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Titolo:
DIAGNOSTIC CONCORDANCE OF SUBSTANCE USE DISORDERS IN DSM-III, DSR-IV AND ICD-10
Autore:
LANGENBUCHER J; MORGENSTERN J; LABOUVIE E; NATHAN PE;
Indirizzi:
RUTGERS STATE UNIV,CTR ALCOHOL STUDIES,RES DIAGNOST PROJECT,BUSCH CAMPUS,SMITHERS HALL PISCATAWAY NJ 08855 UNIV IOWA,OFF PROVOST IOWA CITY IA 52242
Titolo Testata:
Drug and alcohol dependence
fascicolo: 3, volume: 36, anno: 1994,
pagine: 193 - 203
SICI:
0376-8716(1994)36:3<193:DCOSUD>2.0.ZU;2-0
Fonte:
ISI
Lingua:
ENG
Soggetto:
DEPENDENCE; AGREEMENT;
Keywords:
ALCOHOL AND DRUG ABUSE; CONFIGURAL FREQUENCY ANALYSIS; CROSS-SYSTEM CONSISTENCY; DIAGNOSTIC CONCORDANCE; DSM-III; DSM-IV; ICD-10;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
13
Recensione:
Indirizzi per estratti:
Citazione:
J. Langenbucher et al., "DIAGNOSTIC CONCORDANCE OF SUBSTANCE USE DISORDERS IN DSM-III, DSR-IV AND ICD-10", Drug and alcohol dependence, 36(3), 1994, pp. 193-203

Abstract

Diagnostic concordance of DSM-III, DSM-IV and ICD-10 was tested in a heterogeneous unrestricted sample of 370 clinical cases drawn from a regional consortium. Agreement for abuse/harmful use, dependence, and the collapsed category of 'any diagnosis' was studied across eight drugclasses. A probabilistic approach to the cross-classifications based on configural frequency analysis was applied, permitting the computation of four indices of agreement. In contrast to earlier studies, ICD-10 appeared to be the most inclusive system, and often diagnosed cases that were undiagnosed by both DSMs. Generally satisfactory coherence between the ICD-10 harmful use category and the DSM category of abuse was found, but this agreement was often due to a preponderance of negative or undiagnosed cases; disagreement was common on which cases in particular warrant a mild diagnosis. In general, the greatest diagnosticconcordance was observed for sedative/hypnotics, opiates and alcohol,the poorest for amphetamines, cocaine and PCP. The analytic approach produced an array of cross-system relationships that are more complex and conditional than those previously reported, and scientists and clinicians are cautioned to study particular drugs, diagnostic levels andmeasures of concordance before applying cross-system results to theirown data or design needs.

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Documento generato il 08/07/20 alle ore 06:36:00