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Implications of Co‐Occurring Alcohol Abuse for Role Impairment, Health Problems, Treatment Seeking, and Early Course of Alcohol Dependence
Author(s) -
Mojtabai Ramin,
Singh Prameet
Publication year - 2007
Publication title -
the american journal on addictions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.997
H-Index - 76
eISSN - 1521-0391
pISSN - 1055-0496
DOI - 10.1080/10550490701389815
Subject(s) - alcohol , alcohol abuse , alcohol dependence , psychiatry , clinical psychology , substance abuse , psychology , multivariate analysis , medicine , biochemistry , chemistry
This article explores the nosological and clinical implications of co‐occurring alcohol abuse and alcohol dependence and examines the hierarchical relationship between these diagnostic categories in the DSM‐IV. Among 2,307 alcohol‐dependent participants in the 2003 US National Survey on Drug Use and Health, 1,646 (68.1%) additionally met the criteria for alcohol abuse. In multivariate analyses, alcohol‐dependent participants with alcohol abuse reported an earlier age of first alcoholic drink compared to those without alcohol abuse. They also reported a higher prevalence of health problems, non‐alcohol drug use, impairment, treatment seeking, and early remission. The two groups had different symptom profiles. Revisions to future DSM editions are proposed to better capture these differences.