A latent class analysis of DSM-IV alcohol use disorder criteria and binge drinking in undergraduates.
paper
Cited
Public
- Authors
- Beseler, Cheryl L; Taylor, Laura A; Kraemer, Deborah T; Leeman, Robert F
- Year
- 2012
- Journal
- Alcoholism, clinical and experimental research
- PMID
- 22004067
- DOI
- 10.1111/j.1530-0277.2011.01595.x
- PMCID
- PMC3253200
BACKGROUND: Adolescent and adult samples have shown that the Diagnostic and Statistical Manual of Mental Disorders-IV (DSM-IV) abuse and dependence criteria lie on a continuum of alcohol problem severity, but information on criteria functioning in college students is lacking. Prior factor analyses in a college sample (Beseler et al., 2010) indicated that a 2-factor solution fit the data better than a single-factor solution after a binge drinking criterion was included. The second dimension may indicate a clustering of criteria related to excessive alcohol use in this college sample. METHODS: The present study was an analysis of data from an anonymous, online survey of undergraduates (N = 361) that included items pertaining to the DSM-IV alcohol use disorder (AUD) diagnostic criteria and binge drinking. Latent class analysis (LCA) was used to determine whether the criteria best fit a categorical model, with and without a binge drinking criterion. RESULTS: In an LCA including the AUD criteria only, a 3-class solution was the best fit. Binge drinking worsened the fit of the models. The largest class (class 1, n = 217) primarily endorsed tolerance (18.4%); none were alcohol dependent. The middle class (class 2, n = 114) endorsed primarily tolerance (81.6%) and drinking more than intended (74.6%); 34.2% met criteria for dependence. The smallest class (class 3, n = 30) endorsed all criteria with high probabilities (30 to 100%); all met criteria for dependence. Alcohol consumption patterns did not differ significantly between classes 2 and 3. Class 3 was characterized by higher levels on several variables thought to predict risk of alcohol-related problems (e.g., enhancement motives for drinking, impulsivity, and aggression). CONCLUSIONS: Two classes of heavy-drinking college students were identified, one of which appeared to be at higher risk than the other. The highest risk group may be less likely to "mature out" of high-risk drinking after college.
Probability of college students (n=361) endorsing a DSM-IV criterion conditional on belonging to a particular class.
LLM interpretation
This line graph displays the probability of college students endorsing ten different DSM-IV criteria across three distinct classes (Class 1, n=217; Class 2, n=114; and Class 3, n=30). The y-axis represents class probabilities from 0 to 1, while the x-axis lists specific diagnostic criteria. Class 3 shows the highest probability of endorsement across nearly all criteria, followed by Class 2, while Class 1 consistently shows the lowest probabilities.
| Name | Type |
|---|---|
| Adults 30 years of age or older local | cohort |
| age | phenotype |
| age at initiation | phenotype |
| Age of alcohol use initiation local | phenotype |
| Age of initiation of alcohol consumption local | phenotype |
| aggression | phenotype |
| aggression measure subscales local | phenotype |
| aggression subscale local | phenotype |
| aggression subscales local | phenotype |
| Aggression subscale variables local | phenotype |
| aggressiveness | phenotype |
| alcohol | phenotype |
| alcohol abuse | phenotype |
| alcohol consumption variables local | phenotype |
| alcohol dependence | phenotype |
| Alcohol dependence (12-month) local | phenotype |
| Alcohol problem risk local | phenotype |
| Alcohol Problems | phenotype |
| Alcohol problems after graduation local | phenotype |
| alcohol-related problems | phenotype |
| Alcohol Use | phenotype |
| Alcohol Use Disorder | phenotype |
| Alcohol use severity local | phenotype |
| anger | phenotype |
| antisocial personality disorder | phenotype |
| attentional impulsiveness subscale of the BIS-11 local | phenotype |
| AUD | phenotype |
| AUDIT | phenotype |
| Behavioral undercontrol | phenotype |
| behavioral undercontrol/disinhibition local | phenotype |
| Behavioral undercontrol/disinhibition local | phenotype |
| Behavioral undercontrol traits local | phenotype |
| binge drinking | phenotype |
| binge drinking episodes | phenotype |
| binge drinking events per week local | phenotype |
| Caucasian ethnicity local | phenotype |
| class 1 | cohort |
| class 1 local | phenotype |
| Class 1 local | phenotype |
| class 2 | cohort |
| class 3 | cohort |
| class standing local | phenotype |
| clinically significant problems local | phenotype |
| Collaborative Study on the Genetics of Alcoholism (COGA) | cohort |
| College drinkers local | cohort |
