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  • 1
    Online Resource
    Online Resource
    Alcohol Use in Hazardous Situations: Implications for DSM ‐ IV and DSM ‐5 Alcohol Use Disorders
    Wiley ; 2013
    In:  Alcoholism: Clinical and Experimental Research Vol. 37, No. s1 ( 2013-01)
    Details
    In: Alcoholism: Clinical and Experimental Research, Wiley, Vol. 37, No. s1 ( 2013-01)
    Abstract: The use in hazardous situations criterion ( hazard ) is 1 of 4 criteria related to alcohol abuse in the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM‐IV), and 1 of the 11 criteria related to the new alcohol use disorder ( AUD ) proposed for DSM ‐5. The current study aims to evaluate the hazard criterion in the context of both DSM ‐ IV alcohol abuse and DSM ‐5 AUD . Methods Data came from the 2007 A ustralian N ational S urvey of M ental H ealth and W ell‐ B eing ( n  = 8,841) as a stratified, multistage area probability sample of persons aged 16 to 85 years. Logistic regressions were used to: (i) compare the clinical characteristics of those with alcohol abuse including hazard and those with alcohol abuse because of other criteria; (ii) investigate the relationship between the hazard criterion and indices of socioeconomic status ( SES ); and (iii) investigate the effect of eliminating the hazard criterion on the epidemiology and correlates of the proposed DSM ‐5 AUD diagnosis. Results When compared with the other abuse subgroup, those with abuse including hazard (irrespective of other abuse criteria endorsed) were more likely to report another drug use disorder. The 2 abuse subgroups could not be differentiated by any other clinical characteristics. There were no systematic relationships between the hazard criterion and indices of SES . The elimination of the hazard criterion would lead to a considerable decrease in the prevalence of AUD , with those no longer receiving a diagnosis more likely to be young males with drug use disorders and suicidal behaviors. Conclusions The current study failed to replicate previous analyses that indicated problems with the hazard criterion when assessed in the U . S . population. Many of the problems identified in the hazard criterion appear to be due to operationalizations of this criterion that includes items specifically related to drink‐driving. The current results indicate that the elimination of the hazard criterion would lead to a considerable decline in the prevalence of DSM ‐5 AUD and risk excluding a potentially clinically significant subtype of AUD from future diagnosis.
    Type of Medium: Online Resource
    ISSN: 0145-6008 , 1530-0277
    URL: Issue
    URL: Article
    DOI: 10.1111/acer.2013.37.issue-s1
    DOI: 10.1111/j.1530-0277.2012.01881.x
    Language: English
    Publisher: Wiley
    Publication Date: 2013
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    SSG: 15,3
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  • 2
    Online Resource
    Online Resource
    “Youthful epidemic” or diagnostic bias? Differential item functioning of DSM-IV cannabis use criteria in an Australian general population survey
    Elsevier BV ; 2010
    In:  Addictive Behaviors Vol. 35, No. 5 ( 2010-5), p. 408-413
    Details
    In: Addictive Behaviors, Elsevier BV, Vol. 35, No. 5 ( 2010-5), p. 408-413
    Type of Medium: Online Resource
    ISSN: 0306-4603
    URL: Article
    DOI: 10.1016/j.addbeh.2009.12.001
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2010
    detail.hit.zdb_id: 197618-7
    SSG: 5,2
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  • 3
    Online Resource
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    Prevalence, correlates and comorbidity of DSM-IV Cannabis Use and Cannabis Use Disorders in Australia
    SAGE Publications ; 2012
    In:  Australian & New Zealand Journal of Psychiatry Vol. 46, No. 12 ( 2012-12), p. 1182-1192
    Details
    In: Australian & New Zealand Journal of Psychiatry, SAGE Publications, Vol. 46, No. 12 ( 2012-12), p. 1182-1192
    Abstract: To report nationally representative findings on the prevalence, correlates, psychiatric comorbidity and treatment of DSM-IV Cannabis Use and Cannabis Use Disorders in Australia. Method: The 2007 National Survey of Mental Health and Wellbeing was a nationally representative household survey of 8841 Australians (16–85 years) that assessed symptoms of the most prevalent DSM-IV mental disorders. Results: Prevalence of lifetime and 12-month cannabis use was 18% and 6%; prevalence of lifetime and 12-month cannabis use disorder was 6% and 1%. The conditional prevalence (proportion of ever users who met criteria for a disorder) of lifetime and 12-month cannabis use disorder was 32.2% and 14.3%. Current cannabis use disorders were more common in males (OR 2.0) and younger users (OR 4.6). Strong associations were observed between current cannabis use disorders and alcohol use disorders (OR 3.6) and current affective disorders (OR 3.0). Only 36.2% of those with current cannabis use disorders sought any treatment. Conclusions: The prevalence of cannabis use disorders in the Australian population is comparable with that in the USA. Current cannabis use disorders are highly concentrated in young Australians who have high levels of comorbidity. The low rates of treatment seeking warrant attention in treatment and prevention strategies.
