{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T04:38:54Z","timestamp":1790311134695,"version":"4.1.0"},"reference-count":18,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T00:00:00Z","timestamp":1725926400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T00:00:00Z","timestamp":1725926400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["R01 DA054113"],"award-info":[{"award-number":["R01 DA054113"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and aims<\/jats:title>\n                    <jats:p>The Substance Abuse and Mental Health Services Administration's annual National Survey on Drug Use and Health (NSDUH) is a commonly used source for estimating trends in alcohol use disorders (AUD) in the United States. From 2015 to 2019 the annual prevalence of people diagnosed with either Diagnostic and Statistical Manual 4th edition (DSM\u2010IV) alcohol abuse or dependence ranged from 5.3 to 5.9%. More recent estimates, using the DSM 5th edition (DSM\u20105) AUD diagnostic formulation, have been higher, with AUD base rates ranging from 10.1 to 10.7% from 2020 to 2022. This study aimed to compare the past 12\u2010month base rates of AUD in the United States general population when using the DSM\u20105 versus DSM\u2010IV AUD (i.e. abuse or dependence) and assess the AUD severity of individuals captured with each diagnostic formulation using DSM\u20105 AUD symptom counts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We examined descriptive trends in the rate of past\u2010year NSDUH AUD diagnoses from 2015 to 2022. We contrasted them with trends in drinking behavior: the percentage of individuals who had ever reported drinking and the number of drinking days and binge drinking days for those who drink. We also analyzed the concordance between DSM\u2010IV and DSM\u20105 AUD diagnoses in the 2020 NSDUH, which concurrently assessed AUD with both diagnostic formulations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The transition to DSM\u20105 AUD formulation coincided with a drastic increase in AUD prevalence rates that occurred without increases in drinking behavior. In 2020 NSDUH data, the estimated past\u2010year DSM\u20105 AUD prevalence rate was 10.1% compared with a 5.4% rate of past\u2010year DSM\u2010IV abuse or dependence. The DSM\u20105 AUD formulation captured more mild\u2010severity individuals than the DSM\u2010IV formulation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Higher recent base rates of alcohol use disorders (AUD) in the National Survey on Drug Use and Health are likely, at least partially, explained by measurement changes in AUD; specifically, the shift from DSM\u2010IV abuse or dependence to DSM\u20105 AUD. The DSM\u20105 formulation appears substantially more inclusive than the DSM\u2010IV formulation, leading to a larger number of mild severity individuals being captured.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/add.16670","type":"journal-article","created":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T04:31:10Z","timestamp":1725942670000},"page":"184-188","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Implications of the shift to DSM\u20105 for alcohol use disorder prevalence estimates in the National Survey on Drug Use and Health"],"prefix":"10.1111","volume":"120","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2844-495X","authenticated-orcid":false,"given":"Allen J.","family":"Bailey","sequence":"first","affiliation":[{"name":"Division of Alcohol, Drugs and Addiction McLean Hospital  Belmont MA USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6770-8762","authenticated-orcid":false,"given":"Patrick D.","family":"Quinn","sequence":"additional","affiliation":[{"name":"Department of Applied Health Science, School of Public Health Indiana University  Bloomington IN USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Kathryn","family":"McHugh","sequence":"additional","affiliation":[{"name":"Division of Alcohol, Drugs and Addiction McLean Hospital  Belmont MA USA"},{"name":"Department of Psychiatry Harvard Medical School  Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423349"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2013.12060782"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.117.3.561"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291711000717"},{"key":"e_1_2_9_7_1","first-page":"7","article-title":"Screening, Brief intervention, and referral to treatment (SBIRT): toward a public health approach to the management of substance abuse","volume":"28","author":"Babor TF","year":"2023","journal-title":"Alcohol\/Drug Screening and Brief Intervention. Subst Abuse"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2015.0584"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2011.03517.x"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2014.09.029"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2022.1652"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.15785"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/adb0000983"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.12859"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000678"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1176\/ps.2010.61.12.1223"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291716000404"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/2167702614553026"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/adb0000443"}],"container-title":["Addiction"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/add.16670","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/add.16670","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/add.16670","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T22:47:47Z","timestamp":1773010067000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/add.16670"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,10]]},"references-count":18,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1111\/add.16670"],"URL":"https:\/\/doi.org\/10.1111\/add.16670","archive":["Portico"],"relation":{},"ISSN":["0965-2140","1360-0443"],"issn-type":[{"value":"0965-2140","type":"print"},{"value":"1360-0443","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,10]]},"assertion":[{"value":"2024-06-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-09-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}