By John B. Saunders, Marc A. Schuckit, Paul J. Sirovatka, and Darrel A. Regier, Darrel A. Regier
Inviting assistance from colleagues world wide, the concise Diagnostic concerns in Substance Use Disorders is a part of the hot sequence, Advancing the learn schedule for DSM-V. Its 19 chapters through a global crew of specialists are designed to stimulate questions that would support advisor study on the topic of the advance of the following variations of the Diagnostic and Statistical guide of psychological Disorders (DSM-V) and the overseas class of ailments (ICD-11), with the objective of making sure that the most important substance use diagnoses characterize an analogous situation in either references.
those 19 chapters conceal 10 significant matters: specific as opposed to dimensional diagnoses, the neurobiological foundation of substance use problems, social and cultural views, the crosswalk among DSM-IV and ICD-10, comorbidity of substance use issues and psychological wellbeing and fitness issues, subtypes of issues, concerns in early life, substance-specific standards, where of non-substance-related addictive problems, and on hand study resources.
the belief offers a generally dependent examine schedule for constructing diagnostic techniques and standards for substance use problems. This deeply informative compendium distills the paintings performed from 2002 to overdue 2005 and concludes with strategies for constructing examine actions that may tell DSM-V and destiny variations of the guide. As such, it is going to end up valuable for clinicians and researchers in all places
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Extra resources for Diagnostic Issues in Substance Use Disorders: Refining the Research Agenda for DSM-V
LCFA combines the strengths of both LCA and FA, providing a categorical and dimensional representation. Unlike LCA, LCFA provides a factor-analytical interval-scaled dimension with quantitative scores on the factor f. The LCFA model is also considerably more parsimonious than LCA. Using the example of 11 dependence and abuse criteria, four classes, and no x variables, LCA uses 47 parameters (corresponding to 11 × four item probabilities and three class probabilities), whereas LCFA uses only 27 parameters (corresponding to 11 × two item intercepts and slopes, four factor means [of which two are fixed to set the metric], and three class probabilities).
DSM-V SUD criteria should include an option that permits a more dimensional approach to classification. The dimensional component should be added in a way that preserves the traditional categorical approach. Therefore, the content of the dimensional component should be determined by the categorical definition as created by the DSM-V Substance Use Disorders Revision Workgroup, a process referred to as a “topdown” approach. 24 • • • Diagnostic Issues in Substance Use Disorders Consideration should be given to incorporating a basic level of dimensionality in the individual DSM-defined symptom items as a first step toward adding dimensional equivalents to the SUD categorical definitions.
The interpretations of the parameters are similar to those of LCA, although for the influence of x on f a regular linear regression specification, not a logistic regression, is used because the dependent variable (f ) is continuous. A fifth type of parameter is also possible, allowing for correlations between items within class. Given an estimated factor model, each individual’s factor score can be estimated. The estimated precision of this estimate, referred to typically as information curves, can also be assessed.
Diagnostic Issues in Substance Use Disorders: Refining the Research Agenda for DSM-V by John B. Saunders, Marc A. Schuckit, Paul J. Sirovatka, and Darrel A. Regier, Darrel A. Regier