Concordance between ICD-10 alcohol and drug use disorder criteria and diagnoses as measured by the AUDADIS-ADR, CIDI and SCAN: results of a cross-national study

• Published in: Drug and alcohol dependence 1997-09, Vol.47 (3), p.207-216
• Main Authors: Pull, Charles B, Saunders, John B, Mavreas, Venetsanos, Cottler, Linda B, Grant, Bridget F, Hasin, Deborah S, Blaine, Jack, Mager, Douglas, Üstün, Bedhiran T
• Format: Article
• Language: English
• Subjects: Adult; Alcoholism - diagnosis; Alcoholism - epidemiology; Alcoholism - psychology; Cross-Cultural Comparison; Diagnoses; Drug; Female; Greece - epidemiology; Humans; ICD-10 alcohol; Luxembourg - epidemiology; Male; Middle Aged; Observer Variation; Psychiatric Status Rating Scales - statistics & numerical data; Psychometrics; Psychotropic Drugs; Reproducibility of Results; Street Drugs; Substance-Related Disorders - diagnosis; Substance-Related Disorders - epidemiology; Substance-Related Disorders - psychology; United States - epidemiology; World Health Organization
• ISSN: 0376-8716; 1879-0046
• DOI: 10.1016/S0376-8716(97)00091-4

Agreement between the AUDADIS-ADR, CIDI and SCAN in case identification for ICD-10 alcohol and drug use disorders and diagnostic criteria was investigated in three countries, Luxembourg, Greece and the US. Overall, agreement for ICD-10 dependence diagnoses between the three instruments was fair to good for alcohol, opioids and cocaine, but generally lower for dependence diagnoses for other substance. In contrast, concordance between instruments for harmful use diagnoses was extremely poor for all substances. Implications of these major findings are discussed in terms of the relationship between prevalence, reliability and concordance and indications and cautions regarding cross-instrument comparisons.