title: Concordance between ICD-10 alcohol and drug use disorder criteria and diagnoses as measured by the AUDADIS-ADR, CIDI and SCAN: results of a cross-national study.
abstract: Agreement between the AUDADIS-ADR, CIDI and SCAN in case identification for ICD-10 alcohol and drug use disorders and diagnostic criteria was investigated in three countries, Luxembourg, Greece and the US. Overall, agreement for ICD-10 dependence diagnoses between the three instruments was fair to good for alcohol, opioids and cocaine, but generally lower for dependence diagnoses for other substance. In contrast, concordance between instruments for harmful use diagnoses was extremely poor for all substances. Implications of these major findings are discussed in terms of the relationship between prevalence, reliability and concordance and indications and cautions regarding cross-instrument comparisons.
authors.affiliation: Centre Hospitalier, Luxembourg Service de Neuropsychiatrie, Luxembourg.
authors.forename: C B
authors.initials: CB
authors.lastname: Pull
authors.forename: J B
authors.initials: JB
authors.lastname: Saunders
authors.forename: V
authors.initials: V
authors.lastname: Mavreas
authors.forename: L B
authors.initials: LB
authors.lastname: Cottler
authors.forename: B F
authors.initials: BF
authors.lastname: Grant
authors.forename: D S
authors.initials: DS
authors.lastname: Hasin
authors.forename: J
authors.initials: J
authors.lastname: Blaine
authors.forename: D
authors.initials: D
authors.lastname: Mager
authors.forename: B T
authors.initials: BT
authors.lastname: Ustün
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D003431:Cross-Cultural Comparison; D005260:Female; D006115:Greece / Q000453:epidemiology; D006801:Humans; D013287:Illicit Drugs; D008189:Luxembourg / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D015588:Observer Variation; D011569:Psychiatric Status Rating Scales / Q000706:statistics & numerical data*; D011594:Psychometrics; D011619:Psychotropic Drugs; D015203:Reproducibility of Results; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D014481:United States / Q000453:epidemiology; D014944:World Health Organization
chemical_list: D013287:Illicit Drugs; D011619:Psychotropic Drugs