This research was supported by Grants R01 AA08159 and K02 AA00161 (to D.H.), and by the New York State Department of Mental Hygiene.
Alcohol Dependence and Abuse Diagnoses: Validity in Community Sample Heavy Drinkers
Article first published online: 30 MAY 2006
Alcoholism: Clinical and Experimental Research
Volume 21, Issue 2, pages 213–219, April 1997
How to Cite
Hasin, D., Van Rossem, R., McCloud, S. and Endicott, J. (1997), Alcohol Dependence and Abuse Diagnoses: Validity in Community Sample Heavy Drinkers. Alcoholism: Clinical and Experimental Research, 21: 213–219. doi: 10.1111/j.1530-0277.1997.tb03752.x
- Issue published online: 30 MAY 2006
- Article first published online: 30 MAY 2006
- Received for publication November 14, 1995; accepted November 7, 1996
- Alcohol Dependence;
- Alcohol Abuse;
- Drinking Problems;
- Alcohol Epidemiology
Despite the widespread influence of the alcohol dependence syndrome concept on the major nosological classification systems, little work has been done to test the validity of the alcohol dependence syndrome in community samples. In addition, numerous questions have been asked about the validity of current definitions of alcohol abuse. We examined the cross-sectional validity of DSM-IV alcohol dependence and abuse in 936 household residents randomly selected and screened for elevated drinking. We investigated validity by testing the association of a set of seven “criterion” variables, external to the alcohol diagnostic criteria, with dependence and abuse diagnoses. Results indicated that dependence diagnoses were significantly associated with all criterion variables when compared to those with no diagnosis, even though all subjects had elevated drinking and the cases of alcohol dependence were mild. In contrast, abuse diagnoses did not show a pattern of association with the criterion variables when compared to no diagnosis. When associations were tested comparing dependence cases to those with abuse only, results were mixed. This study is one in a series of investigations in this sample of household residents screened for elevated drinking levels.