Measurement properties of the DSMIV alcohol dependence and abuse criteria

A. J. Baillie; Maree Teesson; K. Richardson; Heather Proudfoot

doi:10.1111/j.1530-0277.2006.00150.x

Abstract

Purpose: To evaluate the measurement properties of the DSMIV Alcohol Dependence and Abuse Criteria. Two studies are described i) a confirmatory factor analysis of diagnostic criteria from a population sample and ii) a meta-analysis of published literature examining the factor structure of the criteria. Methods: Data from alcohol drinkers (n57746) were obtained from a cross-sectional study of a large, representative sample of the Australian general population. One and two-factor solutions for the DSM-IV criteria for abuse and dependence (assessed by CIDI-Auto) were compared using confirmatory factor analysis. Published literature was collected from searches of Medline and Psycinfo and from the reference lists of relevant publications. Information was extracted from published reports and subjected to meta-analysis. Results: Overall 6% met criteria for an alcohol use disorder (1.9% abuse, 4.1 % dependence). Both one- and two-factor solutions from the confirmatory factor analyses provided an adequate fit to the data for the overall sample. The correlation between separate abuse and dependence factors in the two-factor model was extremely high (0.95) indicating that a single factor was the most parsimonious. Drinking in larger amounts or for longer periods than required, spending a great deal of time obtaining, drinking or recovering from the effects of alcohol, and a reduction in important social, occupational or recreational activities because of drinking were the criteria most strongly related to the underlying dimension, however larger, tolerance, and persistent desire, or unsuccessful efforts to cut down provided more information around the diagnostic threshold. This finding is consistent with results of metaanalysis of similar published research. Conclusion: Alcohol abuse and dependence criteria were most parsimoniously described by a single continuous construct incorporating all eleven abuse and dependence criteria. Suggestions for the revision of the criteria are discussed.

Original language	English
Pages (from-to)	160A
Number of pages	1
Journal	Alcoholism: Clinical and Experimental Research
Volume	30
Issue number	Suppl. 1
DOIs	https://doi.org/10.1111/j.1530-0277.2006.00150.x
Publication status	Published - 2006
Event	Annual Meeting of the Research Society on Alcoholism (29th : 2006) - Baltimore Duration: 23 Jun 2006 → 29 Jun 2006

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10.1111/j.1530-0277.2006.00150.x

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title = "Measurement properties of the DSMIV alcohol dependence and abuse criteria",

abstract = "Purpose: To evaluate the measurement properties of the DSMIV Alcohol Dependence and Abuse Criteria. Two studies are described i) a confirmatory factor analysis of diagnostic criteria from a population sample and ii) a meta-analysis of published literature examining the factor structure of the criteria. Methods: Data from alcohol drinkers (n57746) were obtained from a cross-sectional study of a large, representative sample of the Australian general population. One and two-factor solutions for the DSM-IV criteria for abuse and dependence (assessed by CIDI-Auto) were compared using confirmatory factor analysis. Published literature was collected from searches of Medline and Psycinfo and from the reference lists of relevant publications. Information was extracted from published reports and subjected to meta-analysis. Results: Overall 6% met criteria for an alcohol use disorder (1.9% abuse, 4.1 % dependence). Both one- and two-factor solutions from the confirmatory factor analyses provided an adequate fit to the data for the overall sample. The correlation between separate abuse and dependence factors in the two-factor model was extremely high (0.95) indicating that a single factor was the most parsimonious. Drinking in larger amounts or for longer periods than required, spending a great deal of time obtaining, drinking or recovering from the effects of alcohol, and a reduction in important social, occupational or recreational activities because of drinking were the criteria most strongly related to the underlying dimension, however larger, tolerance, and persistent desire, or unsuccessful efforts to cut down provided more information around the diagnostic threshold. This finding is consistent with results of metaanalysis of similar published research. Conclusion: Alcohol abuse and dependence criteria were most parsimoniously described by a single continuous construct incorporating all eleven abuse and dependence criteria. Suggestions for the revision of the criteria are discussed.",

author = "Baillie, {A. J.} and Maree Teesson and K. Richardson and Heather Proudfoot",

year = "2006",

doi = "10.1111/j.1530-0277.2006.00150.x",

language = "English",

volume = "30",

pages = "160A",

journal = "Alcoholism: Clinical and Experimental Research",

issn = "0145-6008",

publisher = "Wiley-Blackwell, Wiley",

number = "Suppl. 1",

note = "Annual Meeting of the Research Society on Alcoholism (29th : 2006) ; Conference date: 23-06-2006 Through 29-06-2006",

}

TY - JOUR

T1 - Measurement properties of the DSMIV alcohol dependence and abuse criteria

AU - Baillie, A. J.

