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Procedural validity of the AUDADIS-5 depression, anxiety and post-traumatic stress disorder modules: Substance abusers and others in the general population.
Drug Alcohol Depend. 2015 Jul 01; 152:246-56.DA

Abstract

BACKGROUND

Little is known about the procedural validity of lay-administered, fully-structured assessments of depressive, anxiety and post-traumatic stress (PTSD) disorders in the general population as determined by comparison with clinical re-appraisal, and whether this differs between current regular substance abusers and others. We evaluated the procedural validity of the Alcohol Use Disorder and Associated Disabilities Interview Schedule, DSM-5 Version (AUDADIS-5) assessment of these disorders through clinician re-interviews.

METHODS

Test-retest design among respondents from the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III): (264 current regular substance abusers, 447 others). Clinicians blinded to AUDADIS-5 results administered the semi-structured Psychiatric Research Interview for Substance and Mental Disorders, DSM-5 version (PRISM-5). AUDADIS-5/PRISM-5 concordance was indicated by kappa (κ) for diagnoses and intraclass correlation coefficients (ICC) for dimensional measures (DSM-5 symptom or criterion counts). Results were compared between current regular substance abusers and others.

RESULTS

AUDADIS-5 and PRISM-5 concordance for DSM-5 depressive disorders, anxiety disorders and PTSD was generally fair to moderate (κ=0.24-0.59), with concordance on dimensional scales much better (ICC=0.53-0.81). Concordance differed little between regular substance abusers and others.

CONCLUSIONS

AUDADIS-5/PRISM-5 concordance indicated procedural validity for the AUDADIS-5 among substance abusers and others, suggesting that AUDADIS-5 diagnoses of DSM-5 depressive, anxiety and PTSD diagnoses are informative measures in both groups in epidemiological studies. The stronger concordance on dimensional measures supports the current movement toward dimensional psychopathology measures, suggesting that such measures provide important information for research in the NESARC-III and other datasets, and possibly for clinical purposes as well.

Authors+Show Affiliations

Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA; Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY 10032, USA; New York State Psychiatric Institute, New York, NY 10032, USA. Electronic address: deborah.hasin@gmail.com.Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA; New York State Psychiatric Institute, New York, NY 10032, USA.New York State Psychiatric Institute, New York, NY 10032, USA.New York State Psychiatric Institute, New York, NY 10032, USA.New York State Psychiatric Institute, New York, NY 10032, USA.New York State Psychiatric Institute, New York, NY 10032, USA.Laboratory of Epidemiology and Biometry, National Institute on Alcohol Abuse and Alcoholism, Bethesda, MD 20892, USA.Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA; New York State Psychiatric Institute, New York, NY 10032, USA.Laboratory of Epidemiology and Biometry, National Institute on Alcohol Abuse and Alcoholism, Bethesda, MD 20892, USA.Laboratory of Epidemiology and Biometry, National Institute on Alcohol Abuse and Alcoholism, Bethesda, MD 20892, USA.Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA; New York State Psychiatric Institute, New York, NY 10032, USA.Laboratory of Epidemiology and Biometry, National Institute on Alcohol Abuse and Alcoholism, Bethesda, MD 20892, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Validation Study

