TABLE 3.

Agreement Between DSM-IV Abuse/Dependence and DSM-5 Substance Use Disorders at Different Diagnostic Thresholds

Sample (source)	Sample Size	Prevalence	Kappa
National Epidemiologic Survey on Alcohol and Related Conditions (6)
Drinkers, last 12 monthsa	20,836
DSM-IV alcohol		0.10
DSM-5, ≥2 criteria		0.11	0.73
DSM-5, ≥3 criteria		0.06	0.73
Collaborative studies on genetics of alcoholism nonproband adults (56)
Drinkers, lifetime	6,673
DSM-IV alcohol		0.43
DSM-5, ≥2 criteria		0.43	0.80
DSM-5, ≥3 criteria		0.32	0.74
Cannabis users, lifetime	4,569
DSM-IV cannabis		0.35
DSM-5, ≥2 criteria		0.33	0.82
DSM-5, ≥3 criteria		0.26	0.75
Cross-national emergency departments (54)
Drinkers, last 12 monthsa	3,191
DSM-IV alcohol		0.21
DSM-5, ≥2 criteria		0.21	0.80
DSM-5, ≥3 criteria		0.15	0.79
Metropolitan clinical sample (N=663) (57)
Drinkers, last 12 monthsa	534
DSM-IV current alcohol		46.9
DSM-5, ≥2 criteria		48.7	0.94
DSM-5, ≥3 criteria		45.7	0.96
DSM-5, ≥4 criteria		42.8	0.92
Cannabis users, last 12 monthsa	340
DSM-IV cannabis		21.1
DSM-5, ≥ 2 criteria		19.6	0.85
DSM-5, ≥ 3 criteria		16.4	0.83
DSM-5, ≥ 4 criteria		13.4	0.73
Cocaine users, last 12 monthsa	483
DSM-IV cocaine		52.9
DSM-5, ≥2 criteria		54.5	0.93
DSM-5, ≥3 criteria		51.7	0.96
DSM-5, ≥4 criteria		48.9	0.93
Heroin users, last 12 monthsa	364
DSM-IV heroin		40.0
DSM-5, ≥2 criteria		41.6	0.95
DSM-5, ≥3 criteria		39.2	0.97
DSM-5, ≥4 criteria		36.5	0.96

^aAny use within prior 12 months.