Concordance between DSM-III-R and DSM-IV diagnoses of substance use disorders in adolescents

Except for cannabis and alcohol, concordance between DSM-III-R and DSM-IV substance use disorder diagnoses has not been reported in adolescents. We assessed a clinical sample of 102 adolescents using CIDI-SAM. Prevalence of either an abuse or dependence diagnosis was lower with DSM-IV than DSM-III-R...

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Bibliographic Details
Published in:Drug and alcohol dependence 2001-02, Vol.61 (3), p.237-248
Main Authors: Mikulich, Susan K, Hall, S.K, Whitmore, E.A, Crowley, T.J
Format: Article
Language:English
Subjects:
Addictive behaviors
Adolescent
Adult and adolescent clinical studies
Biological and medical sciences
CIDI-SAM
Concordance
Diagnosis
Diagnosis, Dual (Psychiatry) - psychology
Diagnostic and Statistical Manual III-R
Diagnostic and Statistical Manual IV
Drug addiction
Female
Humans
Interviews as Topic - methods
Male
Medical sciences
Nosology
Nosology. Terminology. Diagnostic criteria
Physiological dependence
Psychiatric Status Rating Scales
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Substance abuse and dependence
Substance abuse disorders
Substance Withdrawal Syndrome - diagnosis
Substance Withdrawal Syndrome - epidemiology
Substance Withdrawal Syndrome - psychology
Substance-Related Disorders - diagnosis
Substance-Related Disorders - epidemiology
Substance-Related Disorders - psychology
Techniques and methods
Young people
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Summary:Except for cannabis and alcohol, concordance between DSM-III-R and DSM-IV substance use disorder diagnoses has not been reported in adolescents. We assessed a clinical sample of 102 adolescents using CIDI-SAM. Prevalence of either an abuse or dependence diagnosis was lower with DSM-IV than DSM-III-R except for cannabis and alcohol, and concordance rates were better for dependence than for abuse. For most substances, rates of DSM-IV withdrawal were lower than in DSM-III-R, but rates of DSM-IV physiological dependence remained high. Changes in DSM-IV criteria appear to have impacted diagnoses in these adolescents, particularly for the substances they use most — i.e. alcohol, tobacco, and cannabis.
ISSN:0376-8716
1879-0046
DOI:10.1016/S0376-8716(00)00143-5