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The Semi-Structured Assessment for Drug Dependence and Alcoholism (SSADDA) yields Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) diagnoses for a variety of psychiatric disorders, including alcohol and drug dependence. Using generalizability theory, we sought to ascertain the sources of unreliability for DSM-IV substance-dependence diagnoses and their criterion counts.

Sources of Unreliability in the Diagnosis of Substance Dependence