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Alcohol Addiction: One Entity or Different Entities? A DSM-4-Based Attempt Toward a Geographicization of Alcohol Addiction and Abuse

Alcohol Alcohol. 2022 May 22:agac021. doi: 10.1093/alcalc/agac021. Online ahead of print.

ABSTRACT

AIM: To examine whether in Europe perceptions of ‘alcoholism’ differ in a discrete manner according to geographical area.

METHOD: Secondary analysis of a data set from a European project carried out in 2013-2014 among 1767 patients treated in alcohol addiction units of nine countries/regions across Europe. The experience of all 11 DSM-4 criteria used for diagnosing ‘alcohol dependence’ and ‘alcohol abuse’ were assessed in patient interviews. The analysis was performed through Multiple Correspondence Analysis.

RESULTS: The symptoms of ‘alcohol dependence’ and ‘alcohol abuse’, posited by DSM-IV, were distributed according to three discrete geographical patterns: a macro-area mainly centered on drinking beer and spirit, a culture traditionally oriented toward wine and a mixed intermediate alcoholic beverage situation.

CONCLUSION: These patterns of perception seem to parallel the diverse drinking cultures of Europe.

PMID:35596950 | DOI:10.1093/alcalc/agac021

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