Diagnosis of alcohol use disorder from a psychological point of view.

Alcohol use disorder (AUD) is one of the most common psychiatric disease in the general population, characterized by having a pattern of excessive drinking despite the negative effects of alcohol on the individual’s work, medical, legal, educational, and/or social life. Currently, the bio-psycho-social model describes properly AUD as a multidimensional phenomenon including biological, psychological, and socio-cultural variables affecting the nature, maintenance, and expression of the disorder. The AUD diagnostic process is crucial since the treatment success depends heavily on the accuracy and the adequacy of the diagnosis. The diagnosis is based on a comprehensive assessment of the patient’s characteristics and uses interviews and psychometric instruments for collecting information. This paper will provide insights into the most important psychological dimensions of AUD and on the best psychometric instruments for proposing AUD diagnosis.

[1]  E. Viana,et al.  Disability and functioning of women with low‐risk pregnancy: Assessment using the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) , 2020, International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics.

[2]  M. Fiore,et al.  Ethanol Consumption and Innate Neuroimmunity , 2018 .

[3]  D. Hamilton,et al.  Virtual Morris task responses in individuals in an abstinence phase from alcohol. , 2018, Canadian journal of physiology and pharmacology.

[4]  M. Fiore,et al.  Role of Neuropeptide Tyrosine (NPY) in Ethanol Addiction , 2017 .

[5]  G. Lorenzo,et al.  [Critical evaluation of current diagnostic classification systems in psychiatry: the case of DSM-5]. , 2016, Rivista di psichiatria.

[6]  D. Hamilton,et al.  Spatial learning in men undergoing alcohol detoxification , 2015, Physiology & Behavior.

[7]  M. Fiore,et al.  Serum BDNF and NGF Modulation by Olive Polyphenols in Alcoholics duringWithdrawal , 2015 .

[8]  A. Zangen,et al.  Deep TMS on alcoholics: effects on cortisolemia and dopamine pathway modulation. A pilot study. , 2015, Canadian journal of physiology and pharmacology.

[9]  J. Bobes,et al.  Predictors of Posttreatment Drinking Outcomes in Patients with Alcohol Dependence , 2014, European Addiction Research.

[10]  Y. Min,et al.  P.6.b.008 Temperaments and characters associated with the relapse in alcohol-dependent patients , 2014, European Neuropsychopharmacology.

[11]  A. Copello,et al.  Development of the Addiction Dimensions for Assessment and Personalised Treatment (ADAPT). , 2014, Drug and alcohol dependence.

[12]  Liza H Gold,et al.  DSM-5 and the assessment of functioning: the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0). , 2014, The journal of the American Academy of Psychiatry and the Law.

[13]  J. Blodgett,et al.  How effective is continuing care for substance use disorders? A meta-analytic review. , 2014, Journal of substance abuse treatment.

[14]  M. Maruish,et al.  Handbook of psychological assessment in primary care settings , 2013 .

[15]  L. Leone,et al.  Avoidance coping strategies, alexithymia and alcohol abuse: a mediation analysis. , 2012, Addictive behaviors.

[16]  Raymond F. Anton,et al.  Obsessive Compulsive Drinking Scale , 2012 .

[17]  P. Nash,et al.  Short Form 36 (SF-36) Health Survey Questionnaire: normative data for Wales. , 2011, Journal of public health.

[18]  R. Hodgson,et al.  The severity of alcohol dependence questionnaire: its use, reliability and validity. , 2010, British journal of addiction.

[19]  T. Paparrigopoulos,et al.  Comorbidity of personality disorders with alcohol abuse. , 2010, In vivo.

[20]  E. M. Nakamura-Palacios,et al.  Cognitive components of frontal lobe function in alcoholics classified according to Lesch's typology. , 2009, Alcohol and alcoholism.

[21]  I. Maremmani,et al.  Affective temperaments in alcoholic patients. , 2009, Alcohol.

[22]  A. Zweben,et al.  Effective Strategies for Maintaining Research Participation in Clinical Trials , 2009, Drug information journal.

[23]  I. Berlin,et al.  Determinants of improvement in quality of life of alcohol-dependent patients during an inpatient withdrawal programme , 2009, International journal of medical sciences.

