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. 2001 Feb 1;61(3):237-48.
doi: 10.1016/s0376-8716(00)00143-5.

Concordance between DSM-III-R and DSM-IV diagnoses of substance use disorders in adolescents

S K Mikulich  1 , S K Hall, E A Whitmore, T J Crowley
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Concordance between DSM-III-R and DSM-IV diagnoses of substance use disorders in adolescents

S K Mikulich et al. Drug Alcohol Depend. .

Abstract

Except for cannabis and alcohol, concordance between DSM-III-R and DSM-IV substance use disorder diagnoses has not been reported in adolescents. We assessed a clinical sample of 102 adolescents using CIDI-SAM. Prevalence of either an abuse or dependence diagnosis was lower with DSM-IV than DSM-III-R except for cannabis and alcohol, and concordance rates were better for dependence than for abuse. For most substances, rates of DSM-IV withdrawal were lower than in DSM-III-R, but rates of DSM-IV physiological dependence remained high. Changes in DSM-IV criteria appear to have impacted diagnoses in these adolescents, particularly for the substances they use most--i.e. alcohol, tobacco, and cannabis.

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