| Stably unaffected group local | cohort |
| Stably_unaffected_individuals local | cohort |
| study cohort | cohort |
| subjects | cohort |
| substance use | phenotype |
| unaffected | phenotype |
| Unaffected to Affected local | cohort |
| Unaffected_to_Affected_group local | cohort |
| wave 2 | cohort |
| withdrawal | phenotype |
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