Concordance between ICD-10 alcohol and drug use disorder criteria and diagnoses as measured by the AUDADIS-ADR, CIDI and SCAN: results of a cross-national study

Drug Alcohol Depend. 1997 Sep 25;47(3):207-16. doi: 10.1016/s0376-8716(97)00091-4.

Abstract

Agreement between the AUDADIS-ADR, CIDI and SCAN in case identification for ICD-10 alcohol and drug use disorders and diagnostic criteria was investigated in three countries, Luxembourg, Greece and the US. Overall, agreement for ICD-10 dependence diagnoses between the three instruments was fair to good for alcohol, opioids and cocaine, but generally lower for dependence diagnoses for other substance. In contrast, concordance between instruments for harmful use diagnoses was extremely poor for all substances. Implications of these major findings are discussed in terms of the relationship between prevalence, reliability and concordance and indications and cautions regarding cross-instrument comparisons.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Alcoholism / diagnosis*
  • Alcoholism / epidemiology
  • Alcoholism / psychology
  • Cross-Cultural Comparison
  • Female
  • Greece / epidemiology
  • Humans
  • Illicit Drugs*
  • Luxembourg / epidemiology
  • Male
  • Middle Aged
  • Observer Variation
  • Psychiatric Status Rating Scales / statistics & numerical data*
  • Psychometrics
  • Psychotropic Drugs*
  • Reproducibility of Results
  • Substance-Related Disorders / diagnosis*
  • Substance-Related Disorders / epidemiology
  • Substance-Related Disorders / psychology
  • United States / epidemiology
  • World Health Organization

Substances

  • Illicit Drugs
  • Psychotropic Drugs