Evidence of DSM-5 and ICD-11 concurrent validity among Argentineans seeking treatment for alcohol use disorders

Authors

  • Tomás Salomon Universidad Nacional de Mar del Plata. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Psicología Básica, Aplicada y Tecnología. Mar del Plata. Argentina. https://orcid.org/0000-0003-0797-8581
  • Mariana Cremonte Universidad Nacional de Mar del Plata. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Psicología Básica, Aplicada y Tecnología. Mar del Plata. Argentina. https://orcid.org/0000-0001-5853-1873
  • Karina Conde Universidad Nacional de Mar del Plata. Consejo Nacional de Investigaciones Científicas y Técnicas. Instituto de Psicología Básica, Aplicada y Tecnología. Mar del Plata. Argentina. https://orcid.org/0000-0003-1913-8328

DOI:

https://doi.org/10.53732/rccsalud/2024.e6132

Keywords:

alcohol-related disorders, diagnostic and statistical manual of mental disorders, international classification of diseases, psychological distress

Abstract

Current efforts to better understand alcohol use disorder (AUD) have led to revisions of the most used classification systems, the DSM and the ICD. There is scarce information regarding how the latest versions of those two classification systems (DSM-5 and ICD-11) relate to functional characteristics (functional impairment (FI) and subjective distress (SD)) associated with AUD. Aim: To examine how the primary diagnostic system’s criteria (DSM) and guidelines (ICD) were related to two functional characteristics (FI and SD) as evidence of these systems' concurrent validity in Argentineans with AUD. Methods: We conducted a cross-sectional correlational study with a clinical sample (n=34) in 2018. Results: AUD's severity was more strongly related to SD than FI. FI was weakly related to the criterion of much time spent using it. We found weak associations between SD and role impairment, interpersonal problems, tolerance, and physical or psychological problems due to use, withdrawal, and much time spent using. Only one of the ICD guidelines was weakly related to SD, and we found moderate positive correlations between DSM-5 and FI and between DSM-5 and SD. Conclusion: DSM-5 was more accurate than ICD-11 in identifying those with higher levels of FI and SD and, thus, had a greater concurrent validity among a clinical sample of Argentineans with AUD. Our results contribute to a better understanding of the detection of alcohol-related conditions.

References

World Health Organization. Global status report on alcohol and health 2018. World Health Organization. 2019. https://www.who.int/publications/i/item/9789241565639

Rehm J, Manthey J, Struzzo P, Gual A, Wojnar M. Who receives treatment for alcohol use disorders in the European Union? A cross-sectional representative study in primary and specialized health care. Eur Psychiatry. 2015;30(8):885-893. https://doi.org/10.1016/j.eurpsy.2015.07.012

Conde K, Salomón T, Civetta E, Blanco M, Cremonte M. Time to get help? Help-seeking process in Latin American hospital patients with alcohol use disorder. Int J Ment Health Addict. 2020;18(2):328-335. https://doi.org/10.1007/s11469-019-00157-3

Kelly JF, Greene MC, Bergman BG, White WL, Hoeppner BB. How many recovery attempts does it take to successfully resolve an alcohol or drug problem? Estimates and correlates from a national study of recovering US adults. Alcohol Clin Exp Res. 2019;43(7):1533-1544. https://pubmed.ncbi.nlm.nih.gov/31090945/

Saunders JB, Degenhardt L, Reed GM, Poznyak V. Alcohol use disorders in ICD‐11: Past, present, and future. Alcohol Clin Exp Res. 2019;43(8):1617-1631. https://pubmed.ncbi.nlm.nih.gov/31194891/

American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5®). American Psychiatric Pub; 2013. https://doi.org/10.1176/appi.books.9780890425596

World Health Organization. International classification of diseases, 11th revision (ICD-11). ICD-11 is here. Geneva: World Health Organization; 2018. https://icd.who.int/en

Mannes ZL, Shmulewitz D, Livne O, Stohl M, Hasin DS. Correlates of mild, moderate, and severe Alcohol Use Disorder among adults with problem substance use: Validity implications for DSM‐5. Alcohol Clin Exp Res. 2021;45(10):2118-2129. https://pubmed.ncbi.nlm.nih.gov/34581461/

Balhara YP, Singh S, Modak T, Sarkar S. A cross-sectional study to assess disability and its correlates among treatment-seeking individuals with alcohol use disorders. Indian J Psychol Med. 2017;39(1):40-45. https://pubmed.ncbi.nlm.nih.gov/28250557/

