ArticleAlcoholism, clinical and experimental research2016
A Cross-National Examination of Differences in Classification of Lifetime Alcohol Use Disorder Between DSM-IV and DSM-5: Findings from the World Mental Health Survey.
Article in Alcoholism, clinical and experimental research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Added Value of Pharmacotherapy to Cognitive Behavior Therapy And Vice Versa in the Treatment of Alcohol Use Disorders: A Systematic Review.Alcohol and alcoholism (Oxford, Oxfordshire) · 2022Pooled it
- Integrated treatment of depression and moderate to severe alcohol use disorder in women shows promise in routine alcohol use disorder care - a pilot study.Frontiers in psychiatry · 2025Article
- Patterns of publicly funded naltrexone use among patients diagnosed with alcohol use disorder in Ontario.Alcohol and alcoholism (Oxford, Oxfordshire) · 2024Article
- Associations between alcohol use and outcome of psychological treatment in specialist psychiatric care - a cohort study.Frontiers in psychology · 2024Article
- Suicidal behavior across a broad range of psychiatric disorders.Molecular psychiatry · 2023Review
- Differences in the Prevalence and Profile of DSM-IV and DSM-5 Alcohol Use Disorders-Results from the Singapore Mental Health Study 2016.International journal of environmental research and public health · 2022Article
- Mental Health in Australia: Psychological Distress Reported in Six Consecutive Cross-Sectional National Surveys From 2001 to 2018.Frontiers in psychiatry · 2022Article
- Cross-country and historical variation in alcohol consumption among older men and women: Leveraging recently harmonized survey data in 21 countries.Drug and alcohol dependence · 2020Article
- Personalized Approach Bias Modification Smartphone App ("SWIPE") to Reduce Alcohol Use Among People Drinking at Hazardous or Harmful Levels: Protocol for an Open-Label Feasibility Study.JMIR research protocols · 2020Article
- Role of corticotropin-releasing factor in alcohol and nicotine addiction.Brain research · 2020Review
- Article
- The epidemiology of drug use disorders cross-nationally: Findings from the WHO's World Mental Health Surveys.The International journal on drug policy · 2019Article
- A comparison of DSM-5 and DSM-IV agoraphobia in the World Mental Health Surveys.Depression and anxiety · 2019Article
- Concordance between the diagnostic guidelines for alcohol and cannabis use disorders in the draft ICD-11 and other classification systems: analysis of data from the WHO's World Mental Health Surveys.Addiction (Abingdon, England) · 2019Article
- Alcohol consumption predicts incidence of depressive episodes across 10 years among older adults in 19 countries.International review of neurobiology · 2019Review
- CRF modulation of central monoaminergic function: Implications for sex differences in alcohol drinking and anxiety.Alcohol (Fayetteville, N.Y.) · 2018Review
- The associations between psychotic experiences and substance use and substance use disorders: findings from the World Health Organization World Mental Health surveys.Addiction (Abingdon, England) · 2018Article
- DSM-5 Alcohol Use Disorder Severity in Puerto Rico: Prevalence, Criteria Profile, and Correlates.Alcoholism, clinical and experimental research · 2018Article
- Alcohol use disorder increases the risk of necrotizing fasciitis: A nationwide retrospective cohort study.Medicine · 2017Article
- Comparison of DSM-IV and DSM-5 criteria for alcohol use disorders in VA primary care patients with frequent heavy drinking enrolled in a trial.Addiction science & clinical practice · 2017Article
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Authors and funding
15 authors.
Funding
Abstract
backgroundThe current study sought to examine the diagnostic overlap in DSM-IV and DSM-5 alcohol use disorder (AUD) and determine the clinical correlates of changing diagnostic status across the 2 classification systems.
methodsDSM-IV and DSM-5 definitions of AUD were compared using cross-national community survey data in 9 low-, middle-, and high-income countries. Participants were 31,367 respondents to surveys in the World Health Organization's World Mental Health Survey Initiative. The Composite International Diagnostic Interview, version 3.0, was used to derive DSM-IV and DSM-5 lifetime diagnoses of AUD. Clinical characteristics, also assessed in the surveys, included lifetime DSM-IV anxiety; mood and drug use disorders; lifetime suicidal ideation, plan, and attempt; general functional impairment; and psychological distress.
resultsCompared with DSM-IV AUD (12.3%, SE = 0.3%), the DSM-5 definition yielded slightly lower prevalence estimates (10.8%, SE = 0.2%). Almost one-third (n = 802) of all DSM-IV abuse cases switched to subthreshold according to DSM-5 and one-quarter (n = 467) of all DSM-IV diagnostic orphans switched to mild AUD according to DSM-5. New cases of DSM-5 AUD were largely similar to those who maintained their AUD across both classifications. Similarly, new DSM-5 noncases were similar to those who were subthreshold across both classifications. The exception to this was with regard to the prevalence of any lifetime drug use disorder.
conclusionsIn this large cross-national community sample, the prevalence of DSM-5 lifetime AUD was only slightly lower than the prevalence of DSM-IV lifetime AUD. Nonetheless, there was considerable diagnostic switching, with a large number of people inconsistently identified across the 2 DSM classifications.
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