Alcohol dependence in the 1990 US National Alcohol Survey: operationalizing and comparing two nosological systems

RAUL CAETANO, ROBIN ROOM

Research output: Contribution to journalEditorial

26 Scopus citations

Abstract

The criteria for alcohol dependence in both the ICD‐10 and DSM‐III‐R nosologies were measured in a national general population survey, using 24 stem items and follow‐ups. For current (12‐month) dependence (at the criterion of 3 + components), the rate was 3.2% according to DSM‐III‐R criteria, and 5.4% according to ICD‐10. The Kappa coefficient of agreement between the two systems for classification of individuals as currently dependent was 0.62, and for lifetime diagnosis the Kappa coefficient was 0.68. Prevalence for the individual components of each diagnosis and for the underlying items are given, and the contribution of each component to the overall dependence score is examined. Implications of the results for future epidemiological work with the two classifications are discussed. [Caetano R, Room R. Alcohol dependence in the 1990 US National Alcohol Survey: operationalizing and comparing two nosological systems. Drug Alcohol Rev 1994;13:257–267.] 1994 Australasian Professional Society on Alcohol and other Drugs

Original languageEnglish (US)
Pages (from-to)257-267
Number of pages11
JournalDrug and Alcohol Review
Volume13
Issue number3
DOIs
StatePublished - 1994

Keywords

  • alcohol dependence
  • DSM‐III‐R
  • ICD‐10
  • prevalence
  • United States

ASJC Scopus subject areas

  • Health(social science)
  • Medicine (miscellaneous)

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