102 



1988 National Health Interview Survey: 



DSM-III-R Alcohol Abuse and Dependence Diagnostic Criteria and Associated Questionnaire Kems 



Diagnostic Criteria for Alcohol Abuse 



I Diagnostic Criterion: Continusd to dnnk despite a persistent so- 

 ! cial. occupational, psychological, or physical problem that is 

 caused or exacsftialed by drinking. 



j Questionnaire Itenu: 



* Continued to dnnk even though it was a threat to your health. 

 \ ' Kepi drinking even though it caused you emotional problems. 

 ! * Kept drinking even though it caused you problems at home, 



1 wofK or school. 



I * Had a spouse or someone you lived with threaten to leave you 



because of your dnnklng. 

 I * Lost a job, or nearly lost or)e, because of drinkir^. 



* Had your chances for promotion, raises, or better Jobs hurt by 

 ' your drinking. 



Diagnostic Crlterton: Recunent drinking in situations in which 

 alcohol use is physically hazardous 

 Questionnaire Items: 



* Drfven a car after having too much to drink. 



* Done things when drinking that coukf have caused you to 

 be hurt. 



' Done things when dnnking that coukj have caused someone 

 else 10 be hurt 



Diagnostic Criteria for Alcohol 

 Dependence 



Diagnostic Criterion: Drinking in larger amounts or over a longer 



penod ttian intended. 



Questionnaire Items: 



' Ended up drinking much more than you intended to. 



■ Found it difficult to stop drinking or>ce you started 



■ Kepi on dnnking lor a longer penod of lime than you 

 intended to. 



Diagnostic Criterion: Persistent desire or unsuccessful efforts to 

 cut down or control drinking. 



Questionnaire Items: 



* Tried to cut down or stop drinkir>g and found you coukjn't do it 



* Wanted to cut down or stop dnnking and found you couMnI 

 doit. 



Diagnostic Criterion: Spent a great deal of time obtaining 

 alcohol, dnnkjf^, or recovering from dnnkir>g. 



Questionnaire Item: 



' Spent a lot of time drinking or getting over tfie effects of 

 dnnking 



' Diagnostic Criterion: Frequent intoxcation or witt>drawai when 

 expected to fulfill major role obligations, or wtien drinking Is 

 physically hazardous. 

 Questionnaire Itema: 



' Stayed away from work or gone to work late because of 

 drinking or from a hangover. 



* Gotten drunk Instead of doing ttie thirtgs you were supposed 

 to do. 



' Been so hung over that It Interiersd with doing things you were 

 supposed to do. 



* Driven a car after having had too much to drink. 



' Done things wtwn dnnking ttiat couk5 have caused you to be 

 hurt. 



* Done things wlien drinking tfiat couk) have caused someone 

 else to be hurt 



Diagnostic Criterion: Important sodal, occupational, or recre- 

 ational activities given up or reduced t]ecause of drinking. 

 QtMStionnaIre Itema: 



* Given up or cut down on activrties or Interests like sports or 

 assodatkins with friends. In order to drink. 



* Lost ties with or drifted apart from a family member or friend 

 because of your drinking. 



Diagnostic Crttarlon: Continued to drink despite a persistent or 

 recunem social, psychokjgical. or physical problem that is caused 

 or exacertjated by drinking. 



Questionnaire Hems: 



* Continued to drink ak»hol even though K was a threat to your 

 health 



* Kept drinking even ttvxigh it caused you emotk>nal problems. 



* Kept dnnking even though It caused you problems al home, 

 wort<, or sdhoct 



' Had a spouse or someorw you lived with threaten to leave you 

 because of your drinking. 



Diagnostic Crttarton: Tolerance. 

 Questionnaire Hems: 



' Found that the same amount of akxihol had less effect than 

 before. 



* Fourid tt^ you had to drink more than you once did to get 

 ttte same effect. 



Diagnostic Criterion: Charactaristk: withdrawal state. 



Questionnaire ttsms: 



' Been sick or vomited after drinking, or the rrraming after 



* Felt depressed, irritable, or nervous after drinking, or the 

 momir^ after. 



* Found yourself sweatng heavily or shaking after drinking, or 

 tfw morning after. 



* Heard or seen things that weren't realty there after drinking, 

 or the morning after. 



Diagnostic Critarlon: Drinking to relieve or avok] withdrawal 



symptoms. 



Questlottnaire nam: 



* Taken a dnnk to keep yourself from shaking or feeling sick 

 either after drinking or the morning after. 



94 



Alcohol Health & Research Wosld 