Language

eng

PubMed ID

25939727

Citation

Hasin, Deborah S., et al. "Procedural Validity of the AUDADIS-5 Depression, Anxiety and Post-traumatic Stress Disorder Modules: Substance Abusers and Others in the General Population." Drug and Alcohol Dependence, vol. 152, 2015, pp. 246-56.
Hasin DS, Shmulewitz D, Stohl M, et al. Procedural validity of the AUDADIS-5 depression, anxiety and post-traumatic stress disorder modules: Substance abusers and others in the general population. Drug Alcohol Depend. 2015;152:246-56.
Hasin, D. S., Shmulewitz, D., Stohl, M., Greenstein, E., Aivadyan, C., Morita, K., Saha, T., Aharonovich, E., Jung, J., Zhang, H., Nunes, E. V., & Grant, B. F. (2015). Procedural validity of the AUDADIS-5 depression, anxiety and post-traumatic stress disorder modules: Substance abusers and others in the general population. Drug and Alcohol Dependence, 152, 246-56. https://doi.org/10.1016/j.drugalcdep.2015.03.027
Hasin DS, et al. Procedural Validity of the AUDADIS-5 Depression, Anxiety and Post-traumatic Stress Disorder Modules: Substance Abusers and Others in the General Population. Drug Alcohol Depend. 2015 Jul 1;152:246-56. PubMed PMID: 25939727.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Procedural validity of the AUDADIS-5 depression, anxiety and post-traumatic stress disorder modules: Substance abusers and others in the general population. AU - Hasin,Deborah S, AU - Shmulewitz,Dvora, AU - Stohl,Malka, AU - Greenstein,Eliana, AU - Aivadyan,Christina, AU - Morita,Kara, AU - Saha,Tulshi, AU - Aharonovich,Efrat, AU - Jung,Jeesun, AU - Zhang,Haitao, AU - Nunes,Edward V, AU - Grant,Bridget F, Y1 - 2015/04/06/ PY - 2015/01/23/received PY - 2015/03/16/revised PY - 2015/03/27/accepted PY - 2015/5/6/entrez PY - 2015/5/6/pubmed PY - 2016/2/9/medline KW - Alcohol Use Disorder and Associated Disabilities Interview Schedule-5 KW - Alcohol use disorder KW - Psychiatric Research Interview for Substance and Mental Disorders-5 KW - Reliability KW - Substance use disorder KW - Validity SP - 246 EP - 56 JF - Drug and alcohol dependence JO - Drug Alcohol Depend VL - 152 N2 - BACKGROUND: Little is known about the procedural validity of lay-administered, fully-structured assessments of depressive, anxiety and post-traumatic stress (PTSD) disorders in the general population as determined by comparison with clinical re-appraisal, and whether this differs between current regular substance abusers and others. We evaluated the procedural validity of the Alcohol Use Disorder and Associated Disabilities Interview Schedule, DSM-5 Version (AUDADIS-5) assessment of these disorders through clinician re-interviews. METHODS: Test-retest design among respondents from the National Epidemiologic Survey on Alcohol and Related Conditions-III (NESARC-III): (264 current regular substance abusers, 447 others). Clinicians blinded to AUDADIS-5 results administered the semi-structured Psychiatric Research Interview for Substance and Mental Disorders, DSM-5 version (PRISM-5). AUDADIS-5/PRISM-5 concordance was indicated by kappa (κ) for diagnoses and intraclass correlation coefficients (ICC) for dimensional measures (DSM-5 symptom or criterion counts). Results were compared between current regular substance abusers and others. RESULTS: AUDADIS-5 and PRISM-5 concordance for DSM-5 depressive disorders, anxiety disorders and PTSD was generally fair to moderate (κ=0.24-0.59), with concordance on dimensional scales much better (ICC=0.53-0.81). Concordance differed little between regular substance abusers and others. CONCLUSIONS: AUDADIS-5/PRISM-5 concordance indicated procedural validity for the AUDADIS-5 among substance abusers and others, suggesting that AUDADIS-5 diagnoses of DSM-5 depressive, anxiety and PTSD diagnoses are informative measures in both groups in epidemiological studies. The stronger concordance on dimensional measures supports the current movement toward dimensional psychopathology measures, suggesting that such measures provide important information for research in the NESARC-III and other datasets, and possibly for clinical purposes as well. SN - 1879-0046 UR - https://www.unboundmedicine.com/medline/citation/25939727/Procedural_validity_of_the_AUDADIS_5_depression_anxiety_and_post_traumatic_stress_disorder_modules:_Substance_abusers_and_others_in_the_general_population_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0376-8716(15)00183-0 DB - PRIME DP - Unbound Medicine ER -