The present study assesses the stability of the diagnosis of alcoholism among a sample of St Louis, USA Epidemiological Catchment Area Study participants.
The Diagnostic Interview Schedule was used at Time 1 and the Composite International Diagnostic Interview - Substance Abuse Module was used at 10-year follow-up.
Alcohol abuse and dependence were diagnosed using DSM-III criteria.
Kappa values and Yule's statistics for agreement in diagnoses, criterion groups and individual symptoms are reperted.
Fair to good measurement of agreement was shown for any diagnosis of alcohol abuser or dependence versus no diagnosis.
The criterion group for « impairment in social or occupational functionaing » showed the highest agreement of the three criterion groups studied.
Agreement was lower for individual symptoms of alcoholism.
Incident cases accounted for some of the inconsistency in responses over 10 years.
Other types of inconsistency found were changing response from yes to no, changing response from no to yes but not meeting the definition of an incident case, and misstating age of onset of symptoms.
Mean per cent inconsistency across all symptoms was 11.4%. Further research regarding reasons for inconsistencies is needed.
Mots-clés Pascal : Alcoolisme, Dépendance, Evolution, Long terme, Symptomatologie, Etude longitudinale, Homme, Epidémiologie
Mots-clés Pascal anglais : Alcoholism, Dependence, Evolution, Long term, Symptomatology, Follow up study, Human, Epidemiology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0332088
Code Inist : 002B18C05B. Création : 01/03/1996.