Verplaetse TL, Peltier MR, Roberts W, Pittman B, McKee SA. Gender and past year serious psychological distress are associated with past year AUD: time-varying results from the National Survey on Drug Use and Health (NSDUH; 2008–2017). Addict Behav. 2021;116:106815. https://doi.org/10.1016/j.addbeh.2020.106815

World Health Organization. Measuring health and disability: Manual for WHO disability assessment schedule WHODAS 2.0. World Health Organization; 2010. https://www.who.int/publications/i/item/measuring-health-and-disability-manual-for-who-disability-assessment-schedule-(-whodas-2.0)

Aranguren M. Adaptación argentina de la escala de malestar psicológico de Kessler K10. PSICO. 2010;28(2):308-340. https://doi.org/10.18800/psico.201002.005

Piumatti G, Lietz F, Aresi G, Bjegovic-Mikanovic V. Alcohol use, psychological distress, and subjective well-being among young adult university students: A cross-national study between Serbia and Italy. J Ethn Subst Abuse. 2019;18(4):511-529. https://europepmc.org/article/MED/29308994

Sampasa-Kanyinga H, Zamorski MA, Colman I. Mental disorder, psychological distress, and functional status in Canadian military personnel. Can J Psychiatry. 2018;63(9):620-628. https://pubmed.ncbi.nlm.nih.gov/29490473/

Boness CL, Lane SP, Sher KJ. Not all alcohol use disorder criteria are equally severe: Toward severity grading of individual criteria in college drinkers. Psychol Addict Behav. 2019;33(1):35-49. https://doi.org/10.1037/adb0000443

Kessler RC, Üstün TB. The World Mental Health (WMH) survey initiative version of the World Health Organization (WHO) Composite International Diagnostic Interview (CIDI). Int J Methods Psychiatr Res. 2004;13(2):93-121. https://pubmed.ncbi.nlm.nih.gov/15297906/

Silveira C, Souza RT, Costa ML, Parpinelli MA, Pacagnella RC, Ferreira EC, et al. Validation of the WHO Disability Assessment Schedule (WHODAS 2.0) 12‐item tool against the 36‐item version for measuring functioning and disability associated with pregnancy and history of severe maternal morbidity. Int J Gynecol Obstet. 2018;141 (Suppl 1):39-47. https://doi.org/10.1002/ijgo.12465

Subramaniam M, Abdin E, Vaingankar JA, Sagayadevan V, Shahwan S, Picco L, et al. Validation of the World Health Organization Disability Assessment Schedule 2.0 among older adults in an Asian country. Singapore Med J. 2019;61(5):246-253. https://pubmed.ncbi.nlm.nih.gov/31197373/

Hajebi A, Motevalian A, Amin‐Esmaeili M, Rahimi‐Movaghar A, Sharifi V, Hoseini L, et al. Adaptation and validation of short scales for the assessment of psychological distress in Iran: The Persian K10 and K6. Int J Methods Psychiatr Res. 2018;27(3):e1726. https://pubmed.ncbi.nlm.nih.gov/29888523/

Thelin C, Mikkelsen B, Laier G, Turgut L, Henriksen B, Olsen LR, et al. Danish translation and validation of Kessler's 10-item psychological distress scale–K10. Nord J Psychiatry. 2017;71(6):411-416. https://pubmed.ncbi.nlm.nih.gov/28417648/

Vittinghoff E, McCulloch CE. Relaxing the rule of ten events per variable in logistic and Cox regression. Am J Epidemiol. 2007;165(6):710-718. https://doi.org/10.1093/aje/kwk052

Brumback T, Cao D, McNamara P, King A. Alcohol-induced performance impairment: A 5-year re-examination study in heavy and light drinkers. Psychopharmacology. 2017;234(11):1749-1759. https://doi.org/10.1007/s00213-017-4577-x

Franco S, Olfson M, Wall MM, Wang S, Hoertel N, Blanco C. Shared and specific associations of substance use disorders on adverse outcomes: A national prospective study. Drug Alcohol Depend. 2019;201:212-219. https://doi.org/10.1016/j.drugalcdep.2019.03.003

Published

2024-02-15

How to Cite

Salomon, T., Cremonte, M., & Conde, K. (2024). Evidence of DSM-5 and ICD-11 concurrent validity among Argentineans seeking treatment for alcohol use disorders. Revista científica Ciencias De La Salud, 6, 01–07. https://doi.org/10.53732/rccsalud/2024.e6132