@article{ref1,
title="The Alcohol Dependence Scale and DSM-5 alcohol use disorder: severity ratings correspond insufficiently in older patients",
journal="International journal of methods in psychiatric research",
year="2019",
author="Mejldal, Anna and Andersen, Kjeld and Bilberg, Randi and Braun, Barbara and Bogenschutz, Michael and Bühringer, Gerhard and Nielsen, Anette Søgaard and Behrendt, Silke",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVES: To investigate the psychometric properties of the frequently used Alcohol Dependence Scale (ADS) in older adults and the associations between ADS scores and alcohol use and DSM-5 AUD symptom counts. <br><br>METHODS: Using baseline data from an international multicenter RCT on outpatient AUD treatment for adults aged 60+ with DSM-5 alcohol use disorder (AUD; n = 529), we computed Cronbach's alpha (α) and applied confirmatory (CFA) and exploratory factor analysis (EFA) to determine the underlying factor structure. A structural equation model (SEM) explored the interrelationship of latent ADS factors with alcohol use and number of DSM-5 criteria endorsed. <br><br>RESULTS: Internal consistency of the ADS (α = 0.81) was good. EFA revealed a three-factor structure. Factor 1 (&quot;Severe withdrawal symptoms&quot;) consisted of severe psychoperceptual and psychophysical consequences of excessive drinking, Factor 2 (&quot;Loss of control&quot;) consisted of acute physical reactions of intoxication, and Factor 3 (&quot;Obsessive-compulsive drinking&quot;) described habitual drinking. The SEM suggested that only Factor 3 had large effects on DSM-5 symptom score and drinking behavior. <br><br>CONCLUSION: Lowering the ADS threshold or focusing on ADS items from Factor 3 may be more suitable measures of severity of alcohol dependence in treatment-seeking older adults as ADS scores are low and not closely related to DSM-5 AUD.<br><br>© 2019 The Authors International Journal of Methods in Psychiatric Research Published by John Wiley & Sons Ltd.<p /> <p>Language: en</p>",
language="en",
issn="1049-8931",
doi="10.1002/mpr.1811",
url="http://dx.doi.org/10.1002/mpr.1811"
}