Concordance between DSM-III-R and DSM-IV diagnoses of substance use disorders in adolescents.
Except for cannabis and alcohol, concordance between DSM-III-R and DSM-IV substance use disorder diagnoses has not been reported in adolescents. We assessed a clinical sample of 102 adolescents using CIDI-SAM. Prevalence of either an abuse or dependence diagnosis was lower with DSM-IV than DSM-III-R except for cannabis and alcohol, and concordance rates were better for dependence than for abuse. For most substances, rates of DSM-IV withdrawal were lower than in DSM-III-R, but rates of DSM-IV physiological dependence remained high. Changes in DSM-IV criteria appear to have impacted diagnoses in these adolescents, particularly for the substances they use most--i.e. alcohol, tobacco, and cannabis.
Mikulich
S K
SK
Department of Psychiatry, University of Colorado School of Medicine, Box C268-35, 4200 E. 9th Avenue, Denver, CO 80262, USA.
Hall
S K
SK
Whitmore
E A
EA
Crowley
T J
TJ
D000293:Adolescent; D017831:Diagnosis, Dual (Psychiatry) / Q000523:psychology; D005260:Female; D006801:Humans; D007407:Interviews as Topic / Q000379:methods; D008297:Male; D011569:Psychiatric Status Rating Scales; D013375:Substance Withdrawal Syndrome / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000453:epidemiology / Q000523:psychology