Abstract：
OBJECTIVE:The present study examined the dimensionality of DSM-IV Alcohol Use Disorder (AUD) criteria using Item Response Theory (IRT) methods and tested the validity of the proposed DSM-V AUD guidelines in a sample of college students. METHOD:Participants were 396 college students who reported any alcohol use in the past 90 days and were aged 18 years or older. We conducted factor analyses to determine whether a one- or two-factor model provided a better fit to the AUD criteria. IRT analyses estimated item severity and discrimination parameters for each criterion. Multivariate analyses examined differences among the DSM-V diagnostic cut-off (AUD vs. No AUD) and severity qualifiers (no diagnosis, moderate, severe) across several validating measures of alcohol use. RESULTS:A dominant single-factor model provided the best fit to the AUD criteria. IRT analyses indicated that abuse and dependence criteria were intermixed along the latent continuum. The "legal problems" criterion had the highest severity parameter and the tolerance criterion had the lowest severity parameter. The abuse criterion "social/interpersonal problems" and dependence criterion "activities to obtain alcohol" had the highest discrimination parameter estimates. Multivariate analysis indicated that the DSM-V cut-off point, and severity qualifier groups were distinguishable on several measures of alcohol consumption, drinking consequences, and drinking restraint. DISCUSSION:Findings suggest that the AUD criteria reflect a latent variable that represents a primary disorder and provide support for the proposed DSM-V AUD criteria in a sample of college students. Continued research in other high-risk samples of college students is needed.
journal_name
Drug Alcohol Dependjournal_title
Drug and alcohol dependenceauthors
Hagman BT,Cohn AMdoi
10.1016/j.drugalcdep.2011.03.021subject
Has Abstractpub_date
2011-11-01 00:00:00pages
202-8issue
2-3eissn
0376-8716issn
1879-0046pii
S0376-8716(11)00147-5journal_volume
118pub_type
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更新日期：2017-04-01 00:00:00
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journal_title：Drug and alcohol dependence
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pub_type： 临床试验,杂志文章
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更新日期：2016-09-01 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章
doi：10.1016/0376-8716(80)90188-x
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章
doi：10.1016/0376-8716(84)90067-x
更新日期：1984-05-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/s0376-8716(00)00132-0
更新日期：2001-01-01 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 临床试验,杂志文章,随机对照试验
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更新日期：1999-10-01 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章
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更新日期：2020-02-01 00:00:00
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pub_type： 杂志文章
doi：10.1016/0376-8716(94)90115-5
更新日期：1994-04-01 00:00:00
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pub_type： 杂志文章
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章
doi：10.1016/j.drugalcdep.2005.07.012
更新日期：2006-03-15 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章,随机对照试验
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更新日期：2009-09-01 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章
doi：10.1016/j.drugalcdep.2005.10.007
更新日期：2006-06-09 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章
doi：10.1016/j.drugalcdep.2016.02.003
更新日期：2016-04-01 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章,评审
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更新日期：2013-09-01 00:00:00
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journal_title：Drug and alcohol dependence
pub_type： 杂志文章
doi：10.1016/j.drugalcdep.2005.05.006
更新日期：2005-12-12 00:00:00
