Drug use disorders included sedative/tranquilizer, cannabis, amphetamine, cocaine, nonheroin opioid, heroin, hallucinogen, club drug (eg, ecstasy, ketamine, and 3,4-methylenedioxy-methamphetamine), and solvent/inhalant use disorders. Drug-specific diagnoses were aggregated to yield any past-year (PY) and any lifetime DUD. Consistent with
DSM-5, lifetime DUD diagnoses required 2 or more of 11 criteria arising from use of the same substance in PY or prior to the past year (PPY). The PPY diagnoses required clustering of 2 or more criteria for the same drug in the same year. Also consistent with
DSM-5, AUDADIS-5 DUD diagnoses were classified as mild (2–3 criteria), moderate (4–5 criteria), or severe (≥6 criteria) based on the highest-severity substance-specific DUD with which a respondent was diagnosed as having during the time frame of interest. In this report, moderate and severe cases of
DSM-5 DUD were combined to increase precision of the prevalence estimates and associations with other variables.
Test-retest reliability of
DSM-5–specific DUD diagnoses (κ = 0.40–0.54) was fair, and of the associated dimensional criteria scales (intraclass correlation coefficient [ICC] = 0.45–0.84) was fair to excellent in a large general population sample.
30 (link) Procedural validity was assessed using the semi-structured, clinician-administered Psychiatric Research Interview for Substance and Mental Disorders,
DSM-5 version (PRISM-5)
31 in a large general population sample. Concordances between AUDADIS-5 and PRISM-5 DUD diagnoses were generally fair to good (κ = 0.40–0.66) except for PPY hallucinogens and stimulants (κ = 0.39–0.35); concordances between their dimensional criteria scales were excellent (ICC > 0.68 except for PY sedatives and stimulants [ICC, 0.38 and 0.44, respectively]).
32 (link)
Grant B.F., Saha T.D., Ruan W.J., Goldstein R.B., Chou S.P., Jung J., Zhang H., Smith S.M., Pickering R.P., Huang B, & Hasin D.S. (2016). Epidemiology of DSM-5 Drug Use Disorder: Results From the National Epidemiologic Survey on Alcohol and Related Conditions–III. JAMA psychiatry, 73(1), 39-47.