Craving and Withdrawal as Core Symptoms of Alcohol Dependence
There is ongoing debate regarding the validity of the distinction of alcohol abuse and dependence, the distinction between normality and alcohol abuse, and the absence of craving in the DSM-IV classification of alcohol use disorders. In this study, we examine the discriminant validity of the DSM-IV...
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| Veröffentlicht in: | The journal of nervous and mental disease 2004-07, Vol.192 (7), p.494-502 |
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| container_title | The journal of nervous and mental disease |
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| creator | de Bruijn, Carla Korzec, Alex Koerselman, Frank van Den Brink, Wim |
| description | There is ongoing debate regarding the validity of the distinction of alcohol abuse and dependence, the distinction between normality and alcohol abuse, and the absence of craving in the DSM-IV classification of alcohol use disorders. In this study, we examine the discriminant validity of the DSM-IV alcohol use disorder diagnoses in three different populations (98 patients from an alcohol treatment service, 68 nontreatment-seeking heavy drinkers, and 75 psychiatric outpatients). We compare the results of the DSM-IV classification with an alternative classification that requires craving and withdrawal for the diagnosis of dependence and at least two DSM-IV abuse-dependence symptoms for the diagnosis of abusethe Craving Withdrawal Model (CWM). Although the total prevalence of any alcohol use disorder did not differ between DSM-IV and CWM, the distinction between normality and abuse and between abuse and dependence was better for the CWM categories. |
| doi_str_mv | 10.1097/01.nmd.0000131912.71344.e4 |
| format | Article |
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In this study, we examine the discriminant validity of the DSM-IV alcohol use disorder diagnoses in three different populations (98 patients from an alcohol treatment service, 68 nontreatment-seeking heavy drinkers, and 75 psychiatric outpatients). We compare the results of the DSM-IV classification with an alternative classification that requires craving and withdrawal for the diagnosis of dependence and at least two DSM-IV abuse-dependence symptoms for the diagnosis of abusethe Craving Withdrawal Model (CWM). Although the total prevalence of any alcohol use disorder did not differ between DSM-IV and CWM, the distinction between normality and abuse and between abuse and dependence was better for the CWM categories.</description><identifier>ISSN: 0022-3018</identifier><identifier>EISSN: 1539-736X</identifier><identifier>DOI: 10.1097/01.nmd.0000131912.71344.e4</identifier><identifier>PMID: 15232320</identifier><identifier>CODEN: JNMDAN</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Addictive behaviors ; Adult ; Adult and adolescent clinical studies ; Alcohol Drinking - adverse effects ; Alcohol Drinking - psychology ; Alcohol use ; Alcoholism ; Alcoholism - diagnosis ; Alcoholism - psychology ; Analysis of Variance ; Attitude to Health ; Behavior, Addictive - diagnosis ; Behavior, Addictive - psychology ; Biological and medical sciences ; Cross-Sectional Studies ; Diagnosis, Differential ; Diagnostic and Statistical Manual of Mental Disorders ; Ethanol - adverse effects ; Health Status ; Humans ; International Classification of Diseases ; Male ; Medical sciences ; Mental Disorders - diagnosis ; Mental Disorders - psychology ; Mental health care ; Middle Aged ; Psychiatric Status Rating Scales ; Psychology. Psychoanalysis. Psychiatry ; Psychometrics ; Psychopathology. Psychiatry ; Reproducibility of Results ; Substance abuse treatment ; Substance Withdrawal Syndrome - diagnosis ; Substance Withdrawal Syndrome - etiology ; Substance Withdrawal Syndrome - psychology ; Surveys and Questionnaires</subject><ispartof>The journal of nervous and mental disease, 2004-07, Vol.192 (7), p.494-502</ispartof><rights>2004 Lippincott Williams & Wilkins, Inc.