title: Use of survival analyses to examine onset and staging of DSM-IV alcohol symptoms in women.
abstract: Despite their implications for diagnostic validity, few studies have examined patterns of alcohol symptom onset in women. Using Structured Clinical Interview for the DSM-IV (M. B. First, M. Gibbon, R. L. Spitzer, & J. B. W. Williams, 1995) data, the authors applied survival analysis to Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994) alcohol symptoms in 87 women in treatment. Legal problems occurred rarely and did not fit a staging model. Compared with men previously studied, women showed a later onset of symptoms, which developed in 4 stages: abuse, consequation, accommodation to the illness, and physiological dependence. Three symptoms-hazardous use, larger/longer use than intended, and lots of time spent using--occurred early and may be useful for screening purposes.
authors.affiliation: nchung@rci.rutgers.edu
authors.forename: Nicola
authors.initials: N
authors.lastname: Chung
authors.forename: James
authors.initials: J
authors.lastname: Langenbucher
authors.forename: Barbara
authors.initials: B
authors.lastname: McCrady
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Epstein
authors.forename: Sharon
authors.initials: S
authors.lastname: Cook
mesh_terms: D000328:Adult; D017668:Age of Onset; D000368:Aged; D000437:Alcoholism / Q000175:diagnosis* / Q000523:psychology / Q000534:rehabilitation; D018450:Disease Progression; D005260:Female; D006801:Humans; D008875:Middle Aged; D016019:Survival Analysis