[24]  A. Zweben,et al.  Alcohol treatment effects on secondary nondrinking outcomes and quality of life: the COMBINE study. , 2009, Journal of studies on alcohol and drugs.

[25]  T. Schneider-Axmann,et al.  Effects of abstinence on brain morphology in alcoholism , 2009, European Archives of Psychiatry and Clinical Neuroscience.

[26]  K. Mann,et al.  Modifications of the Obsessive Compulsive Drinking Scale (OCDS-G) for use in longitudinal studies. , 2008, Addictive behaviors.

[27]  Andrea Fossati,et al.  Psychometric characteristic of the Italian version of the Temperament and Character Inventory--revised, personality, psychopathology, and attachment styles. , 2008, Comprehensive psychiatry.

[28]  Mark B Powers,et al.  A meta-analytic review of psychosocial interventions for substance use disorders. , 2008, The American journal of psychiatry.

[29]  M. Antony,et al.  Psychometric properties of the State-Trait Inventory for Cognitive and Somatic Anxiety (STICSA): comparison to the State-Trait Anxiety Inventory (STAI). , 2007, Psychological assessment.

[30]  Andrea Fossati,et al.  Reliability and validity of the Italian version of the Temperament and Character Inventory-Revised in an outpatient sample. , 2007, Comprehensive psychiatry.

[31]  Colin Studholme,et al.  Deformation-based morphometry of brain changes in alcohol dependence and abstinence , 2007, NeuroImage.

[32]  Francis Eustache,et al.  Effect of episodic and working memory impairments on semantic and cognitive procedural learning at alcohol treatment entry. , 2007, Alcoholism, clinical and experimental research.

[33]  J. Moatti,et al.  Health related quality of life among both current and former injection drug users who are HIV-infected. , 2007, Drug and alcohol dependence.

[34]  H. Ehrenreich,et al.  Recovery of hippocampus-related functions in chronic alcoholics during monitored long-term abstinence. , 2006, Alcohol and alcoholism.

[35]  R. Weiss,et al.  Combining psychosocial treatment with pharmacotherapy for alcohol dependence. , 2006, Journal of clinical psychopharmacology.

[36]  Mark Jenkinson,et al.  Manifestations of early brain recovery associated with abstinence from alcoholism. , 2006, Brain : a journal of neurology.

[37]  V. Zavan,et al.  Assessing motivation for change in subjects with alcohol problems: the MAC2-A questionnaire. , 2006, Alcohol and alcoholism.

[38]  N. Horton,et al.  The use of the mini-mental state examination in recruitment for substance abuse research studies. , 2006, Drug and alcohol dependence.

[39]  I. Theotoka Cognitive impairment in alcoholism , 2006 .

[40]  L. Fucito,et al.  Process evaluation of an out-patient detoxification service. , 2005, Drug and alcohol review.

[41]  S. Keller,et al.  Readiness for change and readiness for help-seeking: a composite assessment of client motivation. , 2005, Alcohol and alcoholism.

[42]  James R McKay,et al.  Is there a case for extended interventions for alcohol and drug use disorders? , 2005, Addiction.

[43]  A. Bowling Mode of questionnaire administration can have serious effects on data quality. , 2005, Journal of public health.

[44]  C Studholme,et al.  Quantitative brain MRI in alcohol dependence: preliminary evidence for effects of concurrent chronic cigarette smoking on regional brain volumes. , 2005, Alcoholism, clinical and experimental research.

[45]  K. Carroll,et al.  Behavioral therapies for drug abuse. , 2005, The American journal of psychiatry.

[46]  D. Oslin,et al.  Treatment outcomes for alcohol dependence among middle-aged and older adults. , 2005, Addictive behaviors.

[47]  H. Pettinati,et al.  Choosing pharmacotherapies for the COMBINE Study--process and procedures: an investigational approach to combination pharmacotherapy for the treatment of alcohol dependence. , 2005, Journal of studies on alcohol. Supplement.

[48]  D. Kivlahan,et al.  Assessing nondrinking outcomes in combined pharmacotherapy and psychotherapy clinical trials for the treatment of alcohol dependence. , 2005, Journal of studies on alcohol. Supplement.

