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Participants were 31,367 respondents to surveys in the World Health Organization's World Mental Health Survey Initiative. The Composite International Diagnostic Interview, version 3.0, was used to derive DSM<\/jats:styled-content>\u2010IV<\/jats:styled-content> and DSM<\/jats:styled-content>\u20105 lifetime diagnoses of AUD<\/jats:styled-content>. Clinical characteristics, also assessed in the surveys, included lifetime DSM<\/jats:styled-content>\u2010IV<\/jats:styled-content> anxiety; mood and drug use disorders; lifetime suicidal ideation, plan, and attempt; general functional impairment; and psychological distress.<\/jats:p><\/jats:sec>Results<\/jats:title>Compared with DSM<\/jats:styled-content>\u2010IV AUD<\/jats:styled-content> (12.3%, SE<\/jats:styled-content>\u00a0=\u00a00.3%), the DSM<\/jats:styled-content>\u20105 definition yielded slightly lower prevalence estimates (10.8%, SE<\/jats:styled-content>\u00a0=\u00a00.2%). Almost one\u2010third (n<\/jats:italic>\u00a0=\u00a0802) of all DSM<\/jats:styled-content>\u2010IV<\/jats:styled-content> abuse cases switched to subthreshold according to DSM<\/jats:styled-content>\u20105 and one\u2010quarter (n<\/jats:italic>\u00a0=\u00a0467) of all DSM<\/jats:styled-content>\u2010IV<\/jats:styled-content> diagnostic orphans switched to mild AUD<\/jats:styled-content> according to DSM<\/jats:styled-content>\u20105. New cases of DSM<\/jats:styled-content>\u20105 AUD<\/jats:styled-content> were largely similar to those who maintained their AUD<\/jats:styled-content> across both classifications. Similarly, new DSM<\/jats:styled-content>\u20105 non<\/jats:italic>cases were similar to those who were subthreshold across both classifications. The exception to this was with regard to the prevalence of any lifetime drug use disorder.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>In this large cross\u2010national community sample, the prevalence of DSM<\/jats:styled-content>\u20105 lifetime AUD<\/jats:styled-content> was only slightly lower than the prevalence of DSM<\/jats:styled-content>\u2010IV<\/jats:styled-content> lifetime AUD<\/jats:styled-content>. Nonetheless, there was considerable diagnostic switching, with a large number of people inconsistently identified across the 2 DSM<\/jats:styled-content> classifications.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acer.13134","type":"journal-article","created":{"date-parts":[[2016,7,18]],"date-time":"2016-07-18T06:25:23Z","timestamp":1468823123000},"page":"1728-1736","source":"Crossref","is-referenced-by-count":35,"title":["A Cross\u2010National Examination of Differences in Classification of Lifetime Alcohol Use Disorder Between DSM<\/scp>\u2010IV<\/scp> and DSM<\/scp>\u20105: Findings from the World Mental Health Survey"],"prefix":"10.1111","volume":"40","author":[{"given":"Tim","family":"Slade","sequence":"first","affiliation":[{"name":"National Drug and Alcohol Research Centre UNSW Australia Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wai\u2010Tat","family":"Chiu","sequence":"additional","affiliation":[{"name":"Department of Health 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