Exploring the emergence of alcohol use disorder symptoms in the two years after onset of drinking: findings from the National Surveys on Drug Use and Health
Version of Record online: 23 DEC 2010
© 2010 The Authors, Addiction © 2010 Society for the Study of Addiction
Volume 106, Issue 3, pages 555–563, March 2011
How to Cite
McBride, O. and Cheng, H. G. (2011), Exploring the emergence of alcohol use disorder symptoms in the two years after onset of drinking: findings from the National Surveys on Drug Use and Health. Addiction, 106: 555–563. doi: 10.1111/j.1360-0443.2010.03242.x
- Issue online: 7 FEB 2011
- Version of Record online: 23 DEC 2010
- Accepted manuscript online: 21 OCT 2010 07:44AM EST
- Submitted 14 March 2010; initial review completed 28 April 2010; final version accepted 6 October 2010
- Alcohol use disorders;
- drinking onset;
- latent variable modeling
Aims This study investigates the occurrence of clinical features of alcohol dependence and socially maladaptive drinking during the first 24 months after the onset of alcohol use.
Design Data for this study are from the nationally representative 2004–07 National Surveys on Drug Use and Health (NSDUH).
Setting General population of the United States, aged 12 years and older.
Participants New-onset alcohol users (NOAUs) were drinkers who started to drink alcohol within 24 months of the NSDUH assessment and consumed alcohol during the last 12 months.
Measurements The NSDUH assessed for clinical features of alcohol dependence and socially maladaptive drinking, consistent with the DSM-IV.
Findings NOAUs frequently experienced problems relating to self-reported tolerance, spending a great deal of time recovering from the effects of alcohol and unsuccessful attempts at cutting down on drinking. The likelihood of experiencing the clinical features increased steadily in the first 9 months after use, but appeared to plateau or only gradually increase thereafter. Strong evidence emerged that the clinical features measured a single latent dimensional of ‘alcohol use disorder’ (AUD) in this sample. The majority of the clinical features were good indicators of the underlying AUD continuum in the 2 years after first drinking onset.
Conclusions There may be a period of time during the second year of alcohol use, when level of alcohol use disorder fluctuates rather than increases. Public health and safety efforts designed to target problematic alcohol use in the earliest stages of alcohol involvement could be useful in preventing the escalation of alcohol problems in this group of drinkers.