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Drug Alcohol Depend. 1991 Dec;29(1):17-25.

Agreement between DSM-III and III-R substance use disorders.

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  • 1Department of Psychiatry, Washington University School of Medicine, St. Louis, MO 63110.

Erratum in

  • Drug Alcohol Depend 1992 Feb;29(3):291.


With proposed criteria for DSM-IV substance dependence imminent, an evaluation of the impact of changes from DSM-III to DSM-III-R would be informative. Recent admissions to St. Louis drug treatment centers were interviewed with the DIS-III-R, which covers criteria from both systems. Kappa values for system agreement, diagnostic overlap and percent positive agreement are reported by substance. The DSM-III-R system cast a wider net for dependence than DSM-III for alcohol, tobacco and amphetamines. Neither system predominated for cannabis, opioids and barbiturates/sedatives/hypnotics. Reasons for differences and implications of findings are discussed.

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