Psychometric evaluation of diagnostic criteria: application to a two-dimensional model of alcohol abuse and dependence
Psychometric investigations of diagnostic criteria can be helpful in the refinement of psychiatric instruments. This paper illustrates a methodology for investigating the measurement properties of a set of diagnostic criteria. The analyses are based on a two-dimensional factor analysis model for alc...
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| Veröffentlicht in: | Drug and alcohol dependence 1996-06, Vol.41 (2), p.101-112 |
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| container_title | Drug and alcohol dependence |
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| creator | MUTHEN, B. O |
| description | Psychometric investigations of diagnostic criteria can be helpful in the refinement of psychiatric instruments. This paper illustrates a methodology for investigating the measurement properties of a set of diagnostic criteria. The analyses are based on a two-dimensional factor analysis model for alcohol abuse and dependence. Based on this model, the methodology shows how cutpoints for diagnoses can be evaluated and defined, with which precision the criteria measure abuse and dependence, how well abuse without dependence can be measured, if the criteria should be weighted or not, if additional criteria are needed to improve measurement, if a smaller number of criteria could be used with almost as good results, and if diagnoses can be made with reliable results. The application of the methodology to the study of alcohol abuse and dependence in general population surveys shows important implications for diagnosis and prevalence estimation based on DSM criteria. |
| doi_str_mv | 10.1016/0376-8716(96)01226-4 |
| format | Article |
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O</creatorcontrib><title>Psychometric evaluation of diagnostic criteria: application to a two-dimensional model of alcohol abuse and dependence</title><title>Drug and alcohol dependence</title><addtitle>Drug Alcohol Depend</addtitle><description>Psychometric investigations of diagnostic criteria can be helpful in the refinement of psychiatric instruments. This paper illustrates a methodology for investigating the measurement properties of a set of diagnostic criteria. The analyses are based on a two-dimensional factor analysis model for alcohol abuse and dependence. Based on this model, the methodology shows how cutpoints for diagnoses can be evaluated and defined, with which precision the criteria measure abuse and dependence, how well abuse without dependence can be measured, if the criteria should be weighted or not, if additional criteria are needed to improve measurement, if a smaller number of criteria could be used with almost as good results, and if diagnoses can be made with reliable results. The application of the methodology to the study of alcohol abuse and dependence in general population surveys shows important implications for diagnosis and prevalence estimation based on DSM criteria.</description><subject>Alcohol abuse</subject><subject>Alcohol Withdrawal Delirium - diagnosis</subject><subject>Alcohol Withdrawal Delirium - psychology</subject><subject>Alcoholism - classification</subject><subject>Alcoholism - diagnosis</subject><subject>Alcoholism - psychology</subject><subject>Biological and medical sciences</subject><subject>Diagnosis</subject><subject>Diagnosis, Differential</subject><subject>Diagnostic criteria</subject><subject>Evaluation</subject><subject>Factor Analysis, Statistical</subject><subject>Factor model for alcohol abuse and dependence</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Models, Statistical</subject><subject>Nosology. Terminology. Diagnostic criteria</subject><subject>Personality Assessment - statistics & numerical data</subject><subject>Psychiatric Status Rating Scales - statistics & numerical data</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychometric evaluation</subject><subject>Psychometric tests</subject><subject>Psychometrics</subject><subject>Psychopathology. 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O</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-13b3d17a8a3a5751cc671f0929aead1391128b4db9c2dfdbda717a565309782f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Alcohol abuse</topic><topic>Alcohol Withdrawal Delirium - diagnosis</topic><topic>Alcohol Withdrawal Delirium - psychology</topic><topic>Alcoholism - classification</topic><topic>Alcoholism - diagnosis</topic><topic>Alcoholism - psychology</topic><topic>Biological and medical sciences</topic><topic>Diagnosis</topic><topic>Diagnosis, Differential</topic><topic>Diagnostic criteria</topic><topic>Evaluation</topic><topic>Factor Analysis, Statistical</topic><topic>Factor model for alcohol abuse and dependence</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Models, Statistical</topic><topic>Nosology. Terminology. Diagnostic criteria</topic><topic>Personality Assessment - statistics & numerical data</topic><topic>Psychiatric Status Rating Scales - statistics & numerical data</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychometric evaluation</topic><topic>Psychometric tests</topic><topic>Psychometrics</topic><topic>Psychopathology. Psychiatry</topic><topic>Reproducibility of Results</topic><topic>Techniques and methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MUTHEN, B. 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Based on this model, the methodology shows how cutpoints for diagnoses can be evaluated and defined, with which precision the criteria measure abuse and dependence, how well abuse without dependence can be measured, if the criteria should be weighted or not, if additional criteria are needed to improve measurement, if a smaller number of criteria could be used with almost as good results, and if diagnoses can be made with reliable results. The application of the methodology to the study of alcohol abuse and dependence in general population surveys shows important implications for diagnosis and prevalence estimation based on DSM criteria.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>8809498</pmid><doi>10.1016/0376-8716(96)01226-4</doi><tpages>12</tpages></addata></record> |
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| identifier | ISSN: 0376-8716 |
| ispartof | Drug and alcohol dependence, 1996-06, Vol.41 (2), p.101-112 |
| issn | 0376-8716 1879-0046 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Alcohol abuse Alcohol Withdrawal Delirium - diagnosis Alcohol Withdrawal Delirium - psychology Alcoholism - classification Alcoholism - diagnosis Alcoholism - psychology Biological and medical sciences Diagnosis Diagnosis, Differential Diagnostic criteria Evaluation Factor Analysis, Statistical Factor model for alcohol abuse and dependence Humans Medical sciences Models, Statistical Nosology. Terminology. Diagnostic criteria Personality Assessment - statistics & numerical data Psychiatric Status Rating Scales - statistics & numerical data Psychology. Psychoanalysis. Psychiatry Psychometric evaluation Psychometric tests Psychometrics Psychopathology. Psychiatry Reproducibility of Results Techniques and methods |
| title | Psychometric evaluation of diagnostic criteria: application to a two-dimensional model of alcohol abuse and dependence |
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