We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Letters to the Editor |

Errors in Assessing DSM-IV Substance Use Disorders

Bridget F. Grant, PhD, PhD; Wilson M. Compton, MD, MPE; Thomas J. Crowley, MD; Deborah S. Hasin, PhD; John E. Helzer, MD; Ting-Kai Li, MD; Bruce J. Rounsaville, MD; Nora D. Volkow, MD; George E. Woody, MD
Arch Gen Psychiatry. 2007;64(3):379-380. doi:10.1001/archpsyc.64.3.379.
Text Size: A A A
Published online


In the June 2005 issue of the ARCHIVES, Kessler and colleagues1 reported results from the National Comorbidity Survey Replication (NCS-R), a 2001-2002 US psychiatric epidemiology survey of DSM-IV mental and substance use disorders.24 Included are prevalences and associated features, such as treatment of current (last 12 months) disorders. Given the fundamental nature of this study and the potential policy relevance, it is essential that rates estimated by the study be accurate. We are concerned about the accuracy of the rates reported for alcohol and drug abuse and dependence disorders. The specific problem is that the study purports to apply DSM-IV criteria, but the questionnaire used by Kessler and colleagues, the World Mental Health–Composite International Diagnostic Interview (WMH-CIDI),5 skips all respondents’ past questions on DSM-IV dependence if they do not respond positively to questions on DSM-IV abuse, effectively using abuse as a screen for dependence. This same procedure has been used in the recent National Institute of Mental Health–sponsored NCS-A adolescent study; the NCS-2, a 10-year follow-up of the original NCS conducted in 1990-19926; and the National Study of African American Life, and the National Study of Latino and Asian Americans.7 Beyond the United States, the NCS-R methods have been used in epidemiological surveys under way in 27 other countries under the aegis of the World Health Organization (WHO) World Mental Health Survey Initiative.8


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

43 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.