Table 1.
Concordance of past-year DSM-IV dependence with selected thresholdsa for DSM-5 past-year opioid, cannabis, cocaine and alcohol use disorders among past-year users of the specific substances: U.S. adults 18 years of age and older
| DSM-5 SUD threshold |
Kappa | % Concordant among individuals where DSM-IV dependence is: |
% Concordant among individuals where DSM-5 SUD threshold is: |
||
|---|---|---|---|---|---|
| Positive (Sensitivity) |
Negative (Specificity) |
Positive (PPV) |
Negative (NPV) |
||
| Opioids: | |||||
| 3+ positive criteria | .856 (.026) | 100.0 (0.0) | 97.1 (1.1) | 77.1 (7.3) | 100.0 (0.0) |
| 4+ positive criteria | .835 (.029) | 87.0 (7.6) | 98.3 (0.9) | 83.2 (7.1) | 98.7 (0.8) |
| 5+ positive criteria | .727 (.039) | 64.5 (10.4) | 99.2 (0.6) | 88.9 (7.5) | 96.6 (1.2) |
| 6+ positive criteria | .724 (.040) | 59.0 (10.7) | 100.0 (0.0) | 100.0 (0.0) | 96.1 (1.2) |
| Cannabis: | |||||
| 3+ positive criteria | .428 (.016) | 100.0 (0.0) | 88.9 (1.0) | 30.6 (3.5) | 100.0 (0.0) |
| 4+ positive criteria | .614 (.018) | 99.3 (0.7) | 94.5 (0.7) | 47.0 (4.5) | 100.0 (0.0) |
| 5+ positive criteria | .757 (.017) | 95.6 (2.1) | 97.4 (0.5) | 64.6 (5.5) | 99.8 (0.1) |
| 6+ positive criteria | .781 (.018) | 78.6 (5.2) | 99.0 (0.3) | 79.7 (5.4) | 98.9 (0.3) |
| Cocaine: | |||||
| 3+ positive criteria | .734 (.022) | 100.0 (0.0) | 85.8 (2.9) | 67.5 (5.8) | 100.0 (0.0) |
| 4+ positive criteria | .864 (.018) | 96.2 (3.7) | 94.6 (1.8) | 84.1 (4.7) | 98.8 (1.2) |
| 5+ positive criteria | .852 (.019) | 86.7 (5.5) | 97.3 (1.4) | 90.4 (4.7) | 96.1 (1.7) |
| 6+ positive criteria | .760 (.025) | 69.8 (6.9) | 99.0 (0.7) | 95.3 (3.3) | 91.7 (2.3) |
| Alcohol: | |||||
| 3+ positive criteria | .802 (.003) | 100.0 (0.0) | 96.2 (0.2) | 69.5 (1.1) | 100.0 (0.0) |
| 4+ positive criteria | .830 (.003) | 82.6 (1.1) | 98.8 (0.1) | 86.0 (1.2) | 98.5 (0.1) |
| 5+ positive criteria | .720 (.005) | 60.0 (1.4) | 99.8 (0.1) | 95.4 (1.2) | 96.7 (0.2) |
| 6+ positive criteria | .568 (.006) | 41.8 (1.3) | 100.0 (0.0) | 99.6 (0.3) | 95.3 (0.2) |
a
Number of SUD criteria endorsed