[49]  Stefan Gazdzinski,et al.  Temporal dynamics and determinants of whole brain tissue volume changes during recovery from alcohol dependence. , 2005, Drug and alcohol dependence.

[50]  C. Barrowclough,et al.  The role of the therapeutic alliance in the treatment of substance misuse: a critical review of the literature. , 2005, Addiction.

[51]  D. Kivlahan,et al.  The Addiction Severity Index medical and psychiatric composite scores measure similar domains as the SF-36 in substance-dependent veterans: concurrent and discriminant validity. , 2004, Drug and alcohol dependence.

[52]  S. Keller,et al.  Readiness to change versus readiness to seek help for alcohol problems: the development of the Treatment Readiness Tool (TReaT). , 2004, Journal of studies on alcohol.

[53]  R. Demmel,et al.  Readiness to Change in a Clinical Sample of Problem Drinkers: Relation to Alcohol Use, Self-Efficacy, and Treatment Outcome , 2004, European Addiction Research.

[54]  M. Di Giannantonio,et al.  The Italian version of the Obsessive-Compulsive Drinking Scale: validation, comparison with the other versions, and difference between type 1- and type 2-like alcoholics. , 2004, Drug and alcohol dependence.

[55]  J. Finney,et al.  Outcome variables and their assessment in alcohol treatment studies: 1968-1998. , 2003, Alcoholism, clinical and experimental research.

[56]  I. Franken,et al.  Stability and change in dimensional ratings of personality disorders in drug abuse patients during treatment. , 2003, Journal of substance abuse treatment.

[57]  M. Slade What Outcomes to Measure in Routine Mental Health Services, and How to Assess Them: A Systematic Review , 2002, The Australian and New Zealand journal of psychiatry.

[58]  C. Larson Use of the SF-12 instrument for measuring the health of homeless persons. , 2002, Health services research.

[59]  K. Junghanns,et al.  The course of anxiety, depression and drinking behaviours after completed detoxification in alcoholics with and without comorbid anxiety and depressive disorders. , 2001, Alcohol and alcoholism.

[60]  J. Volpicelli Alcohol abuse and alcoholism: an overview. , 2001, The Journal of clinical psychiatry.

[61]  J. Moncrieff,et al.  A multicentre, randomized, double-blind, placebo-controlled trial of naltrexone in the treatment of alcohol dependence or abuse. , 2000, Alcohol and alcoholism.

[62]  R. Moos,et al.  Specialty mental health care improves patients' outcomes: findings from a nationwide program to monitor the quality of care for patients with substance use disorders. , 2000, Journal of studies on alcohol.

[63]  S. Joe McCarthy,et al.  A randomized controlled trial of Moderation-Oriented Cue Exposure. , 2000, Journal of studies on alcohol.

[64]  Wayne J. Camara,et al.  Psychological test usage: Implications in professional psychology. , 2000 .

[65]  R. Anton,et al.  Recurrent detoxification may elevate alcohol craving as measured by the Obsessive Compulsive Drinking scale. , 2000, Alcohol.

[66]  G. Corrao,et al.  Outcome variables in the evaluation of alcoholics' treatment: lessons from the Italian Assessment of Alcoholism Treatment (ASSALT) Project. , 1999, Alcohol and alcoholism.

[67]  R. Anton,et al.  Factor structure and predictive validity of the Obsessive Compulsive Drinking Scale. , 1999, Alcoholism, clinical and experimental research.

[68]  A. Simanowitz Effective strategies for reaching the poor , 1999 .

[69]  D. Metzger,et al.  New scales to assess change in the Addiction Severity Index for the opioid, cocaine, and alcohol dependent. , 1998 .

[70]  Michael J. Taylor,et al.  Predictors of relapse in long-term abstinent alcoholics. , 1998, Journal of studies on alcohol.

[71]  B. Haver Screening for psychiatric comorbidity among female alcoholics: the use of a questionnaire (SCL-90) among women early in their treatment programme. , 1997, Alcohol and alcoholism.

[72]  J. Endicott,et al.  Psychiatric Research Interview for Substance and Mental Disorders (PRISM): reliability for substance abusers. , 1996, The American journal of psychiatry.

