Historique
Article de Périodique
The puzzling unidimensionality of DSM-5 substance use disorder diagnoses (2013)
Auteur(s) :
MACCOUN, R. J.
Année
2013
Page(s) :
Art. 153 ; 5 p.
Langue(s) :
Anglais
Refs biblio. :
24
Domaine :
Plusieurs produits / Several products
Discipline :
PSY (Psychopathologie / Psychopathology)
Note générale :
Commentary by MARTIN C. S.:
http://dx.doi.org/10.3389/fpsyt.2013.00156
http://dx.doi.org/10.3389/fpsyt.2013.00156
Résumé :
There is a perennial expert debate about the criteria to be included or excluded for the DSM diagnoses of substance use dependence. Yet analysts routinely report evidence for the unidimensionality of the resulting checklist. If in fact the checklist is unidimensional, the experts are wrong that the criteria are distinct, so either the experts are mistaken or the reported unidimensionality is spurious. I argue for the latter position, and suggest that the traditional reflexive measurement model is inappropriate for the DSM; a formative measurement model would be a more accurate characterization of the institutional process by which the checklist is created, and a network or causal model would be a more appropriate foundation for a scientifically grounded diagnostic system.
Affiliation :
University of California at Berkeley, Berkeley, USA