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Am J Psychiatry 1990; 147:1537-1541
Copyright © 1990 by American Psychiatric Association
The natural history of alcohol abuse: implications for definitions of alcohol use disorders
DS Hasin, B Grant and J Endicott
Columbia University College of Physicians and Surgeons, New York, NY.
Is the DSM-III-R category of alcohol abuse validly differentiated from the
DSM-III-R category of alcohol dependence, or is abuse primarily a mild,
prodromal condition that typically deteriorates into dependence? A 4-year
longitudinal epidemiologic study of male drinkers provided data to answer
this question. The study used identical questions at baseline and
follow-up. At follow-up, 70% of the subjects who were initially classified
as alcohol abusers were still abusers or were classified as remitted. This
contrasted significantly with outcome in the subjects who initially
reported alcohol dependence. Although additional research is needed, these
results indicate that alcohol abuse often has a course distinct from that
of alcohol dependence.
This article has been cited by other articles:
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D. S. Hasin, F. S. Stinson, E. Ogburn, and B. F. Grant
Prevalence, Correlates, Disability, and Comorbidity of DSM-IV Alcohol Abuse and Dependence in the United States: Results From the National Epidemiologic Survey on Alcohol and Related Conditions
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[Abstract]
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B. F. Grant, W. M. Compton, T. J. Crowley, D. S. Hasin, J. E. Helzer, T.-K. Li, B. J. Rounsaville, N. D. Volkow, and G. E. Woody
Errors in Assessing DSM-IV Substance Use Disorders
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L.-T. Wu, D. J. Pilowsky, W. E. Schlenger, and D. Hasin
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H.-J. RUMPF, G. BISCHOF, U. HAPKE, C. MEYER, and U. JOHN
STABILITY OF REMISSION FROM ALCOHOL DEPENDENCE WITHOUT FORMAL HELP
Alcohol Alcohol.,
May 1, 2006;
41(3):
311 - 314.
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D. S. Hasin and B. F. Grant
The Co-occurrence of DSM-IV Alcohol Abuse in DSM-IV Alcohol Dependence: Results of the National Epidemiologic Survey on Alcohol and Related Conditions on Heterogeneity That Differ by Population Subgroup
Arch Gen Psychiatry,
September 1, 2004;
61(9):
891 - 896.
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M. Torrens, D. Serrano, M. Astals, G. Perez-Dominguez, and R. Martin-Santos
Diagnosing Comorbid Psychiatric Disorders in Substance Abusers: Validity of the Spanish Versions of the Psychiatric Research Interview for Substance and Mental Disorders and the Structured Clinical Interview for DSM-IV
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July 1, 2004;
161(7):
1231 - 1237.
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A. C. Goodman, E. Nishiura, J. R. Hankin, H. D. Holder, and J. M. Tilford
Long-Term Alcoholism Treatment Costs
Med Care Res Rev,
December 1, 1996;
53(4):
441 - 464.
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