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dc.contributor.advisorSher, Kenneth J.eng
dc.contributor.authorVergés, Alvaroeng
dc.date.issued2014eng
dc.date.submitted2014 Summereng
dc.description"July 2014."eng
dc.descriptionDissertation Supervisor: Dr. Kenneth J. Sher.eng
dc.descriptionIncludes vita.eng
dc.description.abstract[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT AUTHOR'S REQUEST.] Epidemiological studies have consistently shown a decrease in the prevalence of Alcohol Dependence (AD) with age after its peak in young adulthood. Although this pattern has been traditionally explained as a result of higher rates of desistance during young adulthood, recent evidence shows that rates of AD persistence are stable across the lifespan. One potential explanation for these findings is that some AD criteria might be overly endorsed by younger adults, thus leading to higher rates of false positives which, in turn, lead to inflated rates of persistence in this group. In addition, recent studies have examined the extent to which the seven AD criteria prospectively predict the onset or persistence of AD. Although informative, these studies have not investigated differential prediction by age. The current study used longitudinal data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) to decompose the prevalence of each AD criterion at wave 2 as a function of new onset, recurrence, and persistence from wave 1. In addition, the predictive association between each criterion at wave 1 and the new onset, recurrence, and persistence of syndromal AD was investigated. Results indicated that some criteria (particularly quit/control and physical/psychological problems) are both less persistent and less predictive of AD course among younger adults. These findings help to understand measurement issues that are implicated in the maturing out phenomenon and provide insights into potential improvements in the way AD criteria are currently measured.eng
dc.description.bibrefIncludes bibliographical references (pages 29-34).eng
dc.format.extent1 online resource (3 files) : illustrations (some color)eng
dc.identifier.merlinb107954187eng
dc.identifier.oclc907488513eng
dc.identifier.urihttps://hdl.handle.net/10355/44486
dc.languageEnglisheng
dc.publisher[University of Missouri--Columbia]eng
dc.relation.ispartofcollectionUniversity of Missouri--Columbia. Graduate School. Theses and Dissertations.eng
dc.relation.ispartofcommunityUniversity of Missouri--Columbia. Graduate School. Theses and Dissertationseng
dc.rightsAccess is limited to the campuses of the University of Missouri.eng
dc.sourceSubmitted by the University of Missouri--Columbia Graduate School.eng
dc.titleNew onset, recurrence, and persistence of alcohol dependence criteria : maturing out at the symptom leveleng
thesis.degree.disciplinePsychology (MU)eng
thesis.degree.grantorUniversity of Missouri--Columbiaeng
thesis.degree.levelDoctoraleng
thesis.degree.namePh. D.eng


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