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Cross system agreement for substance use disorders: DSM‐III‐R, DSM‐IV and ICD‐10
Author(s) -
ROUNSAVILLE BRUCE J.,
BRYANT KENDALL,
BABOR THOMAS,
KRANZLER HENRY,
KADDEN RONALD
Publication year - 1993
Publication title -
addiction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.424
H-Index - 193
eISSN - 1360-0443
pISSN - 0965-2140
DOI - 10.1111/j.1360-0443.1993.tb00821.x
Subject(s) - dsm 5 , psychology , psychiatry , icd 10 , substance abuse , cidi , clinical psychology , comorbidity , national comorbidity survey
This report presents results of a field trial of Substance Use Disorders as defined by DSM‐III‐R, DSM‐IV (proposed) and ICD‐10. Diagnoses based on the three systems were derived from interviews using the Composite International Diagnostic Interview (CIDI) in a heterogeneous sample of 521 adults drawn from clinical and community settings. Two issues are addressed: (1) cross system agreement; and (2) syndrome coherence of proposed criterion sets for Substance Dependence in each of the three systems. Findings were as follows: (1) Cross system agreement for Dependence was generally high, especially between DSM‐III‐R and DSM‐IV. (2) Cross system agreement was lower for DSM‐III‐R and DSM‐IV Abuse and very low for DSM‐IV Abuse and ICD‐10 Harmful Use. (3) Agreement varied across drug categories with lowest DSM‐III‐R/DSM‐IV agreement for alcohol abuse and DSM‐IV/ICD‐10 agreement for marijuana use disorders. (4) Overall prevalence differed for the three systems with DSM‐IV yielding highest rates followed by DSM‐III‐R and ICD‐10 in that order. (5) Factor analysis of Dependence criteria showed high loadings of all items on a single factor across the three diagnostic systems and for all categories of drugs. Implications for validity of the dependence syndrome construct and for revisions in DSM‐IV are discussed.