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Do DSM-5 substance use disorder criteria differ by user care settings? An item response theory analysis approach.

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Title: Do DSM-5 substance use disorder criteria differ by user care settings? An item response theory analysis approach.
Authors: Kervran, C.1,2,3 (AUTHOR), Shmulewitz, D.4,5 (AUTHOR), Serre, F.1,2,3 (AUTHOR), Denis, C.1,2,6 (AUTHOR), Roux, P.7 (AUTHOR), Jauffret-Roustide, M.8,9,10 (AUTHOR), Lalanne, L.11 (AUTHOR), Hasin, D.5,12 (AUTHOR), Auriacombe, M.1,2,3,6 (AUTHOR) marc.auriacombe@u-bordeaux.fr
Source: Addictive Behaviors. May2021, Vol. 116, pN.PAG-N.PAG. 1p.
Subject Terms: *Item response theory, *Research, *Research methodology, *Evaluation research, *Comparative studies, *Cocaine, Substance abuse, Structural equation modeling, Discrimination in medical care, Diagnosis, Psychometrics, Substance abuse diagnosis, Desire, Medical cooperation, Classification of mental disorders, Drug abusers
Abstract: Aim: To examine differences in the psychometric characteristics of diagnostic criteria for Substance Use Disorders (SUD) between substance users in harm reduction settings (HR) and substance users seeking treatment (Tx).Methods: Differential Item and Test Functioning (DIF & DTF) analysis were performed to examine differences in the difficulty of endorsement and in discrimination of the 11 diagnostic criteria and to test if the criteria set as a whole (the "test") functioned differently by care settings (Tx vs. HR) for alcohol, cocaine, cannabis, opiates and tobacco. To test uniform and nonuniform DIF, multiple indicator multiple cause (MIMIC) structural equation models were used.Results: Regardless of the substance, the DSM-5 criteria "craving", "large amount", "time spent", "tolerance" and "activities given up" had similar functioning by care settings. Little evidence for DIF was found for other criteria. The criteria set as a whole did not function differently by care settings for alcohol, cocaine and tobacco. At the same trait severity, compared to HR, the Tx subgroup had a greater number of endorsed criteria for cannabis and a smaller number of endorsed criteria for opioids.Conclusion: The unidimensionality of the 11 DSM-5 criteria and applicability of all criteria and diagnosis was confirmed in this large sample of problematic substance users. While the majority of the criteria related to loss of control of substance use, functioned well in both care settings, the criteria related to consequences of substance use had several differential functioning. [ABSTRACT FROM AUTHOR]
Copyright of Addictive Behaviors is the property of Pergamon Press - An Imprint of Elsevier Science and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Education Research Complete
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  Data: Do DSM-5 substance use disorder criteria differ by user care settings? An item response theory analysis approach.
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  Data: <searchLink fieldCode="AR" term="%22Kervran%2C+C%2E%22">Kervran, C.</searchLink><relatesTo>1,2,3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shmulewitz%2C+D%2E%22">Shmulewitz, D.</searchLink><relatesTo>4,5</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Serre%2C+F%2E%22">Serre, F.</searchLink><relatesTo>1,2,3</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Denis%2C+C%2E%22">Denis, C.</searchLink><relatesTo>1,2,6</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Roux%2C+P%2E%22">Roux, P.</searchLink><relatesTo>7</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jauffret-Roustide%2C+M%2E%22">Jauffret-Roustide, M.</searchLink><relatesTo>8,9,10</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lalanne%2C+L%2E%22">Lalanne, L.</searchLink><relatesTo>11</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hasin%2C+D%2E%22">Hasin, D.</searchLink><relatesTo>5,12</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Auriacombe%2C+M%2E%22">Auriacombe, M.</searchLink><relatesTo>1,2,3,6</relatesTo> (AUTHOR)<i> marc.auriacombe@u-bordeaux.fr</i>
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  Data: <searchLink fieldCode="JN" term="%22Addictive+Behaviors%22">Addictive Behaviors</searchLink>. May2021, Vol. 116, pN.PAG-N.PAG. 1p.
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  Data: *<searchLink fieldCode="DE" term="%22Item+response+theory%22">Item response theory</searchLink><br />*<searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br />*<searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br />*<searchLink fieldCode="DE" term="%22Evaluation+research%22">Evaluation research</searchLink><br />*<searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br />*<searchLink fieldCode="DE" term="%22Cocaine%22">Cocaine</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Structural+equation+modeling%22">Structural equation modeling</searchLink><br /><searchLink fieldCode="DE" term="%22Discrimination+in+medical+care%22">Discrimination in medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis%22">Diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Psychometrics%22">Psychometrics</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse+diagnosis%22">Substance abuse diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Desire%22">Desire</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+cooperation%22">Medical cooperation</searchLink><br /><searchLink fieldCode="DE" term="%22Classification+of+mental+disorders%22">Classification of mental disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Drug+abusers%22">Drug abusers</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: <bold>Aim: </bold>To examine differences in the psychometric characteristics of diagnostic criteria for Substance Use Disorders (SUD) between substance users in harm reduction settings (HR) and substance users seeking treatment (Tx).<bold>Methods: </bold>Differential Item and Test Functioning (DIF & DTF) analysis were performed to examine differences in the difficulty of endorsement and in discrimination of the 11 diagnostic criteria and to test if the criteria set as a whole (the "test") functioned differently by care settings (Tx vs. HR) for alcohol, cocaine, cannabis, opiates and tobacco. To test uniform and nonuniform DIF, multiple indicator multiple cause (MIMIC) structural equation models were used.<bold>Results: </bold>Regardless of the substance, the DSM-5 criteria "craving", "large amount", "time spent", "tolerance" and "activities given up" had similar functioning by care settings. Little evidence for DIF was found for other criteria. The criteria set as a whole did not function differently by care settings for alcohol, cocaine and tobacco. At the same trait severity, compared to HR, the Tx subgroup had a greater number of endorsed criteria for cannabis and a smaller number of endorsed criteria for opioids.<bold>Conclusion: </bold>The unidimensionality of the 11 DSM-5 criteria and applicability of all criteria and diagnosis was confirmed in this large sample of problematic substance users. While the majority of the criteria related to loss of control of substance use, functioned well in both care settings, the criteria related to consequences of substance use had several differential functioning. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Addictive Behaviors is the property of Pergamon Press - An Imprint of Elsevier Science and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1016/j.addbeh.2020.106797
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      – Code: eng
        Text: English
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    Subjects:
      – SubjectFull: Item response theory
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      – SubjectFull: Research methodology
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      – SubjectFull: Evaluation research
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      – SubjectFull: Comparative studies
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      – SubjectFull: Cocaine
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      – SubjectFull: Substance abuse
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      – SubjectFull: Structural equation modeling
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      – SubjectFull: Discrimination in medical care
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      – SubjectFull: Diagnosis
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      – SubjectFull: Classification of mental disorders
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      – SubjectFull: Drug abusers
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      – TitleFull: Do DSM-5 substance use disorder criteria differ by user care settings? An item response theory analysis approach.
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              Text: May2021
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