    Type of Medium: Online Resource
    ISSN: 0004-8674 , 1440-1614
    URL: Article
    DOI: 10.1177/0004867412460591
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2012
    detail.hit.zdb_id: 2003849-5
    detail.hit.zdb_id: 221140-3
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  • 4
    Online Resource
    Online Resource
    The CLIMATE schools combined study: a cluster randomised controlled trial of a universal Internet-based prevention program for youth substance misuse, depression and anxiety
    Springer Science and Business Media LLC ; 2014
    In:  BMC Psychiatry Vol. 14, No. 1 ( 2014-12)
    Details
    In: BMC Psychiatry, Springer Science and Business Media LLC, Vol. 14, No. 1 ( 2014-12)
    Type of Medium: Online Resource
    ISSN: 1471-244X
    URL: Article
    DOI: 10.1186/1471-244X-14-32
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2014
    detail.hit.zdb_id: 2050438-X
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  • 5
    Online Resource
    Online Resource
    An item response analysis of the DSM-IV criteria for major depression: Findings from the Australian National Survey of Mental Health and Wellbeing
    Elsevier BV ; 2011
    In:  Journal of Affective Disorders Vol. 130, No. 1-2 ( 2011-04), p. 92-98
    Details
    In: Journal of Affective Disorders, Elsevier BV, Vol. 130, No. 1-2 ( 2011-04), p. 92-98
    Type of Medium: Online Resource
    ISSN: 0165-0327
    URL: Article
    DOI: 10.1016/j.jad.2010.09.033
    RVK:
    XA 10000
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2011
    detail.hit.zdb_id: 135449-8
    SSG: 12
    SSG: 5,2
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  • 6
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    An Evaluation of the Proposed DSM-5 Cannabis Use Disorder Criteria Using Australian National Survey Data
    Alcohol Research Documentation, Inc. ; 2013
    In:  Journal of Studies on Alcohol and Drugs Vol. 74, No. 4 ( 2013-07), p. 614-621
    Details
    In: Journal of Studies on Alcohol and Drugs, Alcohol Research Documentation, Inc., Vol. 74, No. 4 ( 2013-07), p. 614-621
    Type of Medium: Online Resource
    ISSN: 1937-1888 , 1938-4114
    URL: Article
    DOI: 10.15288/jsad.2013.74.614
    Language: English
    Publisher: Alcohol Research Documentation, Inc.
