PMID: 9642885Jun 27, 1998Paper

Temporal progression of alcohol dependence symptoms in the U.S. household population: results from the National Comorbidity Survey

Journal of Consulting and Clinical Psychology
C B NelsonR C Kessler

Abstract

General population data are presented on patterns and predictors of temporal progression of alcohol dependence symptoms in the general population. The data come from the National Comorbidity Survey, a nationally representative general population survey of respondents ages 15-54. Lifetime symptom classes were estimated with latent class analysis (LCA). A 4-class LCA solution, including a 1st asymptomatic class and 3 progressively more serious symptomatic classes, was found to fit the data. Probability of initial symptom onset among drinkers was found to be highest in the 10-24 age range, to be higher among men than women, and to have increased dramatically in the past 4 decades. Age, gender, and cohort effects were less powerful in predicting symptom progression. A narrowing of the gender difference over time was due largely to a convergence in initial symptom onset among men and women ages 10-24. These results suggest that a rise in initial problems was more important than an increase in the transition from problems to dependence in accounting for the growing prevalence of alcohol dependence during the post-World War II years in the United States.

Citations

Mar 18, 2000·Clinical Psychology Review·J J BlanchardA R Sherwood
Aug 14, 2003·Addictive Behaviors·Monica L ZilbermanArthur G Andrade
Jul 11, 2000·Alcoholism, Clinical and Experimental Research·K G HillR F Catalano
Dec 15, 2005·Journal of Abnormal Psychology·Robert F KruegerWilliam G Iacono
Jun 8, 2006·Experimental and Clinical Psychopharmacology·Kristina M JacksonKenneth J Sher
Feb 9, 2008·Psychological Medicine·R C KesslerH J Shaffer
Nov 25, 2003·Alcoholism, Clinical and Experimental Research·Paul SpicerUNKNOWN American Indian Service Utilization, Psychiatric Epidemiology, Risk and Protective Factors Project Team

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