Back to Search Start Over

DSM-5 criteria for substance use disorders: recommendations and rationale.

DSM-5 criteria for substance use disorders: recommendations and rationale.

Authors :
Hasin DS
O'Brien CP
Auriacombe M
Borges G
Bucholz K
Budney A
Compton WM
Crowley T
Ling W
Petry NM
Schuckit M
Grant BF
Source :
The American journal of psychiatry [Am J Psychiatry] 2013 Aug; Vol. 170 (8), pp. 834-51.
Publication Year :
2013

Abstract

Since DSM-IV was published in 1994, its approach to substance use disorders has come under scrutiny. Strengths were identified (notably, reliability and validity of dependence), but concerns have also arisen. The DSM-5 Substance-Related Disorders Work Group considered these issues and recommended revisions for DSM-5. General concerns included whether to retain the division into two main disorders (dependence and abuse), whether substance use disorder criteria should be added or removed, and whether an appropriate substance use disorder severity indicator could be identified. Specific issues included possible addition of withdrawal syndromes for several substances, alignment of nicotine criteria with those for other substances, addition of biomarkers, and inclusion of nonsubstance, behavioral addictions.This article presents the major issues and evidence considered by the work group, which included literature reviews and extensive new data analyses. The work group recommendations for DSM-5 revisions included combining abuse and dependence criteria into a single substance use disorder based on consistent findings from over 200,000 study participants, dropping legal problems and adding craving as criteria, adding cannabis and caffeine withdrawal syndromes, aligning tobacco use disorder criteria with other substance use disorders, and moving gambling disorders to the chapter formerly reserved for substance-related disorders. The proposed changes overcome many problems, while further studies will be needed to address issues for which less data were available.

Details

Language :
English
ISSN :
1535-7228
Volume :
170
Issue :
8
Database :
MEDLINE
Journal :
The American journal of psychiatry
Publication Type :
Academic Journal
Accession number :
23903334
Full Text :
https://doi.org/10.1176/appi.ajp.2013.12060782