    Publication Date: 2013
    detail.hit.zdb_id: 2266478-6
    detail.hit.zdb_id: 2266450-6
    SSG: 15,3
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  • 7
    Online Resource
    Online Resource
    Improving the diagnostic criteria for alcohol use disorders through survey methodology and cognitive interviewing
    Wiley ; 2014
    In:  International Journal of Methods in Psychiatric Research Vol. 23, No. 3 ( 2014-09), p. 359-371
    Details
    In: International Journal of Methods in Psychiatric Research, Wiley, Vol. 23, No. 3 ( 2014-09), p. 359-371
    Abstract: This study aims to identify problems in the structure and wording of questions designed to operationalize four DSM‐IV diagnostic criteria for alcohol use disorders (AUDs): (1) use of alcohol in hazardous situations ( hazard ); (2) tolerance ; (3) use of alcohol in larger amounts/longer periods than intended ( larger/longer ); (4) unsuccessful attempts to cut down or control alcohol use ( quit/cut down ). Ten experts appraised the questions related to these criteria in the WMH‐CIDI according to a standardized checklist. These experts identified three main problems: (1) the double‐barrelled nature of some of the questions; (2) definitional issues; and (3) unclear thresholds for criterion endorsement. Cognitive interviews of 100 young adult drinkers aged 18–24 were then conducted. The double‐barrelled nature of the DSM‐IV criteria led to their subsequent over‐ or under‐endorsement. Key terms in the questions under investigation were defined inconsistently. There was also a large amount of variability in the thresholds at which larger/longer and quit/cut down were endorsed. Many of these problems could be linked back to the DSM‐IV text. The findings raise questions as to the validity of AUD diagnoses when established via structured diagnostic interview. Further research should focus on testing alternative structure and wording of key AUD criteria to ensure accurate operationalizations of these criteria in structured diagnostic interviews. Copyright © 2014 John Wiley & Sons, Ltd.
    Type of Medium: Online Resource
    ISSN: 1049-8931 , 1557-0657
    URL: Issue
    URL: Article
    DOI: 10.1002/mpr.v23.3
    DOI: 10.1002/mpr.1448
    Language: English
    Publisher: Wiley
    Publication Date: 2014
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    detail.hit.zdb_id: 1078002-6
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  • 8
    Online Resource
    Online Resource
    Prevalence and correlates of DSM‐IV alcohol abuse and dependence in Australia: findings of the 2007 National Survey of Mental Health and Wellbeing
    Wiley ; 2010
    In:  Addiction Vol. 105, No. 12 ( 2010-12), p. 2085-2094
    Details
    In: Addiction, Wiley, Vol. 105, No. 12 ( 2010-12), p. 2085-2094
    Abstract: Aims  To report nationally representative data on the prevalence and correlates (including psychiatric comorbidity and treatment) of DSM‐IV alcohol abuse and dependence in Australian adults. Design  The 2007 National Survey of Mental Health and Wellbeing (NSMHWB). Setting  Australian nationally representative household survey. Participants  8841 Australian adults (16–85 years). Measurements  Interview schedule that assessed symptoms of the most prevalent DSM‐IV mental disorders in the life‐time and the past 12 months. Findings  Prevalence of life‐time and 12‐month disorders was 18.3% and 2.9% for alcohol abuse and 3.9% and 1.4% for alcohol dependence. Current alcohol abuse and dependence was significantly more common in males and younger adults. There were significant associations between current alcohol use and other drug use disorders (OR 18.2) and between anxiety disorders and alcohol use disorders (OR 2.6). Only 22.4% of those with alcohol use disorders were treated for their alcohol disorder. Conclusions  Alcohol use disorders are highly prevalent, especially among young adult males. Comorbidity between anxiety and other drug use disorders is common and remains a significant challenge for the delivery of effective health‐care services and treatment. The low rate of effective interventions for alcohol problems is a significant public health concern.
