The dimensionality of alcohol use disorders: results from Israel
- PMID: 20537809
- PMCID: PMC3884677
- DOI: 10.1016/j.drugalcdep.2010.04.002
The dimensionality of alcohol use disorders: results from Israel
Abstract
Aims: To prepare for DSM-V, the structure of DSM-IV alcohol dependence and abuse criteria and a proposed additional criterion, at-risk drinking, require study in countries with low per-capita consumption, and comparison of current and lifetime results within the same sample. We investigated DSM-IV Alcohol Use Disorder (AUD) criteria in Israel, where per-capita alcohol consumption is low.
Methods: Household residents selected from the Israeli population register (N=1338) were interviewed with the AUDADIS. Item response theory analyses were conducted using MPlus, and diagnostic thresholds were examined with the kappa statistic.
Results: Dependence and abuse criteria fit a unidimensional model interspersed across the severity continuum, for both current and lifetime timeframes. Legal problems were rare and did not improve model fit. Weekly at-risk drinking reflected greater severity than in U.S. samples. When dependence and abuse criteria were combined, a diagnostic threshold of > or =3 criteria produced the best agreement with DSM-IV diagnoses (kappa>0.80).
Conclusion: Consistent with other studies, alcohol dependence and abuse criteria reflected a latent variable representing a single AUD. Results suggested little effect in removing legal problems and little gained by adding weekly at-risk drinking. Results contribute to knowledge about AUD criteria by examining them in a low-consumption country.
Copyright 2010 Elsevier Ireland Ltd. All rights reserved.
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References
-
- Almasy L. Quantitative risk factors as indices of alcoholism susceptibility. Ann. Med. 2003;35:337–343. - PubMed
-
- American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorder. 4rth ed. Washington, D.C.: American Psychiatric Association; 1994.
-
- Baker FB, Kim S. Item response theory: Parameter estimation techniques. 2nd ed. New York: Marcel Dekker, Inc.; 2004.
-
- Baras M, Harlap S, Eisenberg S. Alcohol drinking in Jerusalem. Alcohol. 1984;1:435–439. - PubMed
-
- Birnbaum A. Some latent trait models. In: Lord FM, Novick MR, editors. Statistical Theory of Mental Test Scores. Reading, M.A.: Addison-Wesley; 1968. pp. 397–472.
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