Abstract
With proposed criteria for DSM-IV substance dependence imminent, an evaluation of the impact of changes from DSM-III to DSM-III-R would be informative. Recent admissions to St. Louis drug treatment centers were interviewed with the DIS-III-R, which covers criteria from both systems. Kappa values for system agreement, diagnostic overlap and percent positive agreement are reported by substance. The DSM-III-R system cast a wider net for dependence than DSM-III for alcohol, tobacco and amphetamines. Neither system predominated for cannabis, opioids and barbiturates/sedatives/hypnotics. Reasons for differences and implications of findings are discussed.
Publication types
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Comparative Study
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Research Support, Non-U.S. Gov't
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Research Support, U.S. Gov't, P.H.S.
MeSH terms
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Adolescent
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Adult
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Alcoholism / classification
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Alcoholism / diagnosis
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Alcoholism / psychology
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Comorbidity
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Drug Tolerance
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Female
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HIV Seroprevalence
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Humans
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Male
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Mental Disorders / classification
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Mental Disorders / diagnosis
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Mental Disorders / psychology
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Psychiatric Status Rating Scales / statistics & numerical data*
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Psychotropic Drugs* / adverse effects
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Sexual Partners / psychology
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Substance Withdrawal Syndrome / classification
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Substance Withdrawal Syndrome / diagnosis
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Substance Withdrawal Syndrome / psychology
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Substance-Related Disorders / classification
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Substance-Related Disorders / diagnosis*
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Substance-Related Disorders / psychology