Home > Diagnostic orphans: comparing self-report lifetime course to groups with DSM-IV alcohol abuse and dependence.

McBride, Orla and Adamson, Gary and 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.

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=34827) 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 mental 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.


Item Type:Article
Date:2009
Page Range:pp. 86-91
Publisher:Elsevier Science
Volume:34
Number:1
EndNote:View
Accession Number:HRB (Not in collection)
Subjects:HA Screening, identification, and diagnostic method > Medical screening and diagnostic method
J Health care, prevention and rehabilitation > Care by type of problem > Mental health care
G Health and disease > Drugs and alcohol disorder > Alcohol use > Alcohol dependence
VA Geographic area > Europe > Northern Ireland
J Health care, prevention and rehabilitation > Identification and screening > Identification and screening for drugs and alcohol use
G Health and disease > Disorder classification
J Health care, prevention and rehabilitation > Risk and protective factors > risk factors
G Health and disease > Drugs and alcohol related disorder > Drugs and alcohol related mental disorder

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