[73]  K. E. Barron,et al.  Psychometric properties and validity of the obsessive-compulsive drinking scale. , 1996, Alcoholism, clinical and experimental research.

[74]  E Magni,et al.  Mini‐Mental State Examination: a normative study in Italian elderly population , 1996, European journal of neurology.

[75]  R. Anton,et al.  The obsessive compulsive drinking scale: A new method of assessing outcome in alcoholism treatment studies. , 1996, Archives of general psychiatry.

[76]  G. Fein,et al.  Brain atrophy and cognitive function in older abstinent alcoholic men. , 1995, Alcoholism, clinical and experimental research.

[77]  K O Lim,et al.  Longitudinal changes in magnetic resonance imaging brain volumes in abstinent and relapsed alcoholics. , 1995, Alcoholism, clinical and experimental research.

[78]  R. Anton,et al.  The Obsessive Compulsive Drinking Scale: a self-rated instrument for the quantification of thoughts about alcohol and drinking behavior. , 1995, Alcoholism, clinical and experimental research.

[79]  A. Zweben,et al.  Issues in the definition and measurement of drinking outcomes in alcoholism treatment research. , 1994, Journal of studies on alcohol. Supplement.

[80]  C. R. Cloninger,et al.  Differential diagnosis of personality disorders by the seven-factor model of temperament and character. , 1993, Archives of general psychiatry.

[81]  C. Horwath Measuring Alcohol Consumption. Psychosocial and Biochemical Methods , 1993 .

[82]  W. Miller,et al.  Enhancing motivation for change in problem drinking: a controlled comparison of two therapist styles. , 1993, Journal of consulting and clinical psychology.

[83]  C. Sherbourne,et al.  Erratum to The MOS 36-item short form health survey (SF-36): I. Conceptual framework , 1992, PharmacoEconomics.

[84]  R. Craig,et al.  Assessing drug abusers with the Millon Clinical Multiaxial Inventory: a review. , 1992, Journal of substance abuse treatment.

[85]  N. Heather,et al.  Development of a short 'readiness to change' questionnaire for use in brief, opportunistic interventions among excessive drinkers. , 1992, British journal of addiction.

[86]  C. McCusker,et al.  The cue-responsivity phenomenon in dependent drinkers: 'personality' vulnerability and anxiety as intervening variables. , 1991, British journal of addiction.

[87]  D. Goldman,et al.  Personality and cerebrospinal fluid monoamine metabolites in alcoholics and controls. , 1991, Archives of general psychiatry.

[88]  J. Bryer,et al.  Millon clinical multiaxial inventory alcohol abuse and drug abuse scales and the identification of substance-abuse patients , 1990 .

[89]  J. Wallace The new disease model of alcoholism. , 1990, The Western journal of medicine.

[90]  P. Booth Maintained controlled drinking following severe alcohol dependence--a case study. , 1990, British journal of addiction.

[91]  D. M. Parker,et al.  Estimation of Premorbid Intelligence in Organic Conditions , 1988, British Journal of Psychiatry.

[92]  B. Forti,et al.  Personality disorders and alcoholism treatment outcome. , 1988, Drug and alcohol dependence.

[93]  R. Davidson Assessment of the alcohol dependence syndrome: a review of self-report screening questionnaires. , 1987, The British journal of clinical psychology.

[94]  K. Ludenia,et al.  Cross-validation of the State-Trait Anxiety Inventory with an alcoholic population. , 1984, Journal of clinical psychology.

[95]  L. Derogatis Misuse of the symptom checklist 90. , 1983, Archives of general psychiatry.

[96]  A T McLellan,et al.  An Improved Diagnostic Evaluation Instrument for Substance Abuse Patients: The Addiction Severity Index , 1980, The Journal of nervous and mental disease.

[97]  C Maxwell,et al.  Sensitivity and accuracy of the visual analogue scale: a psycho-physical classroom experiment. , 1978, British journal of clinical pharmacology.

[98]  A. Nicholson Visual analogue scales and drug effects in man. , 1978, British journal of clinical pharmacology.

[99]  J. Fleiss,et al.  The global assessment scale. A procedure for measuring overall severity of psychiatric disturbance. , 1976, Archives of general psychiatry.

