The Obsessive Compulsive Drinking Scale is a valid measure of alcohol craving in young adults

Connor, Jason P., Feeney, Gerald F. X., Jack, Alyssa and Young, Ross McD (2010) The Obsessive Compulsive Drinking Scale is a valid measure of alcohol craving in young adults. Alcoholism: Clinical and Experimental Research, 34 12: 2155-2161. doi:10.1111/j.1530-0277.2010.01312.x

Author Connor, Jason P.
Feeney, Gerald F. X.
Jack, Alyssa
Young, Ross McD
Title The Obsessive Compulsive Drinking Scale is a valid measure of alcohol craving in young adults
Journal name Alcoholism: Clinical and Experimental Research   Check publisher's open access policy
ISSN 0145-6008
Publication date 2010-12
Sub-type Article (original research)
DOI 10.1111/j.1530-0277.2010.01312.x
Volume 34
Issue 12
Start page 2155
End page 2161
Total pages 7
Place of publication Hoboken, NJ, United States
Publisher Wiley-Blackwell Publishing
Collection year 2011
Language eng
Formatted abstract
Background:  Alcohol craving is associated with greater alcohol-related problems and less favorable treatment prognosis. The Obsessive Compulsive Drinking Scale (OCDS) is the most widely used alcohol craving instrument. The OCDS has been validated in adults with alcohol use disorders (AUDs), which typically emerge in early adulthood. This study examines the validity of the OCDS in a nonclinical sample of young adults.
Methods:  Three hundred and nine college students (mean age of 21.8 years, SD = 4.6 years) completed the OCDS, Alcohol Use Disorders Identification Test (AUDIT), and measures of alcohol consumption. Subjects were randomly allocated to 2 samples. Construct validity was examined via exploratory factor analysis (n = 155) and confirmatory factor analysis (n = 154). Concurrent validity was assessed using the AUDIT and measures of alcohol consumption. A second, alcohol-dependent sample (mean age 42 years, SD 12 years) from a previously published study (n = 370) was used to assess discriminant validity.
Results:  A unique young adult OCDS factor structure was validated, consisting of Interference/Control, Frequency of Obsessions, Alcohol Consumption and Resisting Obsessions/Compulsions. The young adult 4-factor structure was significantly associated with the AUDIT and alcohol consumption. The 4 factor OCDS successfully classified nonclinical subjects in 96.9% of cases and the older alcohol-dependent patients in 83.7% of cases. Although the OCDS was able to classify college nonproblem drinkers (AUDIT <13, n = 224) with 83.2% accuracy, it was no better than chance (49.4%) in classifying potential college problem drinkers (AUDIT score ≥13, n = 85).
Conclusions:  Using the 4-factor structure, the OCDS is a valid measure of alcohol craving in young adult populations. In this nonclinical set of students, the OCDS classified nonproblem drinkers well but not problem drinkers. Studies need to further examine the utility of the OCDS in young people with alcohol misuse.
© 2010 by the Research Society on Alcoholism.
Keyword OCDS
Young adult
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Medicine Publications
School of Psychology Publications
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Created: Tue, 26 Oct 2010, 14:05:39 EST by Sheila Cleary on behalf of Centre for Youth Substance Abuse