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Assessment of Withdrawal and Hangover is Confounded in the Alcohol Use Disorder and Associated Disabilities Interview Schedule: Withdrawal Prevalence is Likely Inflated.
- Source :
- Alcoholism: Clinical & Experimental Research; Aug2016, Vol. 40 Issue 8, p1691-1699, 9p
- Publication Year :
- 2016
-
Abstract
- Background The Alcohol Use Disorder and Associated Disabilities Interview Schedule- IV ( AUDADIS- IV) and AUDADIS-5 are diagnostic interviews used in major epidemiological and other studies of alcohol use disorder ( AUD). Much of what we know regarding the prevalence of AUD in the United States is based upon this interview. However, past research and meta-analytic evidence suggest that differential operationalization of the AUD criteria across instruments can lead to differential endorsement of symptoms and resulting AUD diagnosis rates. In particular, studies employing the AUDADIS are observed to have markedly higher endorsement rates of withdrawal than other large epidemiological studies. One explanation for this is that when assessing withdrawal, the AUDADIS combines effects from the morning after drinking with those from the days following, thereby conflating hangover and withdrawal. Methods This study addresses whether this operationalization confounds rates of endorsement when compared to simpler, less ambiguous hangover or withdrawal stems. To this aim, 497 college student drinkers were randomized into 1 of 3 stem conditions: (i) hangover ( n = 164), (ii) withdrawal ( n = 167), or (iii) combined AUDADIS- IV ( n = 166). Results Across conditions, participants were more likely to report the occurrence of each withdrawal symptom in the combined stem condition than in the explicit withdrawal stem condition, but not in the explicit hangover stem condition. Within the combined stem condition, probed symptoms were more likely to be reported as a result of a hangover. Conclusions The AUDADIS potentially results in false positives for withdrawal, arguably a pathognomonic symptom of alcoholism and, in turn, likely affects rates of the diagnosis of AUD. [ABSTRACT FROM AUTHOR]
- Subjects :
- CHI-squared test
DIAGNOSTIC errors
PROBABILITY theory
QUESTIONNAIRES
RESEARCH funding
STATISTICS
MATHEMATICAL variables
LOGISTIC regression analysis
ALCOHOL withdrawal syndrome
DATA analysis
RANDOMIZED controlled trials
UNDERGRADUATES
ALCOHOL-induced disorders
DESCRIPTIVE statistics
ALCOHOLIC intoxication
ODDS ratio
SYMPTOMS
DIAGNOSIS
Subjects
Details
- Language :
- English
- Volume :
- 40
- Issue :
- 8
- Database :
- Complementary Index
- Journal :
- Alcoholism: Clinical & Experimental Research
- Publication Type :
- Academic Journal
- Accession number :
- 116973298
- Full Text :
- https://doi.org/10.1111/acer.13121