Evidence map›Paper›PMID 30620411›Full record

ArticleAlcoholism, clinical and experimental research2019

Are Some Alcohol Use Disorder Criteria More (or Less) Externalizing than Others? Distinguishing Alcohol Use Symptomatology from General Externalizing Psychopathology.

Yoanna E McDowell, Alvaro Vergés, Kenneth J Sher

Abstract read
In one paragraph

Article in Alcoholism, clinical and experimental research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

  1. Article
  2. Article
  3. A Hierarchical Model of the Symptom-Level Structure of Psychopathology in Youth.Clinical psychological science : a journal of the Association for Psychological Science · 2025
    Article
  4. "General Addiction Liability" Revisited.Clinical psychological science : a journal of the Association for Psychological Science · 2025
    Article
  5. Genetic risk for trait aggression and alcohol use predict unique facets of alcohol-related aggression.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2025
    Article
  6. Predictors of symptom course in alcohol use disorder.Alcohol, clinical & experimental research · 2023
    Article
  7. Review
  8. New approaches to deep phenotyping in addictions.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2023
    Review
  9. Article
  10. Not all symptoms of alcohol dependence are developmentally equivalent: Implications for the false-positives problem.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Yoanna E McDowellDepartment of Psychological Sciences , University of Missouri, Columbia, Missouri.ORCID 0000-0003-3766-9165
Alvaro VergésEscuela de Psicología , Pontificia, Universidad Católica de Chile, Santiago, Región Metropolitana, Chile.ORCID 0000-0002-5138-1312
Kenneth J SherDepartment of Psychological Sciences , University of Missouri, Columbia, Missouri.ORCID 0000-0002-4420-8546

Funding

Psychology of Alcohol Use and Dependence TrainingT32AA013526 · NIAAA · UNIVERSITY OF MISSOURI-COLUMBIA · PI DENIS M MCCARTHY, KENNETH JAMES SHER · 2002 to 2026
$9.0M
Alcohol and Adult Development: Understanding Etiology and ConsequencesK05AA017242 · NIAAA · UNIVERSITY OF MISSOURI-COLUMBIA · PI SHER, KENNETH JAMES · 2007 to 2016
$2.1M
Refining the Diagnosis of Alcohol Use Disorder: A Comprehensive ApproachR01AA024133 · NIAAA · UNIVERSITY OF MISSOURI-COLUMBIA · PI SHER, KENNETH JAMES, STEINLEY, DOUGLAS L · 2015 to 2018
$2.1M
NIAAA NIH HHS K05 AA017242NIAAA NIH HHS R01 AA024133NIAAA NIH HHS T32 AA013526
6 · The paper itself

Abstract

backgroundThe externalizing spectrum contains a range of disinhibition-related conditions, such as conduct disorder, antisocial personality disorder, and substance use disorders. Comorbidity among externalizing disorders is commonly investigated at the syndromal and trait level precluding insight into the relationship of symptoms across externalizing disorders. It is unknown whether comorbidity across externalizing disorders holds constant across highly varied, individual alcohol use disorder (AUD) criteria. AUD criteria range from symptoms reflecting neuroadaptation (e.g., tolerance) to symptoms reflecting behavioral problems (e.g., social problems). The present study aimed to determine the degree to which individual AUD criteria are associated with symptomatology from other externalizing disorders. Characterization of the degree to which AUD criteria reflect neuroadaptation versus behavioral problems can be used to identify symptom profiles, which, in turn, can be used to inform diagnostic and treatment approaches.

methodsData from 2 large nationally representative samples were used to examine associations between AUD criteria and externalizing behavior. Psychometric inquiries via multivariate and factor analytic approaches estimated relative associations of externalizing behavior and AUD criteria endorsement, as compared to alcohol consumption.

resultsOur results indicate differential relations of externalizing behavior and AUD criteria endorsement. For example, social problems and role interference criteria were most strongly associated with externalizing behavior across analytic approaches, with general and unique associations with externalizing behavior. Additionally, tolerance was most weakly associated with externalizing behavior across approaches.

conclusionsResults highlight potential etiological heterogeneity among AUD criteria that could guide future diagnostic refinements and aid in the identification of treatment targets.

Indexed as

Internal-External ControlAdultAgedAlcohol DrinkingAlcohol-Related DisordersFemaleHumansMaleMiddle AgedModels, PsychologicalPsychometricsYoung AdultAlcohol Use Disorder CriteriaComorbidityExternalizing Behavior

Identifiers

PMID30620411
PMCPMC6397083

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.