An item response theory analysis of DSM-IV criteria for hallucinogen abuse and dependence in adolescents.

dc.contributor.author

Wu, Li-Tzy

dc.contributor.author

Pan, Jeng-Jong

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Yang, Chongming

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Reeve, Bryce B

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Blazer, Dan G

dc.date.accessioned

2020-02-03T05:52:10Z

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2020-02-03T05:52:10Z

dc.date.issued

2010-03

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2020-02-03T05:52:09Z

dc.description.abstract

AIM:This study applied both item response theory (IRT) and multiple indicators-multiple causes (MIMIC) methods to evaluate item-level psychometric properties of diagnostic questions for hallucinogen use disorders (HUDs), differential item functioning (DIF), and predictors of latent HUD. METHODS:Data were drawn from 2004-2006 National Surveys on Drug Use and Health. Analyses were based on 1548 past-year hallucinogen users aged 12-17 years. Substance use and symptoms were assessed by audio computer-assisted self-interviewing methods. RESULTS:Abuse and dependence criteria empirically were arrayed along a single continuum of severity. All abuse criteria indicated middle-to-high severity on the IRT-defined HUD continuum, while dependence criteria captured a wider range from the lowest (tolerance and time spent) to the highest (taking larger amounts and inability to cut down) severity levels. There was indication of DIF by hallucinogen users' age, gender, race/ethnicity, and ecstasy use status. Adjusting for DIF, ecstasy users (vs. non-ecstasy hallucinogen users), females (vs. males), and whites (vs. Hispanics) exhibited increased odds of HUD. CONCLUSIONS:Symptoms of hallucinogen abuse and dependence empirically do not reflect two discrete conditions in adolescents. Trends and problems related to hallucinogen use among girls and whites should be examined further to inform the designs of effective gender-appropriate and culturally sensitive prevention programs.

dc.identifier

S0306-4603(09)00274-3

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0306-4603

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1873-6327

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https://hdl.handle.net/10161/19998

dc.language

eng

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Elsevier BV

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Addictive behaviors

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10.1016/j.addbeh.2009.10.009

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Humans

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Substance-Related Disorders

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Hallucinogens

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Risk Factors

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Self Disclosure

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Psychometrics

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Age Factors

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Sex Factors

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Diagnostic and Statistical Manual of Mental Disorders

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Adolescent

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Child

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Ethnic Groups

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Female

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Male

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Surveys and Questionnaires

dc.title

An item response theory analysis of DSM-IV criteria for hallucinogen abuse and dependence in adolescents.

dc.type

Journal article

duke.contributor.orcid

Wu, Li-Tzy|0000-0002-5909-2259

duke.contributor.orcid

Reeve, Bryce B|0000-0002-6709-8714

pubs.begin-page

273

pubs.end-page

277

pubs.issue

3

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School of Medicine

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Duke

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Center for Child and Family Policy

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Sanford School of Public Policy

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Duke Clinical Research Institute

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Institutes and Centers

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Duke Institute for Brain Sciences

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University Institutes and Centers

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Institutes and Provost's Academic Units

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Psychiatry & Behavioral Sciences, Social and Community Psychiatry

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Psychiatry & Behavioral Sciences

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Clinical Science Departments

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Medicine, General Internal Medicine

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Medicine

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Center for the Study of Aging and Human Development

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Family Medicine and Community Health

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Psychiatry & Behavioral Sciences, Geriatric Behavioral Health

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Duke Cancer Institute

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Population Health Sciences

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Basic Science Departments

pubs.publication-status

Published

pubs.volume

35

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