Does DSM-5 Nomenclature for Inhalant Use Disorder Improve Upon DSM-IV?
Identifieur interne : 003300 ( Main/Exploration ); précédent : 003299; suivant : 003301Does DSM-5 Nomenclature for Inhalant Use Disorder Improve Upon DSM-IV?
Auteurs : Ty A. Ridenour [États-Unis] ; Amanda Halliburton [États-Unis] ; Bethany C. Bray [États-Unis]Source :
- Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors [ 0893-164X ] ; 2014.
Abstract
Among drug classes, substance use disorder (SUD) consequent to using inhalants (SUD-I) has perhaps the smallest evidence base. This study compared SUD-IV vs. SUD-5 nomenclatures, testing whether four traditional categories of inhalants (aerosols, gases, nitrites, solvents) are manifestations of a single pathology, obtaining item parameters of SUD-I criteria, and presenting evidence that SUD can result from using nitrites. An urban, Midwestern, community sample of 162 inhalant users was recruited. Participants were 2/3 male, nearly 85% Caucasian, and had a mean age of 20.3 years (SD=2.4 years), spanning the ages of greatest incidence of SUD and slightly older than the primary ages of inhalants use initiation. Analyses consisted of bivariate associations, principle components analysis, and item response theory analysis. Validity was demonstrated for SUD-I consequent to each inhalant type as well as for aggregating all inhalant types into a single drug class. Results supported DSM-5 nomenclature over DSM-IV in multiple ways except that occurrence of diagnostic orphans was not statistically smaller using DSM-5.
Url:
DOI: 10.1037/adb0000007
PubMed: 25134040
PubMed Central: 4333138
Affiliations:
- États-Unis
- Caroline du Nord, Pennsylvanie, Virginie
- Pittsburgh, University Park (Pennsylvanie)
- Université d'État de Pennsylvanie, Université de Pittsburgh
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<front><div type="abstract" xml:lang="en"><p id="P1">Among drug classes, substance use disorder (SUD) consequent to using inhalants (SUD-I) has perhaps the smallest evidence base. This study compared SUD-IV vs. SUD-5 nomenclatures, testing whether four traditional categories of inhalants (aerosols, gases, nitrites, solvents) are manifestations of a single pathology, obtaining item parameters of SUD-I criteria, and presenting evidence that SUD can result from using nitrites. An urban, Midwestern, community sample of 162 inhalant users was recruited. Participants were 2/3 male, nearly 85% Caucasian, and had a mean age of 20.3 years (SD=2.4 years), spanning the ages of greatest incidence of SUD and slightly older than the primary ages of inhalants use initiation. Analyses consisted of bivariate associations, principle components analysis, and item response theory analysis. Validity was demonstrated for SUD-I consequent to each inhalant type as well as for aggregating all inhalant types into a single drug class. Results supported DSM-5 nomenclature over DSM-IV in multiple ways except that occurrence of diagnostic orphans was not statistically smaller using DSM-5.</p>
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