Grant B F
Division of Biometry and Epidemiology, National Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland 20892, USA.
Alcohol Clin Exp Res. 1996 Nov;20(8):1481-8. doi: 10.1111/j.1530-0277.1996.tb01152.x.
This study assessed agreement between DSM-IV, DSM-III-R, and ICD-10 diagnoses of alcohol and drug use disorders using data from a large representative sample of the United States population. Agreement between the three diagnostic systems for dependence was good to excellent for past year, prior to the past year, and life-time diagnoses, for both genders, each ethnic group, and younger and older respondents. Cross-system comparisons between DSM-IV and DSM-III-R abuse were good to excellent, but concordance was consistently poor when ICD-10 harmful use diagnoses were compared with DSM-IV and DSM-III-R abuse diagnoses. Implications of these results are discussed in terms of the degree to which future research findings could be integrated with one another and the results from earlier studies using older versions of the DSM, to advance scientific knowledge in the drug and alcohol fields.
本研究利用来自美国人口的大型代表性样本数据，评估了《精神疾病诊断与统计手册》第四版（DSM-IV）、第三版修订本（DSM-III-R）和《国际疾病分类》第十版（ICD-10）对酒精和药物使用障碍诊断之间的一致性。对于过去一年、过去一年之前以及终生诊断，三种诊断系统在依赖方面的一致性，无论男女、各个种族群体以及年轻和年长受访者，均为良好至优秀。DSM-IV和DSM-III-R在滥用方面的跨系统比较良好至优秀，但将ICD-10有害使用诊断与DSM-IV和DSM-III-R滥用诊断进行比较时，一致性始终较差。将根据未来研究结果彼此整合的程度以及早期使用旧版DSM的研究结果，来讨论这些结果对推进药物和酒精领域科学知识的意义。