AU - Teesson, Maree

AU - Richardson, K.

AU - Proudfoot, Heather

PY - 2006

Y1 - 2006

N2 - Purpose: To evaluate the measurement properties of the DSMIV Alcohol Dependence and Abuse Criteria. Two studies are described i) a confirmatory factor analysis of diagnostic criteria from a population sample and ii) a meta-analysis of published literature examining the factor structure of the criteria. Methods: Data from alcohol drinkers (n57746) were obtained from a cross-sectional study of a large, representative sample of the Australian general population. One and two-factor solutions for the DSM-IV criteria for abuse and dependence (assessed by CIDI-Auto) were compared using confirmatory factor analysis. Published literature was collected from searches of Medline and Psycinfo and from the reference lists of relevant publications. Information was extracted from published reports and subjected to meta-analysis. Results: Overall 6% met criteria for an alcohol use disorder (1.9% abuse, 4.1 % dependence). Both one- and two-factor solutions from the confirmatory factor analyses provided an adequate fit to the data for the overall sample. The correlation between separate abuse and dependence factors in the two-factor model was extremely high (0.95) indicating that a single factor was the most parsimonious. Drinking in larger amounts or for longer periods than required, spending a great deal of time obtaining, drinking or recovering from the effects of alcohol, and a reduction in important social, occupational or recreational activities because of drinking were the criteria most strongly related to the underlying dimension, however larger, tolerance, and persistent desire, or unsuccessful efforts to cut down provided more information around the diagnostic threshold. This finding is consistent with results of metaanalysis of similar published research. Conclusion: Alcohol abuse and dependence criteria were most parsimoniously described by a single continuous construct incorporating all eleven abuse and dependence criteria. Suggestions for the revision of the criteria are discussed.

AB - Purpose: To evaluate the measurement properties of the DSMIV Alcohol Dependence and Abuse Criteria. Two studies are described i) a confirmatory factor analysis of diagnostic criteria from a population sample and ii) a meta-analysis of published literature examining the factor structure of the criteria. Methods: Data from alcohol drinkers (n57746) were obtained from a cross-sectional study of a large, representative sample of the Australian general population. One and two-factor solutions for the DSM-IV criteria for abuse and dependence (assessed by CIDI-Auto) were compared using confirmatory factor analysis. Published literature was collected from searches of Medline and Psycinfo and from the reference lists of relevant publications. Information was extracted from published reports and subjected to meta-analysis. Results: Overall 6% met criteria for an alcohol use disorder (1.9% abuse, 4.1 % dependence). Both one- and two-factor solutions from the confirmatory factor analyses provided an adequate fit to the data for the overall sample. The correlation between separate abuse and dependence factors in the two-factor model was extremely high (0.95) indicating that a single factor was the most parsimonious. Drinking in larger amounts or for longer periods than required, spending a great deal of time obtaining, drinking or recovering from the effects of alcohol, and a reduction in important social, occupational or recreational activities because of drinking were the criteria most strongly related to the underlying dimension, however larger, tolerance, and persistent desire, or unsuccessful efforts to cut down provided more information around the diagnostic threshold. This finding is consistent with results of metaanalysis of similar published research. Conclusion: Alcohol abuse and dependence criteria were most parsimoniously described by a single continuous construct incorporating all eleven abuse and dependence criteria. Suggestions for the revision of the criteria are discussed.

U2 - 10.1111/j.1530-0277.2006.00150.x

DO - 10.1111/j.1530-0277.2006.00150.x

M3 - Meeting abstract

SN - 0145-6008

VL - 30

SP - 160A

JO - Alcoholism: Clinical and Experimental Research

JF - Alcoholism: Clinical and Experimental Research

IS - Suppl. 1

T2 - Annual Meeting of the Research Society on Alcoholism (29th : 2006)

Y2 - 23 June 2006 through 29 June 2006

ER -

Measurement properties of the DSMIV alcohol dependence and abuse criteria

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