ArticleThe American journal on addictions
Alcohol use disorders among substance dependent women on Temporary Assistance with Needy Families: more information for diagnostic modifications for DSM-5.
Article in The American journal on addictions. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.
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The trial behind it
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Who cites it
3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 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
- Commonalities and Differences Across Substance Use Disorders: Phenomenological and Epidemiological Aspects.Alcoholism, clinical and experimental research · 2015Review
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
purposeWhile modifications to alcohol use disorder (AUD) criteria are proposed for DSM-5, examination of the criteria's performance among highly vulnerable populations is lacking. This study determined the dimensionality and rank order severity of the DSM-IV AUD criteria among Temporary Assistance for Needy Families (TANF) recipients with high rates of chemical dependency and co-morbid mental health disorders.
methodSecondary analysis was performed on data from 461 TANF eligible women screened for AUD criteria using the Structured Clinical Interview for DSM-IV-TR. Exploratory (EFA) and confirmatory factor analyses (CFA) were performed on the AUD criteria. Two-parameter Item Response Theory (IRT) analysis was performed to determine item location and discrimination of criteria for both abuse and dependence. Differential item functioning for those with an additional substance use disorder or with high levels of depressive symptoms was explored.
results41.2% met criteria for dependence, and 4.4% for abuse. EFA and CFA revealed a two-factor model provided adequate fit to criteria, and IRT indicated a potential hierarchical order between the criteria-abuse being more severe but dependence having greater reliability.
conclusionContrary to existing literature, findings suggest that a two-factor solution may be appropriate. Implications are discussed.
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Registered trials
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