| college population | cohort |
| College student cohort local | cohort |
| College student cohort (ages 18-35) local | cohort |
| college students | cohort |
| College students ages 18-29 local | cohort |
| Community sample of adult drinkers local | cohort |
| Continued use despite problems local | phenotype |
| Coping motive local | phenotype |
| coping motives | phenotype |
| coping motives for drinking | phenotype |
| Current abuse local | phenotype |
| Current dependence local | phenotype |
| dependence | phenotype |
| Dependence symptoms | phenotype |
| depression | phenotype |
| diagnostic orphans | phenotype |
| Diagnostic orphans local | cohort |
| Disinhibited personality traits local | phenotype |
| disinhibition | phenotype |
| drinking more than intended | phenotype |
| drinking more than intended criteria local | phenotype |
| drinking motives | phenotype |
| Drinking motive scores local | phenotype |
| drinks per week | phenotype |
| DSM-IV | phenotype |
| DSM-IV alcohol use disorder | phenotype |
| DSM-IV criteria endorsement local | phenotype |
| Earlier age of alcohol use initiation local | phenotype |
| Early age at initiation local | phenotype |
| early alcohol use | phenotype |
| early onset alcohol dependence | phenotype |
| Enhancement motive local | phenotype |
| enhancement motives | phenotype |
| externalizing disorders | phenotype |
| Familial Alcohol Dependence local | phenotype |
| family history positive | phenotype |
| female participants | cohort |
| Female students local | cohort |
| Finnish young adult twin and non-twin sibling survey local | cohort |
| Frequent heavy episodic drinkers local | phenotype |
| Full-time enrollment local | phenotype |
| hazardous use | phenotype |
| heavy drinking | phenotype |
| Heavy-drinking alcohol-dependent college students local | cohort |
| Heavy-drinking college students (lower risk) local | cohort |
| Heavy substance use local | drug |
| High Risk Class local | phenotype |
| hostility | phenotype |
| human alcoholics | phenotype |
| Impaired control over alcohol use local | phenotype |
| impulsiveness subscales local | phenotype |
| impulsivity | phenotype |
| internalizing disorders | phenotype |
| Introductory Psychology Sample local | cohort |
| Lack of control over drinking local | phenotype |
| Larger study local | cohort |
| legal problems | phenotype |
| life satisfaction local | phenotype |
| Life satisfaction local | phenotype |
| Mature out local | phenotype |
| men | cohort |
| Men participants local | cohort |
| Moderately Severe Class local | phenotype |
| Motives for drinking local | phenotype |
| motor impulsiveness subscale of the BIS-11 local | phenotype |
| National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) local | cohort |
| National Institute on Alcohol Abuse and Alcoholism | cohort |
| National survey of undergraduates local | cohort |
| Neglecting responsibilities local | phenotype |
| NESARC | cohort |
| nonplanning impulsiveness | phenotype |
| Non-planning impulsivity | phenotype |
| novelty seeking | phenotype |
| Number of binge drinking events per week local | phenotype |
| Occasional heavy episodic drinkers local | phenotype |
| On-campus housing local | phenotype |
| participants | cohort |
| Past-year alcohol abuse local | phenotype |
| perceived stress | phenotype |
| Perceived Stress Scale local | phenotype |
| personality traits | phenotype |
| positive family history of alcohol-related problems local | phenotype |
| present study | cohort |
| problematic alcohol use | phenotype |
| race/ethnicity | phenotype |
| Rutgers Alcohol Problems Index local | phenotype |
| Satisfaction with Life Scale local | phenotype |
| sex | phenotype |
| Social motive local | phenotype |
| social problems | phenotype |
| Spending a great deal of time drinking local | phenotype |
| stressful life events | phenotype |
| tolerance | phenotype |
| Undergraduate drinkers local | cohort |
| undergraduates local | cohort |
| Undergraduates local | cohort |
| Undergraduate sample local | cohort |
| Undergraduates in the United States local | cohort |
| University undergraduates (Fall 2007) local | cohort |
| Verbal aggression local | phenotype |
| Weekly binge drinking local | phenotype |
| withdrawal | phenotype |
| women | cohort |
| Young Adult Alcohol Problems Screening Test | phenotype |
| Young adult drinkers local | cohort |
| Young adult populations local | cohort |
| young adults | cohort |
| Young Antisocial Drinkers local | phenotype |
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In this knowledge base
| Title | Year | PMID |
|---|---|---|
| Family-based association analysis of alcohol dependence criteria and severity. | 2014 | 24015780 |
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