The factor structure of the DSM-III-R and ICD-10 concepts of alcohol dependence.
This paper describes the factor structure of the concept of alcohol dependence as proposed in two psychiatric classifications, the DSM-III-R and the ICD-10. Subjects are 219 men and 162 women who were interviewed while in treatment for alcohol-related problems in nine different treatment programs in Contra Costa county, California. Tests of hypotheses supporting a single factor and a dual factor structure of dependence were rejected by confirmatory factor analysis. Results from exploratory factor analysis show a four factor structure for the concept of dependence in DSM-III-R. For ICD-10 there is a four factor solution among men and a three factor solution among women. The item composition of these factors vary by gender and across the two classifications. However, there is good agreement between dependence as measured by DSM-III-R and ICD-10 criteria. Since work on DSM-IV is now under way, the present research aims to provide some empirical base for how future changes should be made.
Caetano
R
R
Medical Research Institute of San Francisco, Berkeley, CA 94709.
D000293:Adolescent; D000328:Adult; D000437:Alcoholism / Q000175:diagnosis* / Q000523:psychology; D000431:Ethanol / Q000009:adverse effects; D005260:Female; D006801:Humans; D008297:Male; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics; D012737:Sex Factors; D013375:Substance Withdrawal Syndrome / Q000175:diagnosis
D000431:Ethanol