CONCORDANCE BETWEEN ICD-10 ALCOHOL AND DRUG-USE DISORDER CRITERIA ANDDIAGNOSES AS MEASURED BY THE AUDADIS-ADR, CIDI AND SCAN - RESULTS OF A CROSS-NATIONAL-STUDY

Agreement between the AUDADIS-ADR, CIDI and SCAN in case identificatio n for ICD-10 alcohol and drug use disorders and diagnostic criteria wa s investigated in three countries, Luxembourg, Greece and the US. Over all, agreement for ICD-10 dependence diagnoses between the three instr uments was fair to good for alcohol, opioids and cocaine, but generall y lower for dependence diagnoses for other substance. In contrast, con cordance between instruments for harmful use diagnoses was extremely p oor for all substances. Implications of these major findings are discu ssed in terms of the relationship between prevalence, reliability and concordance and indications and cautions regarding cross-instrument co mparisons. (C) 1997 Elsevier Science Ireland Ltd.