ArticlePsychological medicine2011
Abuse and dependence on prescription opioids in adults: a mixture categorical and dimensional approach to diagnostic classification.
Article in Psychological medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Opioid use disorder (OUD) and treatment for opioid problems among OUD symptom subtypes in individuals misusing opioids.Drug and alcohol dependence reports · 2024Article
- Female-male differences in prescription pain reliever dependence levels: Evidence on newly incident adolescent and young adult users in the United States, 2002-2014.Drug and alcohol dependence · 2019Article
- Prevalence and patterns of opioid misuse and opioid use disorder among primary care patients who use tobacco.Drug and alcohol dependence · 2019Article
- The use of latent variable mixture models to identify invariant items in test construction.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2018Article
- Treatment utilization among persons with opioid use disorder in the United States.Drug and alcohol dependence · 2016Article
- Exploring the latent trait of opioid use disorder criteria among frequent nonmedical prescription opioid users.Journal of psychiatric research · 2016Article
- Commonalities and Differences Across Substance Use Disorders: Phenomenological and Epidemiological Aspects.Alcoholism, clinical and experimental research · 2015Review
- A Pilot Study To Define Chemical Coping in Cancer Patients Using the Delphi Method.Journal of palliative medicine · 2015Article
- Depressive symptoms among adolescents and older adults in Mexico City.Social psychiatry and psychiatric epidemiology · 2014Article
- Towards the characterization and validation of alcohol use disorder subtypes: integrating consumption and symptom data.Psychological medicine · 2014Article
- DSM-5 criteria for substance use disorders: recommendations and rationale.The American journal of psychiatry · 2013Review
- Measuring Outcome in the Treatment of Cocaine Dependence.Journal of alcoholism and drug dependence · 2013Article
- Extramedical use of prescription pain relievers by youth aged 12 to 21 years in the United States: national estimates by age and by year.Archives of pediatrics & adolescent medicine · 2012Article
- Are the symptoms of cannabis use disorder best accounted for by dimensional, categorical, or factor mixture models? A comparison of male and female young adults.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2012Article
- Exploring age of onset as a causal link between major depression and nonmedical use of prescription medications.Drug and alcohol dependence · 2012Article
- Nicotinic acetylcholine receptor genes on chromosome 15q25.1 are associated with nicotine and opioid dependence severity.Human genetics · 2010Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundFor the emerging DSM-V, it has been recommended that dimensional and categorical methods be used simultaneously in diagnostic classification; however, little is known about this combined approach for abuse and dependence.
methodUsing data (n=37 708) from the 2007 National Survey on Drug Use and Health (NSDUH), DSM-IV criteria for prescription opioid abuse and dependence among non-prescribed opioid users (n=3037) were examined using factor analysis (FA), latent class analysis (LCA, categorical), item response theory (IRT, dimensional), and factor mixture (hybrid) approaches.
resultsA two-class factor mixture model (FMM) combining features of categorical latent classes and dimensional IRT estimates empirically fitted more parsimoniously to abuse and dependence criteria data than models from FA, LCA and IRT procedures respectively. This mixture model included a severely affected group (7%) with a comparatively moderate to high probability (0.32-0.88) of endorsing all abuse and dependence criteria items, and a less severely affected group (93%) with a low probability (0.003-0.16) of endorsing all criteria. The two empirically defined groups differed significantly in the pattern of non-prescribed opioid use, co-morbid major depression, and substance abuse treatment use.
conclusionsA factor mixture model integrating categorical and dimensional features of classification fits better to DSM-IV criteria for prescription opioid abuse and dependence in adults than a categorical or dimensional approach. Research is needed to examine the utility of this mixture classification for substance use disorders and treatment response.
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