</rights><rights>2004 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins Jul 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4177-6948e1dab4627623a0d93973cfa20d58e70402c7b1015d941c268f39ebcfb6063</citedby><cites>FETCH-LOGICAL-c4177-6948e1dab4627623a0d93973cfa20d58e70402c7b1015d941c268f39ebcfb6063</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15956266$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15232320$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>de Bruijn, Carla</creatorcontrib><creatorcontrib>Korzec, Alex</creatorcontrib><creatorcontrib>Koerselman, Frank</creatorcontrib><creatorcontrib>van Den Brink, Wim</creatorcontrib><title>Craving and Withdrawal as Core Symptoms of Alcohol Dependence</title><title>The journal of nervous and mental disease</title><addtitle>J Nerv Ment Dis</addtitle><description>There is ongoing debate regarding the validity of the distinction of alcohol abuse and dependence, the distinction between normality and alcohol abuse, and the absence of craving in the DSM-IV classification of alcohol use disorders. In this study, we examine the discriminant validity of the DSM-IV alcohol use disorder diagnoses in three different populations (98 patients from an alcohol treatment service, 68 nontreatment-seeking heavy drinkers, and 75 psychiatric outpatients). We compare the results of the DSM-IV classification with an alternative classification that requires craving and withdrawal for the diagnosis of dependence and at least two DSM-IV abuse-dependence symptoms for the diagnosis of abusethe Craving Withdrawal Model (CWM). Although the total prevalence of any alcohol use disorder did not differ between DSM-IV and CWM, the distinction between normality and abuse and between abuse and dependence was better for the CWM categories.</description><subject>Addictive behaviors</subject><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Alcohol Drinking - adverse effects</subject><subject>Alcohol Drinking - psychology</subject><subject>Alcohol use</subject><subject>Alcoholism</subject><subject>Alcoholism - diagnosis</subject><subject>Alcoholism - psychology</subject><subject>Analysis of Variance</subject><subject>Attitude to Health</subject><subject>Behavior, Addictive - diagnosis</subject><subject>Behavior, Addictive - psychology</subject><subject>Biological and medical sciences</subject><subject>Cross-Sectional Studies</subject><subject>Diagnosis, Differential</subject><subject>Diagnostic and Statistical Manual of Mental Disorders</subject><subject>Ethanol - adverse effects</subject><subject>Health Status</subject><subject>Humans</subject><subject>International Classification of Diseases</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mental Disorders - diagnosis</subject><subject>Mental Disorders - psychology</subject><subject>Mental health care</subject><subject>Middle Aged</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometrics</subject><subject>Psychopathology. Psychiatry</subject><subject>Reproducibility of Results</subject><subject>Substance abuse treatment</subject><subject>Substance Withdrawal Syndrome - diagnosis</subject><subject>Substance Withdrawal Syndrome - etiology</subject><subject>Substance Withdrawal Syndrome - psychology</subject><subject>Surveys and Questionnaires</subject><issn>0022-3018</issn><issn>1539-736X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpNkE2P0zAQhi0EYsvCX0DRShwTZmzHjpE4rMqntBIHQHCzHHtCuyRxsVOq_fe420qLfbBsPeN35mHsCqFBMPo1YDNPoYGyUKBB3mgUUjYkH7EVtsLUWqifj9kKgPNaAHYX7FnOtwXXQsJTdoEtF2XDir1dJ_d3O_-q3ByqH9tlE5I7uLFyuVrHRNXXu2m3xClXcaiuRx83caze0Y7mQLOn5-zJ4MZML87nJfv-4f239af65svHz-vrm9pL1LpWRnaEwfVSca24cBCMMFr4wXEIbUcaJHCvewRsg5HoueoGYaj3Q69AiUt2dfp3l-KfPeXF3sZ9mkuk5aBF14IUBXpzgnyKOSca7C5tJ5fuLII9irOAtoizD-LsvThLshS_PCfs-4nCQ-nZVAFenQGXvRuH5Ga_zf9xplVcHVuVJ-4Qx4VS_j3uD5Tshty4bO6jW2hFzaGMrMutPj5p8Q9rvoSU</recordid><startdate>200407</startdate><enddate>200407</enddate><creator>de Bruijn, Carla</creator><creator>Korzec, Alex</creator><creator>Koerselman, Frank</creator><creator>van