Severity of dependence: data from the DSM‐IV field trials
- 1 November 1993
- Vol. 88 (11) , 1573-1579
- https://doi.org/10.1111/j.1360-0443.1993.tb03144.x
Abstract
The concept of a dependence syndrome with graded levels of severity was originally derived from work with alcoholics. The applicability and clinical utility of the dependence syndrome across a wider range of substances was examined as part of the DSM-IV field trials. When using a criterion count method to assess severity, it was found that persons cluster at different severity levels according to the drug on which they are dependent. Across all drug classes, severity correlated reasonably well with measures of quantity and frequency of use and with associated problems. The relationship between severity ratings and outcome was not tested, however data from other studies indicate that severity is only one of many factors that can influence outcome.Keywords
This publication has 25 references indexed in Scilit:
- Comparing DSM‐III‐R and ICD‐10 substance use disordersAddiction, 1993
- The Distribution of Alcohol Dependence Severity among In‐patient Problem DrinkersBritish Journal of Addiction, 1989
- The Reliability of the CIDI‐SAM: a comprehensive substance abuse interviewBritish Journal of Addiction, 1989
- The Application of the SODQ to the Measurement of the Severity of Opiate Dependence in a British SampleBritish Journal of Addiction, 1987
- The Dependence Syndrome Concept as a Psychological Theory of Relapse Behaviour: an empirical evaluation of alcoholic and opiate addictsBritish Journal of Addiction, 1987
- The Alcohol Dependence Syndrome: a concept as stimulus to enquiry★British Journal of Addiction, 1986
- “Never Believe an Alcoholic”? On the Validity of Self-Report Measures of Alcohol Dependence and Related ConstructsInternational Journal of the Addictions, 1983
- Alcohol dependence syndrome: Measurement and validation.Journal of Abnormal Psychology, 1982
- Primary Syndromes of Alcohol Abuse: Their Measurement and CorrelatesBritish Journal of Addiction, 1981
- Alcohol dependence: provisional description of a clinical syndrome.BMJ, 1976