DSM-IV alcohol abuse due to hazardous use: a less severe form of abuse?(Report): An article from: Journal of Studies on Alcohol and Drugs

This digital document is an article from Journal of Studies on Alcohol and Drugs, published by Alcohol Research Documentation, Inc. on November 1, 2010. The length of the article is 5649 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available immediately after purchase. You can view it with any web browser.

From the author: Objective: A majority of individuals that meet criteria for alcohol abuse based on the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), do so by endorsing the hazardous use criterion. We used a large, nationally representative data set to investigate whether alcohol abuse due to hazardous use is distinct from abuse attributable to other abuse criteria and whether abuse due to hazardous use is a less severe form of alcohol abuse. Method: Two waves of data, collected 3 years apart, from 34,653 individuals who participated in the National Epidemiological Survey on Alcohol and Related Conditions were used. Logistic regression was used to compare those with alcohol abuse due to hazardous use and those with alcohol abuse due to other criteria across several sociodemographic and psychiatric correlates at Wave 1 and across alcohol-related outcomes at the 3-year follow-up. Those with a lifetime history of alcohol dependence at Wave 1 were ex cluded. Results: Abuse due to hazardous use was more commonly noted in older individuals, those not living below the poverty line, and those without nicotine dependence and was more likely to be noted in White participants. Abuse due to hazardous use was also associated with lower rates of problematic drinking, alcohol dependence, and help seeking at 3-year follow-up. Conclusions: Individuals endorsing hazardous use are at greater risk than those endorsing no abuse criteria, but abuse due to hazardous use may represent a less severe form of alcohol-use disorders. This is troubling, because current DSM conceptualizations allow for endorsement of hazardous use to denote alcohol-use disorders. Future classifications may wish to consider a higher threshold for alcohol-use disorders, particularly when hazardous use is endorsed. (J Stud. Alcohol Drugs, 71, 857-863, 2010)

Citation Details
Title: DSM-IV alcohol abuse due to hazardous use: a less severe form of abuse?(Report)
Author: Arpana Agrawal
Publication:Journal of Studies on Alcohol and Drugs (Magazine/Journal)
Date: November 1, 2010
Publisher: Alcohol Research Documentation, Inc.
Volume: 71 Issue: 6 Page: 857(7)

Article Type: Report

Distributed by Gale, a part of Cengage Learning