TY - JOUR
T1 - Limitations of lifetime alcohol use disorder assessments
T2 - A criterion-validation study
AU - Haeny, Angela M.
AU - Littlefield, Andrew K.
AU - Sher, Kenneth J.
N1 - Publisher Copyright:
© 2016 Elsevier Ltd.
PY - 2016/8/1
Y1 - 2016/8/1
N2 - The goal of the present study was to compare etiologically and clinically relevant correlates of lifetime AUD (e.g., alcohol consumption, personality traits, psychiatric disorders) based on a single assessment compared to a cumulative, prospective assessment of lifetime AUD. Data were drawn from the Alcohol, Health and Behavior (AHB; baseline N = 489) study, which consisted of a prospective cohort of college students assessed seven times over a 16-year period ([M(SD) age at baseline = 18.56 (97)] and [M(SD) age at final assessment = 34.33 (82)]). The participants were assessed using the Diagnostic Interview Schedule (DIS) for DSM-III at Waves 1-7 and for DSM-IV at Waves 6-7. A single assessment and cumulative assessments of DSM-III lifetime AUD at Wave 6 (M[SD] age = 28.98 [1.03]) were used to predict past-year alcohol related variables (e.g., alcohol consumption, drinking motives, drinking expectancies), personality variables, general functioning, lifetime substance use, and lifetime psychiatric disorders at Wave 7. Significantly larger correlations were found between the cumulative assessment and eight of the 25 etiologically relevant correlates of AUD compared to the single assessment. Further, significant incremental validity of cumulative assessment over single, retrospective assessment was observed for 16 of the 25 covariates. Overall, this study provides further support for the value of using prospective data with multiple assessments when determining lifetime history of disorder.
AB - The goal of the present study was to compare etiologically and clinically relevant correlates of lifetime AUD (e.g., alcohol consumption, personality traits, psychiatric disorders) based on a single assessment compared to a cumulative, prospective assessment of lifetime AUD. Data were drawn from the Alcohol, Health and Behavior (AHB; baseline N = 489) study, which consisted of a prospective cohort of college students assessed seven times over a 16-year period ([M(SD) age at baseline = 18.56 (97)] and [M(SD) age at final assessment = 34.33 (82)]). The participants were assessed using the Diagnostic Interview Schedule (DIS) for DSM-III at Waves 1-7 and for DSM-IV at Waves 6-7. A single assessment and cumulative assessments of DSM-III lifetime AUD at Wave 6 (M[SD] age = 28.98 [1.03]) were used to predict past-year alcohol related variables (e.g., alcohol consumption, drinking motives, drinking expectancies), personality variables, general functioning, lifetime substance use, and lifetime psychiatric disorders at Wave 7. Significantly larger correlations were found between the cumulative assessment and eight of the 25 etiologically relevant correlates of AUD compared to the single assessment. Further, significant incremental validity of cumulative assessment over single, retrospective assessment was observed for 16 of the 25 covariates. Overall, this study provides further support for the value of using prospective data with multiple assessments when determining lifetime history of disorder.
KW - Lifetime alcohol use disorder
KW - Prospective assessment
KW - Reliability
KW - Validity
UR - http://www.scopus.com/inward/record.url?scp=84962816280&partnerID=8YFLogxK
U2 - 10.1016/j.addbeh.2016.03.021
DO - 10.1016/j.addbeh.2016.03.021
M3 - Article
C2 - 27082748
AN - SCOPUS:84962816280
SN - 0306-4603
VL - 59
SP - 95
EP - 99
JO - Addictive Behaviors
JF - Addictive Behaviors
ER -