Table 3.
Agreement between PRISM-5 DSM-5 past-year moderate or severe substance use disorder and DSM-IV past-year substance dependence diagnoses (N = 588).
| Substance | % DSM- 5 | % DSM- IV | McNemar’s testa p-value | Kappab (95% CI) |
|---|---|---|---|---|
|
| ||||
| Alcohol | 53.7 | 53.7 | 1.000 | 0.92 (0.89, 0.96) |
| Tobacco | 47.4 | 46.4 | 0.180 | 0.93 (0.90, 0.96) |
| Cannabis | 30.8 | 26.9 | <.001 | 0.86 (0.81, 0.90) |
| Cocaine | 38.9 | 39.1 | 0.705 | 0.97 (0.96, 0.99) |
| Heroin | 23.0 | 23.0 | 1.000 | 0.98 (0.96, 1.00) |
| Opioids | 12.6 | 13.1 | 0.317 | 0.93 (0.89, 0.98) |
| Sedatives | 10.4 | 10.4 | 1.000 | 0.96 (0.93, 1.00) |
| Stimulants | 2.4 | 2.6 | 0.317 | 0.96 (0.90, 1.00) |
a
McNemar’s test evaluated whether there were significant differences between DSM-IV dependence and DSM-5 moderate or severe SUD prevalences.
b
Degree of agreement, indicated by kappa values: 0–0.20, poor; 0.21–0.40, fair; 0.41–0.60, moderate; 0.61–0.80, substantial; and 0.81–1.00, excellent.