ArticleAlcoholism, clinical and experimental research2011
Item response theory analysis of binge drinking and its relationship to lifetime alcohol use disorder symptom severity in an American Indian community sample.
Article in Alcoholism, clinical and experimental research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Reliability of Differential Item Functioning in Alcohol Use Disorder: Bayesian Meta-Analysis of Criteria Discrimination Estimates.Assessment · 2022Pooled it
- Meta-analysis of DSM alcohol use disorder criteria severities: structural consistency is only 'skin deep'.Psychological medicine · 2016Pooled it
- Genetic risk for alcohol use disorder in relation to individual symptom criteria: Do polygenic indices provide unique information for understanding severity and heterogeneity?Addiction (Abingdon, England) · 2025Article
- The Brief Alcohol Use Disorder Severity Scale: An Initial Validation Evaluation.Alcohol and alcoholism (Oxford, Oxfordshire) · 2022Article
- Childhood Experiences and High-Intensity Drinking Among American Indian and Alaska Native Adults: Findings From the 2000-2015 National Alcohol Surveys.Journal of studies on alcohol and drugs · 2021Article
- The performance of DSM-5 alcohol use disorder and quantity-frequency of alcohol consumption criteria: An item response theory analysis.Drug and alcohol dependence · 2020Article
- Limits of Current Approaches to Diagnosis Severity Based on Criterion Counts: An Example with DSM-5 Alcohol Use Disorder.Clinical psychological science : a journal of the Association for Psychological Science · 2015Article
- Commonalities and Differences Across Substance Use Disorders: Phenomenological and Epidemiological Aspects.Alcoholism, clinical and experimental research · 2015Review
- Alcohol use among reserve-dwelling adult First Nation members: use, problems, and intention to change drinking behavior.Addictive behaviors · 2015Article
- A GPU-Based Gibbs Sampler for a Unidimensional IRT Model.International scholarly research notices · 2014Article
- The diagnostic utility of separation anxiety disorder symptoms: an item response theory analysis.Journal of abnormal child psychology · 2014Article
- DSM-5 criteria for substance use disorders: recommendations and rationale.The American journal of psychiatry · 2013Review
- Association of alcohol dehydrogenase genes with alcohol-related phenotypes in a Native American community sample.Alcoholism, clinical and experimental research · 2011Article
- Commentary on "Evaluating the Validity of the DSM-5 Alcohol Use Disorder Diagnostic Criteria in a Sample of Treatment-seeking Native Americans".Journal of addiction medicineArticle
- Evaluating the Validity of the DSM-5 Alcohol Use Disorder Diagnostic Criteria in a Sample of Treatment-seeking Native Americans.Journal of addiction medicineArticle
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3 authors at 1 institution in 1 country.
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Abstract
backgroundItem response theory (IRT) has been used to examine alcohol use disorder (AUD) symptoms and their psychometric properties but has not been previously applied to AUD symptoms from an American Indian sample.
methodsLifetime DSM-IV AUD symptoms and binge drinking (5+ drinks men/4+ drinks women) at ≥1, ≥4, ≥8, and ≥15 days per month during the period of heaviest lifetime drinking criteria were assessed in 530 American Indian participants. Exploratory factor analysis was used to examine the factor structure of the 10 AUD symptoms and each alcohol consumption criterion. Two-parameter IRT models generated marginal maximum likelihood estimates for discrimination (a) and threshold (b) parameters for 10 DSM-IV AUD symptoms and each consumption criterion. Differential item functioning (DIF) analysis was used to assess AUD symptom severity in groups defined by gender and age at interview.
resultsThe AUD symptoms of "Withdrawal" and "Activities Given Up" were the most severe symptoms. "Tolerance" and "Social/Interpersonal Problems" were the least severe. All AUD symptoms fell on the moderate portion of the severity continuum, except "Withdrawal," which fell at the lower end of the severe portion. The consumption criterion of 5+/4+ (male/female) at ≥8 times per month demarcated the portion of the severity continuum where AUD symptoms began to occur at a probability of 50%. DIF analysis showed significant gender and age at interview differences for "Hazardous Use,""Tolerance," and "Activities Given Up," but not for the other AUD symptoms.
conclusionsIn this American Indian community sample, alcohol abuse and dependence did not represent distinct disorders. Only one AUD symptom was found outside the moderate portion of the underlying AUD severity continuum. Drinking 5+/4+ (male/female) drinks at a frequency of ≥8 times per month during the period of heaviest lifetime drinking was found to function well as both a risk and a diagnostic criterion for lifetime DSM-IV AUD. DSM-IV AUD symptom criteria, as currently assessed, may be limited in their ability to capture the full range of symptom severity of AUDs, at least in this high-risk population.
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