@article{ref1,
title="Alcohol use disorders: translational utility of DSM-IV liabilities to the DSM-5 system",
journal="Addictive disorders and their treatment",
year="2015",
author="Kiselica, Andrew M. and Cohn, Amy M. and Hagman, Brett T.",
volume="14",
number="1",
pages="53-59",
abstract="OBJECTIVES: Young adults have some of the highest rates of problem drinking and alcohol use disorders (AUDs) relative to any other age. However, recent evidence suggests that the DSM-IV hierarchical classification system of AUDs does not validly represent symptoms in the population; instead, it evinces a unitary, dimensional classification scheme. The DSM-5 has been altered to fit this changing, evidence-based conceptualization. Nevertheless, little is understood about the degree to which known risk factors for DSM-IV AUD diagnoses will transfer to the new DSM-5 guidelines in this group of high-risk drinkers. The current study built a coherent model of liabilities for DSM-IV AUDs in young adults and tested for transferability to DSM-5. <br><br>METHODS: N = 496 college students (51.10% male) were assessed on a variety of factors related to AUD risk, including demographics, substance use (past 90-days), and drinking motives. Liability models were created using all variables in Structural Equation Modeling to test direct and indirect effects on DSM diagnostic status. The best model under the DSM-IV was chosen based on fit and parsimony. This model was then applied to the DSM-5 system to test for transferability. <br><br>RESULTS: The best the fitting model for DSM-IV included direct influences of drug use, quantity-frequency of alcohol consumption, and social and coping drinking motives. Improved model fit was found when the DSM-5 system was the outcome. <br><br>CONCLUSIONS: Knowledge of risk factors for AUDs appear to transfer well to the new diagnostic system.<p /> <p>Language: en</p>",
language="en",
issn="1531-5754",
doi="10.1097/ADT.0000000000000036",
url="http://dx.doi.org/10.1097/ADT.0000000000000036"
}