DSM-IV alcohol dependence and drug abuse/dependence in a treatment sample of whites, blacks and Mexican Americans

1996 ◽  
Vol 43 (1-2) ◽  
pp. 93-101 ◽  
Author(s):  
Raul Caetano ◽  
John Schafer
2007 ◽  
Vol 26 (4) ◽  
pp. 31-40 ◽  
Author(s):  
David A. Gilder ◽  
Philip Lau ◽  
Abigail Gross ◽  
Cindy L. Ehlers

2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Bartolomé Pérez Gálvez ◽  
Lorena García Fernández ◽  
Mª Pura De Vicente Manzanaro ◽  
Maria Angustias Oliveras Valenzuela ◽  
Manuel Lahoz Lafuente

Objetivo: Este estudio evalúa las propiedades psicométricas de dos versiones abreviadas de la Drug Abuse Screening Test (DAST-10 y DAST-20) en una población adulta española.Metodología: Se administró la adaptación española del DAST, en sus versiones abreviadas de 20 y 10 ítems, a doscientos cincuenta y nueve sujetos (121 adictos a sustancias y 138 controles sanos). Analizamos las propiedades psicométricas de ambos instrumentos, utilizando criterios DSM-IV TR como patrón de referencia.Resultados: Ambas versiones registraron una alta consistencia interna (α = 0,93 y α = 0,89, para DAST-20 y DAST-10, respectivamente. El análisis factorial exploratorio extrajo cinco factores en el DAST-20, justificando el 74,12% de la varianza, y dos componentes en el DAST-10 que explicaron el 62,18% de ésta. Los puntos de corte > 5/6 (DAST-20) y ≥ 3 (DAST-10) evidenciaron un elevado grado de concordancia con loscriterios DSM-IV TR (κDAST-20 = 0,96 y κDAST-10 = 0,91), clasificando correctamente al 98,07% y 95,36% de los sujetos, respectivamente.Conclusiones: Los resultados obtenidos evidencian que tanto el DAST-10 como el DAST-20 son instrumentos válidos y fiables para detectar el abuso de drogas entre adultos.AbstractObjective: To evaluate psychometric properties of both brief DAST versions (DAST-10 and DAST-20) in Spanish adult population.Methods: 259 (121 drug users and 138 healthy controls) were explored. Both brief 10 and 20 items Spanish adapted DAST rating scales were administrated by skilled personnel. Psychometric properties of those questionnaires were analized using DSM-IV TR criteria as gold standard.Results: Both DAST versions registered a high internal reliability (α = .93 and α = .89 for DAST-20 and DAST-10, respectively). The exploratory factor analysis extracted five factors in the DAST 20, justifying 74.12 % of variance, and two components in the DAST-10 that explained 62.18% of this. Cut-off points ≥ 5/6 (DAST-20) and ≥ 3 (DAST-10) evidenced a high agreement with DSM-IV TR diagnosis (κDAST-20 = .96 y κDAST-10 = .91), correctly classifying the 98.07 % and 95.36 % of the subjects, respectively.Conclusion: In this study results show that both DAST-10 and DAST- 20 might be considered valid and reliable instruments in drug abuse detection in adult population.


2004 ◽  
Vol 61 (9) ◽  
pp. 891 ◽  
Author(s):  
Deborah S. Hasin ◽  
Bridget F. Grant
Keyword(s):  

2010 ◽  
Vol 41 (3) ◽  
pp. 629-640 ◽  
Author(s):  
K. M. Keyes ◽  
R. F. Krueger ◽  
B. F. Grant ◽  
D. S. Hasin

BackgroundICD-10 includes a craving criterion for alcohol dependence while DSM-IV does not. Little is known about whether craving fits with or improves the DSM-IV criteria set for alcohol-use disorders.MethodData were derived from current drinkers (n=18 352) in the 1991–1992 National Longitudinal Alcohol Epidemiologic Survey (NLAES), a nationally representative survey of US adults >17 years of age. The Alcohol Use Disorder and Associated Disabilities Interview Schedule was used to assess the eleven DSM-IV dependence and abuse criteria, and alcohol craving. Exploratory factor, item response theory, and regression analyses were used to evaluate the psychometric properties and concurrent validity of DSM-based alcohol disorder criteria with the addition of alcohol craving.ResultsThe past 12-month prevalence of craving was 1.3%. Craving formed part of a unidimensional latent variable that included existing DSM-IV criteria. Craving demonstrated high severity on the alcohol-use disorder continuum, resulting in an improved dimensional model with greater discriminatory ability compared with current DSM-IV criteria. Correlates of the diagnosis did not change with the addition of craving, and past 12-month craving was associated with prior alcohol dependence, depression, and earlier age of alcohol disorder onset among those with current DSM-IV alcohol dependence.ConclusionsThe addition of craving to the existing DSM-IV criteria yields a continuous measure that better differentiates individuals with and without alcohol problems along the alcohol-use disorder continuum. Few individuals are newly diagnosed with alcohol dependence given the addition of craving, indicating construct validity but redundancy with existing criteria.


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