TY - JOUR
T1 - DSM-5 criteria for substance use disorders
T2 - Recommendations and rationale
AU - Hasin, Deborah S.
AU - O'Brien, Charles P.
AU - Auriacombe, Marc
AU - Borges, Guilherme
AU - Bucholz, Kathleen
AU - Budney, Alan
AU - Compton, Wilson M.
AU - Crowley, Thomas
AU - Ling, Walter
AU - Petry, Nancy M.
AU - Schuckit, Marc
AU - Grant, Bridget F.
PY - 2013/8/1
Y1 - 2013/8/1
N2 - 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 substancerelated disorders. The proposed changes overcome many problems, while further studies will be needed to address issues for which less data were available.
AB - 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 substancerelated disorders. The proposed changes overcome many problems, while further studies will be needed to address issues for which less data were available.
UR - http://www.scopus.com/inward/record.url?scp=84883324872&partnerID=8YFLogxK
U2 - 10.1176/appi.ajp.2013.12060782
DO - 10.1176/appi.ajp.2013.12060782
M3 - Review article
C2 - 23903334
AN - SCOPUS:84883324872
SN - 0002-953X
VL - 170
SP - 834
EP - 851
JO - American Journal of Psychiatry
JF - American Journal of Psychiatry
IS - 8
ER -