The role of alcohol consumption in future classifications of alcohol use disorders

Saha, Tulshi D.; Stinson, Frederick S.; Grant, Bridget F.

doi:10.1016/j.drugalcdep.2006.12.003

Cited by 197 publications

(249 citation statements)

References 65 publications

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“…Among the dependence symptoms, the larger/longer criterion appeared to be a particularly effective item for discriminating between those with heavy drinking and no AUD symptoms and those with at least some AUD symptoms. This is consistent with population-based studies in the U.S. (Saha et al, 2007) and Australia (Proudfoot et al, 2006).…”

Section: Discussionsupporting

confidence: 91%

“…These results extend those of Krueger et al (2004) and Saha et al (2007) by showing that, in addition to episodic heavy drinking, both weekly drinking and regularly drinking more than the NIAAA recommended weekly limit can be used to map the less severe regions of the alcohol involvement continuum. In this sample, the chosen indices of alcohol use all were less severe than diagnostic symptoms of alcohol abuse and dependence.…”

Section: Discussionsupporting

confidence: 70%

“…Second, they typically focus entirely on only one type of alcohol involvement indicator at a time, namely either an index of current drinking or an index of current or past AUD. Item response modeling has shown that indicators of involvement with alcohol generally fall along a single latent dimension that ranges from minimal drinking to heavy drinking to mild alcohol problems to severe dependence (Kahler et al, 2005;Kahler et al, 2003;Krueger et al, 2004;Saha et al, 2007). These findings indicate that it is possible to place individuals along a single continuum of lifetime alcohol involvement based on lifetime indices of drinking and alcohol-related problems.…”

Section: Introductionmentioning

confidence: 93%

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Cigarette smoking and the lifetime alcohol involvement continuum

Kahler

Strong

Papandonatos

et al. 2008

Drug and Alcohol Dependence

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Greater understanding of how alcohol use relates to the initiation, progression, and persistence of cigarette smoking is of great significance for efforts to prevent and treat smoking and excessive drinking and their substantial combined iatrogenic effects on health. Studies investigating the relationship between levels of alcohol involvement and smoking have typically been limited by analytic approaches that treat drinking behavior and alcohol use disorder diagnoses as separate phenomena rather than as indicators of a single latent alcohol involvement dimension. The purposes of the present study were (a) to create a lifetime index of alcohol involvement that integrates information about alcohol consumption and alcohol problems into a single measure and (b) to relate this index to initiation of smoking, progression from initiation to daily smoking, progression from initiation to dependence, and persistence of smoking. Rasch model analyses of data from 1,508 middle-aged (34-44 years) adults showed that creating an additive index of lifetime alcohol involvement was psychometrically supported. Significant quadratic effects of alcohol involvement on initiation, progression, and persistence of smoking demonstrated that there were specific regions of the alcohol involvement continuum that were particularly strongly related to increased smoking. These results provide the most comprehensive depiction to date of the nature of the relationship between lifetime alcohol involvement and lifetime cigarette smoking and suggest potential avenues for research on the etiology and maintenance of smoking and tobacco dependence.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 70%

Section: Introductionmentioning

confidence: 93%

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Cigarette smoking and the lifetime alcohol involvement continuum

Kahler

Strong

Papandonatos

et al. 2008

Drug and Alcohol Dependence

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“…However, in both men and women, those with a diagnosis of MDD were more likely to endorse individual criteria than their counterparts who did not meet criterion for past-year MDD. Note that the prevalence of these criteria in past-year regular users has also been reported in Saha et al (2006Saha et al ( , 2007.…”

Section: Mdd and Rates Of Alcohol Symptom Endorsementmentioning

confidence: 62%

Differential criterion functioning of alcohol use symptomatology in major depressive disorder?

Lynskey

Agrawal

2007

Psychol. Med.

