Item Response Theory analyses of DSM-5 substance use disorder criteria in French outpatient addiction clinic participants. How much is craving special?
Adult
Ambulatory Care Facilities
/ trends
Behavior, Addictive
/ epidemiology
Cohort Studies
Comorbidity
Craving
/ physiology
Cross-Sectional Studies
Diagnostic and Statistical Manual of Mental Disorders
Female
France
/ epidemiology
Humans
Male
Outpatients
/ psychology
Prospective Studies
Psychiatric Status Rating Scales
Substance Abuse Treatment Centers
/ trends
Substance-Related Disorders
/ epidemiology
Tobacco Use Disorder
/ epidemiology
Craving
DSM-5
Diagnostic criteria
Item response theory
Psychiatric comorbidities
Substance use disorder
Journal
Drug and alcohol dependence
ISSN: 1879-0046
Titre abrégé: Drug Alcohol Depend
Pays: Ireland
ID NLM: 7513587
Informations de publication
Date de publication:
01 07 2020
01 07 2020
Historique:
received:
25
09
2019
revised:
15
04
2020
accepted:
16
04
2020
pubmed:
29
5
2020
medline:
2
3
2021
entrez:
29
5
2020
Statut:
ppublish
Résumé
To evaluate the dimensionality and psychometric validity of the 11 DSM-5 criteria for 5 substance use disorders, with a focus on craving, and taking into account age, gender and psychiatric comorbidities in a French sample of subjects seeking addiction treatment. This cross-sectional study, included participants with DSM-5 substance use disorders that sought treatment for at least one addiction from outpatient clinics. Diagnostic criteria were evaluated with the Mini international Neuropsychiatric Interview. In Current regular user (2 times per week), factor and 2-parameter IRT analysis was used to investigate the dimensionality and psychometric properties of the 11 DSM-5 SUD criteria. Differential Item and Test functioning (DIF and DTF) analysis were performed across sociodemographic characteristics and psychiatric disorders. 1359 participants (alcohol n = 787, opiates n = 131, cocaine n = 141, tobacco n = 1014, cannabis n = 504), were included (68% male; mean age 38.7). One-factor dimensionality was confirmed, except for tobacco. Craving criterion had the strongest factor loadings, lower difficulty (range, -1.29 to -0.67) and higher discrimination (range, 2.11-3.05), and no DIF compared to other criteria. The tobacco criteria set functioned differently by mood and anxiety disorders. We confirmed the unidimensionality of the 11 SUD DSM-5 criteria and furthermore that craving was the most selective criterion because of its psychometric properties and no DIF compared to other criteria, regardless of the substance in this adult clinical sample. Unidimensionality of tobacco criteria was not confirmed, suggesting DSM-IV abuse criteria limitations as indicators of the construct.
Sections du résumé
BACKGROUND
To evaluate the dimensionality and psychometric validity of the 11 DSM-5 criteria for 5 substance use disorders, with a focus on craving, and taking into account age, gender and psychiatric comorbidities in a French sample of subjects seeking addiction treatment.
METHODS
This cross-sectional study, included participants with DSM-5 substance use disorders that sought treatment for at least one addiction from outpatient clinics. Diagnostic criteria were evaluated with the Mini international Neuropsychiatric Interview. In Current regular user (2 times per week), factor and 2-parameter IRT analysis was used to investigate the dimensionality and psychometric properties of the 11 DSM-5 SUD criteria. Differential Item and Test functioning (DIF and DTF) analysis were performed across sociodemographic characteristics and psychiatric disorders.
RESULTS
1359 participants (alcohol n = 787, opiates n = 131, cocaine n = 141, tobacco n = 1014, cannabis n = 504), were included (68% male; mean age 38.7). One-factor dimensionality was confirmed, except for tobacco. Craving criterion had the strongest factor loadings, lower difficulty (range, -1.29 to -0.67) and higher discrimination (range, 2.11-3.05), and no DIF compared to other criteria. The tobacco criteria set functioned differently by mood and anxiety disorders.
CONCLUSIONS
We confirmed the unidimensionality of the 11 SUD DSM-5 criteria and furthermore that craving was the most selective criterion because of its psychometric properties and no DIF compared to other criteria, regardless of the substance in this adult clinical sample. Unidimensionality of tobacco criteria was not confirmed, suggesting DSM-IV abuse criteria limitations as indicators of the construct.
Identifiants
pubmed: 32464467
pii: S0376-8716(20)30201-5
doi: 10.1016/j.drugalcdep.2020.108036
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
108036Subventions
Organisme : NIAAA NIH HHS
ID : R01 AA025309
Pays : United States
Organisme : NIDA NIH HHS
ID : R01 DA018652
Pays : United States
Informations de copyright
Copyright © 2020 Elsevier B.V. All rights reserved.
Déclaration de conflit d'intérêts
Declarations of competing interest No author reports conflicts of interest related to this work. Dr. Auriacombe reports grants from French Health Ministry Research Grant (PHRC), French Addiction Agency Research Grant (MILDT/MILDECA), Aquitaine Regional Council Research Support (CRA), during the conduct of the study; grants from Indivior, personal fees from Bouchara Recordati, Camurus, Indivior outside the submitted work; Dr. Serre reports grants and personal fees from French Government Addiction Agency MILDECA, during the conduct of the study; Dr. Hasin reports grants from NIH - NIAAA, during the conduct of the study; Dr. Kervran reports grant from French Rotary club of Saint Medard-En-Jalles and Libourne-Saint Emilion during the conduct of the study.