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The Alcohol Dependence Scale and DSM-5 alcohol use disorder: Severity ratings correspond insufficiently in older patients.
Mejldal, Anna; Andersen, Kjeld; Bilberg, Randi; Braun, Barbara; Bogenschutz, Michael; Bühringer, Gerhard; Nielsen, Anette Søgaard; Silke, Behrendt.
Afiliación
  • Mejldal A; Unit of Clinical Alcohol Research, Institute of Clinical Research, University of Southern DenmarkOdense, Denmark.
  • Andersen K; OPEN, Odense Patient data Explorative Network, Odense University Hospital, Odense, Denmark.
  • Bilberg R; Psychiatric Department, Region of Southern Denmark, Odense, Denmark.
  • Braun B; Unit of Clinical Alcohol Research, Institute of Clinical Research, University of Southern DenmarkOdense, Denmark.
  • Bogenschutz M; OPEN, Odense Patient data Explorative Network, Odense University Hospital, Odense, Denmark.
  • Bühringer G; BRIDGE, Brain Research, Inter-Disciplinary Guided Excellence, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.
  • Nielsen AS; Psychiatric Department, Region of Southern Denmark, Odense, Denmark.
  • Silke B; Unit of Clinical Alcohol Research, Institute of Clinical Research, University of Southern DenmarkOdense, Denmark.
Int J Methods Psychiatr Res ; 29(1): e1811, 2020 03.
Article en En | MEDLINE | ID: mdl-31808602
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. 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. RESULTS: Internal consistency of the ADS (α = 0.81) was good. EFA revealed a three-factor structure. Factor 1 ("Severe withdrawal symptoms") consisted of severe psychoperceptual and psychophysical consequences of excessive drinking, Factor 2 ("Loss of control") consisted of acute physical reactions of intoxication, and Factor 3 ("Obsessive-compulsive drinking") described habitual drinking. The SEM suggested that only Factor 3 had large effects on DSM-5 symptom score and drinking behavior. 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.
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Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Escalas de Valoración Psiquiátrica / Psicometría / Índice de Severidad de la Enfermedad / Envejecimiento / Alcoholismo Tipo de estudio: Clinical_trials / Prognostic_studies Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Int J Methods Psychiatr Res Asunto de la revista: PSIQUIATRIA Año: 2020 Tipo del documento: Article País de afiliación: Dinamarca

Texto completo: 1 Bases de datos: MEDLINE Asunto principal: Escalas de Valoración Psiquiátrica / Psicometría / Índice de Severidad de la Enfermedad / Envejecimiento / Alcoholismo Tipo de estudio: Clinical_trials / Prognostic_studies Límite: Aged / Aged80 / Female / Humans / Male / Middle aged Idioma: En Revista: Int J Methods Psychiatr Res Asunto de la revista: PSIQUIATRIA Año: 2020 Tipo del documento: Article País de afiliación: Dinamarca