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A structural equation model (SEM) explored the interrelationship of latent ADS factors with alcohol use and number of DSM\u20105 criteria endorsed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Internal consistency of the ADS (\u03b1 = 0.81) was good. EFA revealed a three\u2010factor structure. Factor 1 (\u201cSevere withdrawal symptoms\u201d) consisted of severe psychoperceptual and psychophysical consequences of excessive drinking, Factor 2 (\u201cLoss of control\u201d) consisted of acute physical reactions of intoxication, and Factor 3 (\u201cObsessive\u2013compulsive drinking\u201d) described habitual drinking. The SEM suggested that only Factor 3 had large effects on DSM\u20105 symptom score and drinking behavior.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Lowering the ADS threshold or focusing on ADS items from Factor 3 may be more suitable measures of severity of alcohol dependence in treatment\u2010seeking older adults as ADS scores are low and not closely related to DSM\u20105 AUD.<\/jats:p><\/jats:sec>","DOI":"10.1002\/mpr.1811","type":"journal-article","created":{"date-parts":[[2019,12,6]],"date-time":"2019-12-06T03:14:02Z","timestamp":1575602042000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The Alcohol Dependence Scale and DSM\u20105 alcohol use disorder: Severity ratings correspond insufficiently in older patients"],"prefix":"10.1002","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4612-4338","authenticated-orcid":false,"given":"Anna","family":"Mejldal","sequence":"first","affiliation":[{"name":"Unit of Clinical Alcohol Research, Institute of Clinical Research University of Southern DenmarkOdense, Denmark"},{"name":"OPEN, Odense Patient data Explorative Network Odense University Hospital  Odense Denmark"},{"name":"Psychiatric Department Region of Southern Denmark  Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kjeld","family":"Andersen","sequence":"additional","affiliation":[{"name":"Unit of Clinical Alcohol Research, Institute of Clinical Research University of Southern DenmarkOdense, Denmark"},{"name":"OPEN, Odense Patient data Explorative Network Odense University Hospital  Odense Denmark"},{"name":"BRIDGE, Brain Research, Inter\u2010Disciplinary Guided Excellence, Department of Clinical Research University of Southern Denmark  Odense Denmark"},{"name":"Psychiatric Department Region of Southern Denmark  Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Randi","family":"Bilberg","sequence":"additional","affiliation":[{"name":"Unit of Clinical Alcohol Research, Institute of Clinical Research University of Southern DenmarkOdense, Denmark"},{"name":"OPEN, Odense Patient data Explorative Network Odense University Hospital  Odense Denmark"},{"name":"Psychiatric Department Region of Southern Denmark  Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Braun","sequence":"additional","affiliation":[{"name":"IFT, Institut f\u00fcr Therapieforschung  Munich Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Bogenschutz","sequence":"additional","affiliation":[{"name":"Bellevue Hospital Center  New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerhard","family":"B\u00fchringer","sequence":"additional","affiliation":[{"name":"Unit of Clinical Alcohol Research, Institute of Clinical Research University of Southern DenmarkOdense, Denmark"},{"name":"IFT, Institut f\u00fcr Therapieforschung  Munich Germany"},{"name":"Institute of Clinical Psychology and PsychotherapyTechnische Universit\u00e4t Dresden  Dresden Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anette S\u00f8gaard","family":"Nielsen","sequence":"additional","affiliation":[{"name":"Unit of Clinical Alcohol Research, Institute of Clinical Research University of Southern DenmarkOdense, Denmark"},{"name":"OPEN, Odense Patient data Explorative Network Odense University Hospital  Odense Denmark"},{"name":"BRIDGE, Brain Research, Inter\u2010Disciplinary Guided Excellence, Department of Clinical Research University of Southern Denmark  Odense Denmark"},{"name":"Psychiatric Department Region of Southern Denmark  Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Behrendt","family":"Silke","sequence":"additional","affiliation":[{"name":"Unit of Clinical Alcohol Research, Institute of Clinical Research University of Southern DenmarkOdense, Denmark"},{"name":"BRIDGE, Brain Research, Inter\u2010Disciplinary Guided Excellence, Department of Clinical Research University of Southern Denmark  Odense Denmark"},{"name":"Psychiatric Department Region of Southern Denmark  Odense Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,12,5]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3109\/10826089409047369"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_5_1","unstructured":"Andersen K. 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