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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Item response theory analysis of DSM-IV cannabis abuse and dependence criteria in adolescents.
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Item response theory analysis of DSM-IV cannabis abuse and dependence criteria in adolescents.

机译：DSM-IV大麻滥用和依赖标准在青少年中的项目反应理论分析。

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OBJECTIVE: To examine three aspects of adolescent cannabis problems: do DSM-IV cannabis abuse and dependence criteria represent two different levels of severity of substance involvement, to what degree do each of the 11 abuse and dependence criteria assess adolescent cannabis problems, and do the DSM-IV items function similarly across different adolescent populations? METHOD: We examined 5,587 adolescents ages 11 to 19, including 615 youths in treatment for substance use disorders, 179 adjudicated youths, and 4,793 youths from the community. All of the subjects were assessed with a structured diagnostic interview. Item response theory was used to analyze symptom endorsement patterns. RESULTS: Abuse and dependence criteria were not found to represent different levels of severity of problem cannabis use in any of the samples. Among the 11 abuse and dependence criteria, problems cutting down and legal problems were the least informative for distinguishing problem users. Two dependence criteria and three of the four abuse criteria indicated different severities of cannabis problems across samples. CONCLUSIONS: We found little evidence to support the idea that abuse and dependence are separate constructs for adolescent cannabis problems. Furthermore, certain abuse criteria may indicate severe substance problems, whereas specific dependence items may indicate less severe problems. The abuse items in particular need further study. These results have implications for the refinement of the current substance use disorder criteria for DSM-V.
机译：目的：研究青少年大麻问题的三个方面：DSM-IV大麻滥用和依赖性标准是否代表了两种不同程度的药物滥用程度，这11种滥用和依赖性标准中的每一种在多大程度上评估了青少年大麻问题，并且DSM-IV项目在不同的青少年群体中的功能相似吗？方法：我们调查了5587名11至19岁的青少年，其中包括615名接受药物滥用治疗的青年，179名受审判的青年和4,793名来自社区的青年。所有受试者均经过结构性诊断性访谈评估。项目反应理论用于分析症状认可模式。结果：没有发现滥用和依赖性标准在任何样本中都代表问题大麻使用的不同严重程度。在11个滥用和依赖标准中，减少问题和法律问题对于区分问题用户的信息最少。两种依赖性标准和四种滥用标准中的三种表明整个样本中大麻问题的严重性不同。结论：我们发现几乎没有证据支持滥用和依赖是青少年大麻问题的单独构成这一观点。此外，某些滥用标准可能表示严重的物质问题，而特定的依赖项可能表示较不严重的问题。滥用项目尤其需要进一步研究。这些结果对目前DSM-V的物质滥用障碍标准的细化具有影响。

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