PMID- 18612564
OWN - NLM
STAT- MEDLINE
DCOM- 20080922
LR  - 20211020
IS  - 1937-1888 (Print)
IS  - 1938-4114 (Electronic)
IS  - 1937-1888 (Linking)
VI  - 69
IP  - 4
DP  - 2008 Jul
TI  - The factor structure and severity of DSM-IV alcohol abuse and dependence symptoms 
      in psychiatric outpatients.
PG  - 496-9
AB  - OBJECTIVE: The goal of the present study was to examine the factor structure and 
      estimated severity of alcohol-use disorder (AUD) symptoms in a sample of 
      treatment-seeking psychiatric outpatients. METHOD: Participants (n = 1,027; 51.2% 
      women) met the screening criteria for the lifetime assessment of AUDs according 
      to the Structured Clinical Interview for the DSM-IV (SCID-I/P; First et al., 
      1995) and as a result completed an assessment of alcohol abuse and dependence 
      symptoms. The average (SD) age of the sample was 36.6 (11.4) years, and 71% of 
      participants met lifetime DSM-IV criteria for an AUD. RESULTS: Exploratory factor 
      analysis of the tetrachoric correlation matrix of alcohol abuse and dependence 
      criteria revealed that a single factor best accounted for the data in this 
      sample. Results of Rasch model analyses indicated that the severity ordering of 
      the DSM-IV abuse and dependence symptoms was not consistent with the hierarchical 
      structure suggested by the DSM-IV. Instead, abuse items were found to be spread 
      across a full range of the AUD continuum and were not consistently in the lower 
      ranges of severity. CONCLUSIONS: This study extends the literature by examining a 
      treatment-seeking psychiatric outpatient sample and using a semistructured 
      diagnostic interview administered by mental health professionals. Methodological 
      considerations and implications for the conceptualization of AUD are discussed.
FAU - Ray, Lara A
AU  - Ray LA
AD  - Center for Alcohol and Addiction Studies, Box G-S121-4, Brown University, 
      Providence, Rhode Island 02912, USA. Lara_Ray@Brown.edu
FAU - Kahler, Christopher W
AU  - Kahler CW
FAU - Young, Diane
AU  - Young D
FAU - Chelminski, Iwona
AU  - Chelminski I
FAU - Zimmerman, Mark
AU  - Zimmerman M
LA  - eng
GR  - T32 AA007459/AA/NIAAA NIH HHS/United States
GR  - MH56404/MH/NIMH NIH HHS/United States
GR  - MH48732/MH/NIMH NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PL  - United States
TA  - J Stud Alcohol Drugs
JT  - Journal of studies on alcohol and drugs
JID - 101295847
SB  - IM
MH  - Adult
MH  - Alcoholism/*diagnosis/epidemiology/psychology
MH  - Comorbidity
MH  - *Diagnostic and Statistical Manual of Mental Disorders
MH  - Female
MH  - Humans
MH  - Male
MH  - Mass Screening/statistics & numerical data
MH  - Mental Disorders/*diagnosis/epidemiology/psychology
MH  - Middle Aged
MH  - Outpatient Clinics, Hospital/statistics & numerical data
MH  - Psychiatric Department, Hospital/statistics & numerical data
MH  - Psychometrics/statistics & numerical data
MH  - Reproducibility of Results
MH  - Rhode Island
PMC - PMC3741100
MID - NIHMS484633
EDAT- 2008/07/10 09:00
MHDA- 2008/09/23 09:00
PMCR- 2013/08/12
CRDT- 2008/07/10 09:00
PHST- 2008/07/10 09:00 [pubmed]
PHST- 2008/09/23 09:00 [medline]
PHST- 2008/07/10 09:00 [entrez]
PHST- 2013/08/12 00:00 [pmc-release]
AID - 10.15288/jsad.2008.69.496 [doi]
PST - ppublish
SO  - J Stud Alcohol Drugs. 2008 Jul;69(4):496-9. doi: 10.15288/jsad.2008.69.496.