Agreement between DSM-IV and ICD-10 criteria for opioid use disorders in two Iranian samples

Tarrahi, M.J. and Rahimi-Movaghar, A. and Zeraati, H. and Amin-Esmaeili, M. and Motevalian, A. and Hajebi, A. and Sharifi, V. and Radgoodarzi, R. and Hefazi, M. and Fotouhi, A. (2014) Agreement between DSM-IV and ICD-10 criteria for opioid use disorders in two Iranian samples. Addictive Behaviors, 39 (3). pp. 553-557. ISSN 0306-4603

[img] Text
Agreement between DSM-IV and ICD-10 criteria for opioid use disorders in two Iranian samples.pdf

Download (179kB)
Official URL: https://www.scopus.com/inward/record.uri?eid=2-s2....

Abstract

The aim of this study was to determine the agreement between the two systems in opioid users in the general population and a clinical sample. Two series of data were used in this study. The first was the data of 236 home-residing opioid abusers aged 15-64, who had previously participated in the Iran Mental Health Survey (IranMHS) in 2011, and the second was the data of 104 general psychiatry patients from inpatient or outpatient wards of two psychiatry hospitals in Tehran. Opioid use disorders were evaluated with CIDI-version 2.1. The disorders were assessed in all participants who used opioid substances for at least 5 times during the past 12. months. In the sample from the general population, the agreement between the two systems on the diagnosis of dependence was excellent (0.81). The agreement between the two systems on the diagnosis of abuse and harmful use was 0.41. In the clinical sample, the agreement between the two systems on the diagnosis of dependence or any opioid use disorder was 0.96 and 0.93, respectively. The agreement between abuse and harmful use was 0.9 and - 0.02 with and without regarding hierarchy, respectively. The inter-rater reliability of both DSM-IV and ICD-10 systems for all diagnosis was more than 0.95. The results of the diagnosis of dependence in the two systems had a weak concordance with treatment. The diagnostic criteria of DSM-IV and ICD-10 regarding dependence are very similar and the diagnosis produced by each system is concordant with the other system. However, the two systems have noticeable discrepancies in the diagnosis of abuse and harmful use. The discrepancies result from their conceptual differences and necessitate further revision in the definition of these disorders in the two systems. © 2013 Elsevier Ltd.

Item Type: Article
Additional Information: cited By 3
Uncontrolled Keywords: adolescent; adult; article; cross-sectional study; DSM-IV; hospital patient; human; ICD-10; interrater reliability; Iran; major clinical study; mental patient; middle aged; opiate addiction; outpatient department; psychiatric diagnosis; young adult, Classification; DSM-IV; ICD-10; Iran; Opioid-related disorders, Adolescent; Adult; Diagnostic and Statistical Manual of Mental Disorders; Humans; International Classification of Diseases; Iran; Middle Aged; Opioid-Related Disorders; Psychometrics; Young Adult
Subjects: WL Nervous System
Depositing User: Ms Roya Vesal Azad
Date Deposited: 29 Sep 2019 07:51
Last Modified: 29 Sep 2019 07:51
URI: http://eprints.iums.ac.ir/id/eprint/10939

Actions (login required)

View Item View Item