[100]  W A Hunt,et al.  Relapse rates in addiction programs. , 1971, Journal of clinical psychology.

[101]  L. Covi,et al.  Dimensions of outpatient neurotic pathology: comparison of a clinical vrsus an empirical assessment. , 1970, Journal of consulting and clinical psychology.

[102]  A. Beck,et al.  An inventory for measuring depression. , 1961, Archives of general psychiatry.

[103]  G. Coriale,et al.  diagnosi differenziale e indicazioni per il trattamento , 2015 .

[104]  O. Almkvist,et al.  Cognitive decline from estimated premorbid status predicts neurodegeneration in Alzheimer's disease. , 2009, Neuropsychology.

[105]  J. Westermeyer,et al.  Alcohol craving in outpatients with alcohol dependence: rate and clinical correlates. , 2006, Journal of studies on alcohol.

[106]  W. Sander,et al.  Psychological distress in alcohol-dependent patients. Evaluating inpatient treatment with the symptom checklist (SCL-90-R). , 2006, European addiction research.

[107]  J. Kornhuber,et al.  Volume intake and craving in alcohol withdrawal. , 2006, Alcohol and alcoholism.

[108]  Christine Godfrey,et al.  A summary of the review of the effectiveness of treatment for alcohol problems. , 2006 .

[109]  Luca Pirolo,et al.  Analisi della domanda , 2005 .

[110]  Jonathan W. Roberti,et al.  Factor structure, concurrent validity, and internal consistency of the beck depression inventory—second edition in a sample of college students , 2004, Depression and anxiety.

[111]  R. Gallop,et al.  Alcohol craving predicts drinking during treatment: an analysis of three assessment instruments. , 2003, Journal of studies on alcohol.

[112]  Hatice Demirbaş,et al.  An examination of suicide probability in alcoholic in-patients. , 2003, Alcohol and alcoholism.

[113]  L. Derogatis,et al.  The SCL–90–R and Brief Symptom Inventory (BSI) in primary care. , 2000 .

[114]  R A Steer,et al.  Dimensions of the Beck Depression Inventory-II in clinically depressed outpatients. , 1999, Journal of clinical psychology.

[115]  H. Kranzler,et al.  Validity of the Obsessive Compulsive Drinking Scale (OCDS): does craving predict drinking behavior? , 1999, Alcoholism, clinical and experimental research.

[116]  R. Anton,et al.  Further validation of the Obsessive-Compulsive Drinking Scale (OCDS). Relationship to alcoholism severity. , 1998, The American journal on addictions.

[117]  Orsini Arturo,et al.  WAIS-R. Contributo alla taratura italiana , 1998 .

[118]  A. Zweben,et al.  Composite outcome measures in alcoholism treatment research: problems and potentialities. , 1996, Substance use & misuse.

[119]  C. Hartgers,et al.  EuropASI: European Adaptation of a Multidimensional Assessment Instrument for Drug and Alcohol Dependence , 1995 .

[120]  M. Schuckit Alcohol Dependence: Provisional Description of a Clinical Syndrome , 1995, Alcohol health and research world.

[121]  C. Mercier,et al.  Profiles of alcoholics according to the SCL-90-R: a confirmative study. , 1992, The International journal of the addictions.

[122]  M. Irwin,et al.  Changes in anxiety among abstinent male alcoholics. , 1991, Journal of studies on alcohol.

[123]  G. Groth-Marnat,et al.  Hypnotizability, attitudes toward eating, and concern with body size in a female college population. , 1990, The American journal of clinical hypnosis.

[124]  S. Hughes,et al.  Stages of change profiles in outpatient alcoholism treatment. , 1990, Journal of substance abuse.

[125]  A. Beck,et al.  Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation , 1988 .

[126]  Health promotion. A discussion document on the concept and principles. , 1986, Public health reviews.

[127]  J. Prochaska,et al.  Transtheoretical therapy: Toward a more integrative model of change. , 1982 .

[128]  L. Covi,et al.  SCL-90: an outpatient psychiatric rating scale--preliminary report. , 1973, Psychopharmacology bulletin.

[129]  C. Spielberger,et al.  Manual for the State-Trait Anxiety Inventory , 1970 .