Schuckit M A, Hesselbrock V, Tipp J, Anthenelli R, Bucholz K, Radziminski S
UCSD School of Medicine, Alcohol Research Center 92161.
Addiction. 1994 Dec;89(12):1629-38. doi: 10.1111/j.1360-0443.1994.tb03764.x.
A research interview was used to evaluate the relationships between DSM-IV, DSM-III-R and ICD-10 diagnostic criteria for substance use disorders. The sample of 1992 subjects, including both men and women, was composed of subjects and their relatives from the Collaborative Study on the Genetics of Alcoholism (COGA) study. With regard to diagnoses of substance dependence, the analyses revealed tha the proportions of individuals diagnosed in the three systems were similar, with the highest numbers observed for DSM-III-R, the lowest for ICD-10 and the figures for DSM-IV between the two. The kappas for dependence diagnoses ranged from 0.54 to 0.83, with the majority at 0.7 and higher, indicating that the same subjects were being given the same labels in the three systems. However, the criteria for abuse or harmful use resulted in rather disparate proportions labeled across the three systems, with kappas that rarely exceeded 0.10.
一项研究访谈被用于评估《精神疾病诊断与统计手册》第四版（DSM-IV）、《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）和《国际疾病分类》第十版（ICD-10）中物质使用障碍诊断标准之间的关系。1992名受试者的样本包括男性和女性，由来自酒精中毒遗传学合作研究（COGA）的受试者及其亲属组成。关于物质依赖的诊断，分析显示在这三个系统中被诊断出的个体比例相似，其中DSM-III-R诊断出的人数最多，ICD-10诊断出的人数最少，DSM-IV诊断出的人数介于两者之间。依赖诊断的卡帕值范围为0.54至0.83，大多数在0.7及以上，这表明在这三个系统中相同的受试者被给予了相同的标签。然而，滥用或有害使用的标准导致在这三个系统中被标记的比例差异很大，卡帕值很少超过0.10。
