Cited by 65Substance Abuse Treatment and OutcomesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesGambling Behavior and Treatments

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A Latent Class Analysis of DSM‐IV Alcohol Use Disorder Criteria and Binge Drinking in Undergraduates

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Beseler, Cheryl L., Taylor, Laura A., Kraemer, Deborah T., Leeman, Robert F.·2012·Alcoholism: Clinical and Experimental Research

Abstract

Background: Adolescent and adult samples have shown that the Diagnostic and Statistical Manual of Mental Disorders‐IV (DSM‐IV) abuse and dependence criteria lie on a continuum of alcohol problem severity, but information on criteria functioning in college students is lacking. Prior factor analyses in a college sample ( Beseler et al., 2010 ) indicated that a 2‐factor solution fit the data better than a single‐factor solution after a binge drinking criterion was included. The second dimension may indicate a clustering of criteria related to excessive alcohol use in this college sample. Methods: The present study was an analysis of data from an anonymous, online survey of undergraduates ( N = 361) that included items pertaining to the DSM‐IV alcohol use disorder (AUD) diagnostic criteria and binge drinking. Latent class analysis (LCA) was used to determine whether the criteria best fit a categorical model, with and without a binge drinking criterion. Results: In an LCA including the AUD criteria only, a 3‐class solution was the best fit. Binge drinking worsened the fit of the models. The largest class (class 1, n = 217) primarily endorsed tolerance (18.4%); none were alcohol dependent. The middle class (class 2, n = 114) endorsed primarily tolerance (81.6%) and drinking more than intended (74.6%); 34.2% met criteria for dependence. The smallest class (class 3, n = 30) endorsed all criteria with high probabilities (30 to 100%); all met criteria for dependence. Alcohol consumption patterns did not differ significantly between classes 2 and 3. Class 3 was characterized by higher levels on several variables thought to predict risk of alcohol‐related problems (e.g., enhancement motives for drinking, impulsivity, and aggression). Conclusions: Two classes of heavy‐drinking college students were identified, one of which appeared to be at higher risk than the other. The highest risk group may be less likely to “mature out” of high‐risk drinking after college.

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  • Heavy, chronic alcohol use, but not moderate drinking, is associated with heightened aggression.

    “Several studies have consistently reported that heavy, chronic alcohol use, but not moderate drinking, is associated with heightened aggression (Beseler et al. 2012; Siciliano et al. 2013).”

    From Decoding the bidirectional links between alcohol misuse and aggression: toward a unified translational framework (2026) · cites this paper as Beseler et al. 2012

    The Results (Analysis of Covariance Results; page unavailable) report that the lower-consumption class differed from both heavier-drinking classes on aggression measures. But the two heavier-drinking classes also differed in aggression despite similar alcohol consumption, and the paper does not establish a heavy, chronic-versus-moderate drinking comparison. Its cross-sectional findings do not show that heavy drinking heightens aggression. (LLM, conf=0.85)

    Experimental — accuracy not yet measured
  • Aggression increases in parallel with the severity of AUD.

    “aggression increases in parallel with the severity of AUD (Beseler et al. 2012)”

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Metadata

Authors
Beseler, C. L., Taylor, L. A., Kraemer, D. T., & Leeman, R. F.
Affiliations
George Washington University (US)
Corresponding author
Beseler, Cheryl L.
Venue
Alcoholism: Clinical and Experimental Research
Publisher
Wiley
Published
2011-10-17
Volume
36
Issue
1
Pages
153-161
ISSN
  • 0145-6008 (ISSN-L)
  • 1530-0277
OpenAlex
W1947321811
Cited by
65
References
6
Citations by year
2026: 2 · 2025: 3 · 2024: 3 · 2023: 7 · 2022: 5 · 2021: 4 · 2020: 5 · 2019: 3 · 2018: 4 · 2017: 4 · 2016: 8 · 2015: 8 · 2014: 3 · 2013: 5 · 2012: 1
FWCI
2.16
Type
journal article
Language
en
Open access
Locations
  • Alcoholism Clinical and Experimental Research (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Alcohol Abuse and Alcoholism (K01AA019694, K05AA014715, R01AA016621)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
Keywords
alcoholism, DSM-IV diagnostic criteria, binge drinking, university students, alcohol tolerance, heavy drinking, alcohol-related problems, risk factors, impulsivity, aggression, enhancement motives, alcohol consumption patterns
MeSH terms
Adolescent, Ethanol, Cross-Sectional Studies, Female, Health Surveys, Humans, Male, Risk Factors, Students, Universities, Alcohol-Related Disorders, Diagnostic and Statistical Manual of Mental Disorders, Young Adult

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