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Background. Major depressive disorder (MDD) and alcohol use disorders (AUDs) are among the most prevalent psychiatric disorders and are frequently co-morbid. However, some component of this co-morbidity may be artifactual and arise from the influence of current mental state on self-reports of AUD.Method. This study examined whether past-year MDD is associated with differential criterion functioning (DCF) in reports of AUD symptomatology in male and female participants in the National Epidemiological Survey on Alcohol and Related Conditions (NEASRC).Results. Reports of past-year AUD symptomatology were adequately summarized by a single-factor model in which each of the 11 abuse and dependence criteria had high factor loadings (0.71-0.93) and did not vary between men and women after allowing for threshold differences. Co-morbid MDD was associated with higher AUD mean scores. There was some evidence for DCF with past-year MDD being associated with a lower endorsement of use in hazardous situations among men whereas women with MDD were more likely to endorse both social/interpersonal problems and emotional/physical problems.Conclusions. Several items assessing AUD display DCF in the presence of MDD. While these findings highlight the need to consider the possibility that mental state can influence reporting of psychiatric symptoms and potentially inflate estimates of co-morbidity, they suggest that only a negligible component of the co-morbidity between MDD and AUDs can be attributed to over-reporting of alcohol symptomatology conditional on current MDD.

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“…However, in view of the high correlation between abuse and dependence in the two-factor models, many clinical investigators favor a single factor as more appropriate in treatment samples. More recent applications of item response theory in adult samples (Kahler and Strong, 2006;Krueger et al, 2004;Langenbucher et al, 2004;Saha et al, 2006Saha et al, , 2007 and treated adolescents (Martin et al, 2006) suggest that abuse and dependence criteria are intermixed along the spectrum between mild and severe aspects of symptom pathology.Several investigators (Budney, 2006;Hughes, 2006) emphasize the need for further studies of the validity and utility of generic versus drug-specifi c criteria for substance use disorders. Clinical studies need to be supplemented with general population samples.…”

mentioning

confidence: 99%

Relationship of Substance Abuse to Dependence in the U.S. General Population

Saha

Harford²,

Kerridge³

et al. 2012

J. Stud. Alcohol Drugs

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ABSTRACT. Objective:The diagnostic categories of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, for substance abuse and dependence are commonly used in clinical work and research studies, but whether abuse and dependence represent two different syndromes has been debated. The purpose of this article is to investigate the relationship of substance abuse and dependence for cannabis, cocaine, stimulants and sedatives among lifetime users of these substances in the National Epidemiologic Survey on Alcohol and Related Conditions, a nationally representative survey conducted in [2001][2002]. Method: The multiple indicators multiple causes (MIMIC) model addresses three sets of relationships: those between (1) diagnostic criteria and latent factors, (2) latent factors and covariates, and (3) criteria and covariates. This approach allows for the detection of and compensation for noninvariance of the measurement of criteria across subgroups. Results: Compared with one-factor models, two-factor models (factors roughly corresponding to abuse and dependence) fi t signifi cantly better across all substances, with abuse and dependence factors highly correlated. The MIMIC model indicated that race/ethnicity, age, income, and marital status showed some differential relationships across substance groups, although most covariates showed similar associations to dependence and abuse factors. Noninvariance of criteria measurement by demographic covariates was most pronounced for cannabis abuse and dependence criteria. Conclusions: The general relationship of abuse to dependence was consistent across substances. Results were equivocal on the value of retaining separate factors; therefore, investigating the relationships of specifi c genetic variants and treatment outcomes to dimensional indicators of abuse, dependence, and measures combining these criteria is warranted. Measurement of cannabis abuse and dependence criteria appears most affected by demographic characteristics. (J. Stud. Alcohol Drugs, 73, 368-378, 2012 Disorders, Fourth Edition (DSM-IV; American Psychiatric Association, 1994), are based on the concept of the alcohol dependence syndrome (Edwards, 1986;Edwards and Gross, 1976), generalized to drugs in 1981(Edwards et al., 1981. Dependence was considered to be a combination of physiological and psychological processes leading to increasingly impaired control over substance use even in the face of negative consequences. This syndrome was viewed as one "axis" of substance problems, with the consequences of heavy use (social, legal, and medical problems; hazardous use) considered a separate axis. This bi-axial characterization (Edwards, 1986) led to the DSM-IV distinction (American Psychiatric Association, 1994) between abuse (mainly social, role functioning, or legal problems or hazardous use, most commonly driving while intoxicated) and dependence criteria (tolerance, withdrawal, and numerous indicators of impaired control over use).The concepts of DSM-IV substance abuse and dependence are ...

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The role of alcohol consumption in future classifications of alcohol use disorders

Cited by 197 publications

References 65 publications

Cigarette smoking and the lifetime alcohol involvement continuum

Cigarette smoking and the lifetime alcohol involvement continuum

Differential criterion functioning of alcohol use symptomatology in major depressive disorder?

Relationship of Substance Abuse to Dependence in the U.S. General Population

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