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.

中文翻译：

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酒精成瘾：一个实体还是不同的实体？基于 DSM-4 的酒精成瘾和滥用地理化尝试。

目的 检验欧洲对“酗酒”的看法是否因地理区域不同而存在差异。方法 对 2013-2014 年在欧洲 9 个国家/地区的酒精成瘾部门接受治疗的 1767 名患者进行的欧洲项目数据集进行二次分析。在患者访谈中评估了用于诊断“酒精依赖”和“酒精滥用”的所有 11 项 DSM-4 标准的经验。通过多重对应分析进行分析。结果 DSM-IV 提出的“酒精依赖”和“酒精滥用”的症状根据三个离散的地理模式分布：主要以饮用啤酒和烈酒为中心的宏观区域，一种传统上以葡萄酒和混合中度酒精饮料为导向的文化。结论 这些认知模式似乎与欧洲多样化的饮酒文化相呼应。