Are there empirically supported and clinically useful subtypes of alcohol dependence?
paper
Primary
Public
Unavailable
- Authors
- Hesselbrock, Victor M; Hesselbrock, Michie N
- Year
- 2006
- Journal
- Addiction (Abingdon, England)
- PMID
- 16930165
- DOI
- 10.1111/j.1360-0443.2006.01596.x
AIMS: This paper provides an overview of several multidimensional empirically derived typologies of alcohol use disorders that have been derived primarily for research purposes in relation to their clinical utility. METHODS: Studies using multivariate statistical methods for identifying homogeneous groups of subjects were selected for inclusion. Theoretically based typologies were not included in this review. RESULTS: While formal diagnostic criteria typically identify separate categories of alcohol abuse and dependence, several studies using different statistical methods consistently suggest as many as four homogeneous types of alcoholism: a chronic/severe type, a depressed/anxious type, a mildly affected type and an antisocial type. CONCLUSIONS: Even though the longitudinal outcomes of few empirically derived subtypes have been examined, alcoholism typologies remain a viable and potentially valuable tool for investigating etiological pathways, the effectiveness of treatments and the long-term course of alcohol use disorders.
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