    Type of Medium: Online Resource
    ISSN: 0965-2140 , 1360-0443
    URL: Issue
    URL: Article
    DOI: 10.1111/add.2010.105.issue-12
    DOI: 10.1111/j.1360-0443.2010.03096.x
    Language: English
    Publisher: Wiley
    Publication Date: 2010
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    detail.hit.zdb_id: 2002997-4
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  • 9
    Online Resource
    Online Resource
    An evaluation of the proposed DSM‐5 alcohol use disorder criteria using Australian national data
    Wiley ; 2011
    In:  Addiction Vol. 106, No. 5 ( 2011-05), p. 941-950
    Details
    In: Addiction, Wiley, Vol. 106, No. 5 ( 2011-05), p. 941-950
    Abstract: Aims  To evaluate the proposed revisions to the DSM‐IV alcohol use disorder criteria using epidemiological data. Design, setting and participants  Data came from the 1997 Australian National Survey of Mental Health and Well‐Being. The sample consisted of 10 641 participants aged 18 years and over. Measurements  Alcohol use disorders were assessed using a revised version of the CIDI version 2.0. Alcohol use disorders were assessed in all respondents who indicated that they had used alcohol more than 12 times in the previous 12 months ( n  = 7746). Findings  The proposed introduction of a single alcohol use disorder was supported by confirmatory factor analysis (CFA). DSM‐5 criteria were all indicators of a single underlying disorder. Under DSM‐5, the prevalence of alcohol use disorders would increase by 61.7% when compared with those diagnosed under DSM‐IV. When investigating the most appropriate diagnostic threshold, the 3+ threshold maximized agreement between DSM‐IV and DSM‐5 diagnoses, and produced similar prevalence estimates to those yielded by DSM‐IV. Item response theory (IRT) analyses supported the removal of the legal criterion while provided equivocal results for the craving criterion. Conclusions  Under the proposed DSM‐IV revisions for alcohol use disorders, estimates of the prevalence in the general population would increase substantially. Whereas evidence supports some of the revisions such as a single underlying disorder, others such as the 2+ threshold for diagnosis of alcohol use disorder and the inclusion of a ‘craving’ criterion may be problematic.
    Type of Medium: Online Resource
    ISSN: 0965-2140 , 1360-0443
    URL: Issue
    URL: Article
    DOI: 10.1111/add.2011.106.issue-5
    DOI: 10.1111/j.1360-0443.2010.03340.x
    Language: English
    Publisher: Wiley
    Publication Date: 2011
    detail.hit.zdb_id: 1141051-6
    detail.hit.zdb_id: 2002997-4
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  • 10
    Online Resource
    Online Resource
    Do Young Adults Interpret the DSM Diagnostic Criteria for Alcohol Use Disorders as Intended? A Cognitive Interviewing Study
    Wiley ; 2013
    In:  Alcoholism: Clinical and Experimental Research Vol. 37, No. 6 ( 2013-06), p. 1001-1007
    Details
    In: Alcoholism: Clinical and Experimental Research, Wiley, Vol. 37, No. 6 ( 2013-06), p. 1001-1007
    Abstract: Estimates of the prevalence of DSM ‐ IV alcohol use disorders ( AUD ; i.e., abuse and dependence) are consistently higher for younger adults compared with their older counterparts. However, questions remain as to whether this “youthful epidemic” of AUD is real or a methodological artifact of the prevailing classification criteria. The aim of the current study was to explore potential shortcomings in the AUD criteria when applied to young adults. Methods Experts in the field of substance use disorder classification carried out standardized appraisal of 4 DSM ‐ IV diagnostic criteria for alcohol abuse/dependence ( hazard , tolerance, larger/longer , quit/cut down ). Cross‐sectional surveys of 100 young adult drinkers aged 18 to 24 were carried out. All participants were administered a structured diagnostic interview as well as a structured cognitive interview. The cognitive interviews were comprised of a set of predetermined and standardized probe questions designed to shed light on young adults' understanding of interview questions designed to tap the AUD diagnostic criteria. Answers to the cognitive interview probe questions were summarized across the total sample and, where appropriate, comparisons were made between those who endorsed the diagnostic criterion and those who did not. Results Results showed that there were substantial inconsistencies in young adults' interpretations of survey questions reflecting impaired control over alcohol. Interpretations of questions designed to measure tolerance to the effects of alcohol and use of alcohol in hazardous situations were largely understood as intended by the architects of DSM . Conclusions Survey questions designed to tap compulsive patterns of alcohol use require close attention to ensure they reflect the intentions of the DSM diagnostic criteria for AUD .
    Type of Medium: Online Resource
    ISSN: 0145-6008 , 1530-0277
    URL: Issue
    URL: Article
    DOI: 10.1111/acer.2013.37.issue-6
    DOI: 10.1111/acer.12063
    Language: English
    Publisher: Wiley
    Publication Date: 2013
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    detail.hit.zdb_id: 428999-7
    SSG: 15,3
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