Cross-cultural comparability of DSM-IV-criteria for alcohol dependence – Findings from classical and modern test theory

Suchttherapie ◽  
2011 ◽  
Vol 12 (S 01) ◽  
Author(s):  
M Steppan ◽  
L Kraus ◽  
D Piontek ◽  
A Pabst
Author(s):  
Neil Krishan Aggarwal

For close to 40 years, cultural psychiatrists have struggled to institutionalize cross-cultural assessments with the recognition that culture influences ideas about desired and undesired treatments, social norms of appropriate and inappropriate communication in healthcare settings, and the ways that clinicians interpret symptoms into diagnoses. This chapter first establishes a common definition for the terms ‘culture’ and ‘migrant’, which can be used in mental health settings. Next, it traces how the care of migrants formed a central concern as psychiatrists, psychologists, and anthropologists made cultural recommendations for DSM-IV and DSM-5. Finally, the chapter discusses the DSM-5 Cultural Formulation Interview Supplementary Module for Immigrants and Refugees as a clinical assessment tool that can help clinicians ask patients about their backgrounds; pre-migration-, and post-migration trajectories; resettlement life; and plans for the future. This supplementary module may help clinicians systematically and comprehensively develop diagnostic assessments and treatment plans for immigrants and refugees in a patient-centred way.


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.


2011 ◽  
Vol 26 (S2) ◽  
pp. 71-71
Author(s):  
E. Kurgyis ◽  
B. Andó ◽  
S. Rózsa ◽  
A. Szkaliczki ◽  
I. Demeter ◽  
...  

IntroductionTemperament and character factors and specific impulse control-related personality traits are connected to the developmental and clinical aspects of alcohol use disorder (AUD).Objectives/aimsTo reveal the underlying personality structure of individual differences in the symptom severity of AUD. Therefore temperament and character, impulsivity and aggression were assessed in relation to alcohol addiction severity.MethodsSixty-three patients with AUD were involved. Temperament and Character Inventory-Revised was used to quantify temperament and character dimensions. Impulsivity was assessed by the Barratt Impulsivity Scale-11 (BIS) and aggression by the Buss-Perry Aggression Questionnaire (BPAQ). To determine symptom severity of AUD the Severity of Alcohol Dependence Questionnaire (SADQ), the Alcohol Use Disorders Identification Test (AUDIT), the MacAndrew Alcoholism Scale-Revised (MAC-R) and the number of DSM-IV alcohol dependence symptoms were registered. To analyze the connections between symptom severity indicators and personality factors Pearson and Spearman correlation analysis were applied, p < 0.05 were considered significant.ResultsSADQ (r = 0.290), AUDIT (r = 0.345), MAC-R (r = 0.504) and the DSM-IV alcohol dependence symptoms (Spearman rho = 0.271) correlated positively with novelty-seeking temperament factor. SADQ (r = 0.262) and AUDIT (r = 0.293) scores correlated positively with BIS. Furthermore SADQ (r = 0.382), AUDIT (r = 0.318), MAC-R (r = 0.416) correlated positively with BPAQ.ConclusionsNovelty-seeking, impulsivity and aggression as indicators of impulse control have different theoretical backgrounds but a common root. This study has revealed that the adverse consequences of lower impulse control can lead to more severe symptoms of AUD. These connections between impulse control and the symptomatology could contribute to a better understanding of the clinical complexity of AUD.


1997 ◽  
Vol 9 ◽  
pp. 127-135 ◽  
Author(s):  
Deborah S. Hasin ◽  
Ronan Van Rossem ◽  
Steven McCloud ◽  
Jean Endicott

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