ArticlePsychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors2019
Not all alcohol use disorder criteria are equally severe: Toward severity grading of individual criteria in college drinkers.
Article in Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Prevalence of Cannabis Use Disorder: A Meta-Analysis of Population Surveys.Journal of studies on alcohol and drugs · 2025Pooled it
- The Etiologic, Theory-Based, Ontogenetic Hierarchical Framework of Alcohol Use Disorder: A Translational Systematic Review of Reviews.Psychological bulletin · 2021Pooled it
- Changes in DSM criteria following a culturally-adapted computerized CBT for Spanish-speaking individuals with substance use disorders.Journal of substance abuse treatment · 2020Trial
- Assessing measurement bias in substance use disorder criteria associated with childhood adversity and genetic liability.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026Article
- Testing the robustness of daily associations of affect with alcohol and cannabis use.Journal of psychopathology and clinical science · 2026Article
- Daily Life Assessment of Seven Alcohol-Use-Disorder Symptoms.Clinical psychological science : a journal of the Association for Psychological Science · 2026Article
- Celebrating each success: proportion of remission as a measure of recovery from polysubstance use disorder proportion of remission; a recovery measure.Harm reduction journal · 2026Article
- Daily self-control demands and loss of control over drinking: The moderating role of trait impulsivity and peer exposure.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026Article
- Comparing the use of supervised machine learning variable selection methods in the context of two-group classification in the psychological and health sciences.Frontiers in psychology · 2026Article
- Rasch analysis of DSM-5 alcohol use disorder in a large inpatient sample.Alcohol, clinical & experimental research · 2025Article
- Variants of the P3 event-related potential operate as indicators of distinct mechanisms contributing to problematic alcohol use.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024Article
- Effects of alcohol problem discrepancy on relationship adjustment: The moderating role of conflict negotiation among couples with alcohol use disorder and intimate partner violence.Family process · 2024Article
- Examination of the mild, moderate, and severe alcohol use disorder severity indicators using a nationally representative sample.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2024Article
- Tools to implement measurement-based care (MBC) in the treatment of opioid use disorder (OUD): toward a consensus.Addiction science & clinical practice · 2024Article
- Should we embrace the term 'preaddiction'?Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024Article
- Examining the validity of the addictions neuroclinical assessment domains in a crowdsourced sample of adults with current alcohol use.Experimental and clinical psychopharmacology · 2024Article
- Should we promote alcohol problems as a continuum? Implications for policy and practice.Drugs (Abingdon, England) · 2024Article
- Evidence-Based Assessment of Substance Use Disorder.Assessment · 2024Review
- Predictors of symptom course in alcohol use disorder.Alcohol, clinical & experimental research · 2023Article
- Diagnostic Criteria for Identifying Individuals at High Risk of Progression From Mild or Moderate to Severe Alcohol Use Disorder.JAMA network open · 2023Article
Corrections and comments
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3 authors.
Funding
Abstract
Alcohol use disorder (AUD) diagnosis in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013) contains a severity gradient based on number of criteria endorsed, implicitly assuming criteria are interchangeable. However, criteria vary widely in endorsement rates, implying differences in the latent severity associated with a symptom (e.g., Lane, Steinley, & Sher, 2016) and demonstrating criteria are not interchangeable (Lane & Sher, 2015). We evaluated whether variation in the severity of criteria could be resolved by employing multiple indicators of each criterion varying in item-level severity. We assessed 909 undergraduate students aged 18 years or older with at least 12 drinking occasions in the past year. Participants self-administered questions on alcohol consumption and past year AUD symptoms via an online survey. For each of the 11 AUD criteria, we selected three indicators based on the difficulty values of the one-parameter logistic item response theory model ranging from low to high. We first tested a higher order AUD factor defined by 11 lower order criterion factors, χ2(551) = 2,959.35, p < .0001; root mean square error of approximation = 0.09. The 33 items were used to create severity scores: a criterion count (0-11), symptom count (0-33), and factor scores derived from a bifactor model. Though our new scores resulted in incremental validity over DSM-5 across a range of external validators, when the standardized regression estimates were compared, the new scores did not consistently outperform the DSM-5 suggesting this approach is viable for developing more sensitive diagnostic instruments but needs further refinement. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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