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Diagnostic orphans: Comparing self-report lifetime course to groups with DSM-IV alcohol abuse and dependence

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McBride, Orla, Adamson, Gary, Bunting, Brendan and McCann, Siobhan (2009) Diagnostic orphans: Comparing self-report lifetime course to groups with DSM-IV alcohol abuse and dependence. ADDICTIVE BEHAVIORS, 34 (1). pp. 86-91. [Journal article]

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DOI: 10.1016/j.addbeh.2008.07.019

Abstract

Research has highlighted the significant alcohol symptoms and mental health problems experienced by diagnostic orphans - individuals who experience 1-2 criteria of DSM-IV alcohol dependence but do not meet the criteria for a DSM-IV alcohol use disorder. This study used a sub-sample (n = 34 827) from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC). and formed mutually exclusive groups to compare the self-report retrospective Course of diagnostic orphans to individuals with DSM-IV abuse and dependence. Multinomial logistic regressions were conducted to examine the associations between the groups and a range of demographic and clinical variables. Collectively, the findings demonstrate that diagnostic orphans shared similar characteristics to the abuse and dependence groups, but appeared to experience specific comorbid oriental health problems. Orphan status has the potential to be a persistent condition and May result in significant dysfunction. In conclusion, diagnostic orphans represent a distinct group that may benefit from cost-effective treatment or intervention, designed to prevent the escalation of alcohol symptoms. (C) 2008 Elsevier Ltd. All rights reserved.

Item Type:Journal article
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Psychology
Research Institutes and Groups:Psychology Research Institute
Psychology Research Institute > The Bamford Centre for Mental Health and Wellbeing
Psychology Research Institute > Psychological Epidemiology and Mental Health
ID Code:1507
Deposited By:Mrs Fiona Harkin
Deposited On:23 Dec 2009 09:07
Last Modified:09 Apr 2014 16:39

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