Journal
DRUG AND ALCOHOL DEPENDENCE
Volume 111, Issue 1-2, Pages 146-154Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.drugalcdep.2010.04.002
Keywords
Item response theory; Alcohol use disorders; Alcohol dependence; DSM-IV; DSM-V; Israel
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Funding
- NIH [R01AA013654, R01DA018652, K05AA014223, F31DA026689, K23DA016743]
- New York State Psychiatric Institute
- NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM [K05AA014223, R01AA013654] Funding Source: NIH RePORTER
- NATIONAL INSTITUTE ON DRUG ABUSE [K23DA016743, F31DA026689, R01DA024606, R01DA018652] Funding Source: NIH RePORTER
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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 >= 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-consumptions,country. (C) 2010 Elsevier Ireland Ltd. All rights reserved.
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