Den Brink, Wim</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope></search><sort><creationdate>200407</creationdate><title>Craving and Withdrawal as Core Symptoms of Alcohol Dependence</title><author>de Bruijn, Carla ; Korzec, Alex ; Koerselman, Frank ; van Den Brink, Wim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4177-6948e1dab4627623a0d93973cfa20d58e70402c7b1015d941c268f39ebcfb6063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Addictive behaviors</topic><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Alcohol Drinking - adverse effects</topic><topic>Alcohol Drinking - psychology</topic><topic>Alcohol use</topic><topic>Alcoholism</topic><topic>Alcoholism - diagnosis</topic><topic>Alcoholism - psychology</topic><topic>Analysis of Variance</topic><topic>Attitude to Health</topic><topic>Behavior, Addictive - diagnosis</topic><topic>Behavior, Addictive - psychology</topic><topic>Biological and medical sciences</topic><topic>Cross-Sectional Studies</topic><topic>Diagnosis, Differential</topic><topic>Diagnostic and Statistical Manual of Mental Disorders</topic><topic>Ethanol - adverse effects</topic><topic>Health Status</topic><topic>Humans</topic><topic>International Classification of Diseases</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mental Disorders - diagnosis</topic><topic>Mental Disorders - psychology</topic><topic>Mental health care</topic><topic>Middle Aged</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychometrics</topic><topic>Psychopathology. Psychiatry</topic><topic>Reproducibility of Results</topic><topic>Substance abuse treatment</topic><topic>Substance Withdrawal Syndrome - diagnosis</topic><topic>Substance Withdrawal Syndrome - etiology</topic><topic>Substance Withdrawal Syndrome - psychology</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>de Bruijn, Carla</creatorcontrib><creatorcontrib>Korzec, Alex</creatorcontrib><creatorcontrib>Koerselman, Frank</creatorcontrib><creatorcontrib>van Den Brink, Wim</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>The journal of nervous and mental disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>de Bruijn, Carla</au><au>Korzec, Alex</au><au>Koerselman, Frank</au><au>van Den Brink, Wim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Craving and Withdrawal as Core Symptoms of Alcohol Dependence</atitle><jtitle>The journal of nervous and mental disease</jtitle><addtitle>J Nerv Ment Dis</addtitle><date>2004-07</date><risdate>2004</risdate><volume>192</volume><issue>7</issue><spage>494</spage><epage>502</epage><pages>494-502</pages><issn>0022-3018</issn><eissn>1539-736X</eissn><coden>JNMDAN</coden><abstract>There is ongoing debate regarding the validity of the distinction of alcohol abuse and dependence, the distinction between normality and alcohol abuse, and the absence of craving in the DSM-IV classification of alcohol use disorders. 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| subjects | Addictive behaviors Adult Adult and adolescent clinical studies Alcohol Drinking - adverse effects Alcohol Drinking - psychology Alcohol use Alcoholism Alcoholism - diagnosis Alcoholism - psychology Analysis of Variance Attitude to Health Behavior, Addictive - diagnosis Behavior, Addictive - psychology Biological and medical sciences Cross-Sectional Studies Diagnosis, Differential Diagnostic and Statistical Manual of Mental Disorders Ethanol - adverse effects Health Status Humans International Classification of Diseases Male Medical sciences Mental Disorders - diagnosis Mental Disorders - psychology Mental health care Middle Aged Psychiatric Status Rating Scales Psychology. Psychoanalysis. Psychiatry Psychometrics Psychopathology. Psychiatry Reproducibility of Results Substance abuse treatment Substance Withdrawal Syndrome - diagnosis Substance Withdrawal Syndrome - etiology Substance Withdrawal Syndrome - psychology Surveys and Questionnaires |
| title | Craving and Withdrawal as Core Symptoms of Alcohol Dependence |
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