The Obsessive Compulsive Drinking Scale Is a Valid Measure of Alcohol Craving in Young Adults.
Summary of "The Obsessive Compulsive Drinking Scale Is a Valid Measure of Alcohol Craving in Young Adults."
Background:â€‚ Alcohol craving is associated with greater alcohol-related problems and less favorable treatment prognosis. The Obsessive Compulsive Drinking Scale (OCDS) is the most widely used alcohol craving instrument. The OCDS has been validated in adults with alcohol use disorders (AUDs), which typically emerge in early adulthood. This study examines the validity of the OCDS in a nonclinical sample of young adults. Methods:â€‚ Three hundred and nine college students (mean age of 21.8â€ƒyears, SDâ€ƒ=â€ƒ4.6â€ƒyears) completed the OCDS, Alcohol Use Disorders Identification Test (AUDIT), and measures of alcohol consumption. Subjects were randomly allocated to 2 samples. Construct validity was examined via exploratory factor analysis (nâ€ƒ=â€ƒ155) and confirmatory factor analysis (nâ€ƒ=â€ƒ154). Concurrent validity was assessed using the AUDIT and measures of alcohol consumption. A second, alcohol-dependent sample (mean age 42â€ƒyears, SD 12â€ƒyears) from a previously published study (nâ€ƒ=â€ƒ370) was used to assess discriminant validity. Results:â€‚ A unique young adult OCDS factor structure was validated, consisting of Interference/Control, Frequency of Obsessions, Alcohol Consumption and Resisting Obsessions/Compulsions. The young adult 4-factor structure was significantly associated with the AUDIT and alcohol consumption. The 4 factor OCDS successfully classified nonclinical subjects in 96.9% of cases and the older alcohol-dependent patients in 83.7% of cases. Although the OCDS was able to classify college nonproblem drinkers (AUDIT <13, nâ€ƒ=â€ƒ224) with 83.2% accuracy, it was no better than chance (49.4%) in classifying potential college problem drinkers (AUDIT score â‰¥13, nâ€ƒ=â€ƒ85). Conclusions:â€‚ Using the 4-factor structure, the OCDS is a valid measure of alcohol craving in young adult populations. In this nonclinical set of students, the OCDS classified nonproblem drinkers well but not problem drinkers. Studies need to further examine the utility of the OCDS in young people with alcohol misuse.
From the Centre for Youth Substance Abuse Research (JPC, GFXF, RMY) The University of Queensland; Alcohol and Drug Assessment Unit (JPC, GFXF, RMY), Princess Alexandra Hospital; Discipline of Psychiatry (JPC), School of Medicine, The University of Queensl
This article was published in the following journal.
Name: Alcoholism, clinical and experimental research
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20860612
- DOI: http://dx.doi.org/10.1111/j.1530-0277.2010.01312.x
Medical and Biotech [MESH] Definitions
Behaviors associated with the ingesting of alcoholic beverages, including social drinking.
Substances interfering with the metabolism of ethyl alcohol, causing unpleasant side effects thought to discourage the drinking of alcoholic beverages. Alcohol deterrents are used in the treatment of alcoholism.
An anxiety disorder characterized by recurrent, persistent obsessions or compulsions. Obsessions are the intrusive ideas, thoughts, or images that are experienced as senseless or repugnant. Compulsions are repetitive and seemingly purposeful behavior which the individual generally recognizes as senseless and from which the individual does not derive pleasure although it may provide a release from tension.
Liver Cirrhosis, Alcoholic
FIBROSIS of the hepatic parenchyma due to chronic excess ALCOHOL DRINKING.
A selective serotonin reuptake inhibitor. It is effective in the treatment of depression, obsessive-compulsive disorders, anxiety, panic disorders, and alcohol amnestic disorders.
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