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Alcohol and Substance Use Disorders in DSM-5

Year 2015, Volume: 7 Issue: 4, 448 - 460, 15.08.2015
https://doi.org/10.5455/cap.20150325081809

Abstract

When we compare the categories about alcohol, and substance-related disorders in DSM-IV and DSM-5, the new category, named addictive disorders is the most striking change. Only gambling disorder have been identified currently in this category. This may be the most remarkable change among the changes in the DSM-5. Because the expansion of the existing diagnostic criteria may cause the assessment of ‘normal behavior’ as a disorder. Additionally, withdrawal of caffeine and cannabis are defined in the DSM-5. Disorders collected under the title of substance-related disorders in the DSM-IV were collected under the name of substance-related and addictive disorders in the DSM-5. Specific criterias for substance abuse and substance addiction have been combined into the name of "substance use disorders". In substance abuse, "experienced legal problems" criteria was removed and "a strong desire or urge or craving for substance use" criteria has been introduced. Henceforth, substance abuse is defined as a mild form of substance use disorders in the DSM-5. A change in the prevalence of substance use disorders should be investigated by the new researches.

 

References

  • APA (1952) Diagnostic and Statistical Manual of Mental Disorders, 1st edition (DSM-I). Washington, DC, American Psychiatric Association.
  • APA (1968) Diagnostic and Statistical Manual of Mental Disorders, 2nd edition (DSM-II). Washington, DC, American Psychiatric Association.
  • APA (1980) Diagnostic and Statistical Manual of Mental Disorders, 3rd edition (DSM-III). Washington, DC, American Psychiatric Association.
  • APA (1987) Diagnostic and Statistical Manual of Mental Disorders, revised 3rd edition (DSM-III-R). Washington, DC, American Psychiatric Association
  • APA (1994) Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV). Washington, DC, American Psychiatric Association.
  • APA (2000) Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision (DSM-IV-TR). Washington, DC, American Psychiatric Association.
  • APA (2013) Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM 5). Washington, DC, American Psychiatric Association.
  • APA (2013b) Substance-related and addictive disorders. Washington, DC, American Psychiatric Association. Available from http://www.dsm5.org/ Documents / Substance%20Use%20Disorder%20Fact%20Sheet.pdf.
  • Ayvaışık B (2009) Alkol ve madde bağımlılığında bilişsel süreçler:beyindeki yapısal değişiklikten bağımlılığa giden yol. In Psikopatolojilerde Bilgi İşleme Süreçleri (Ed. M Irak). Ankara, Hekimler Yayın Birliği.
  • Bilici R (2012) Alkol madde kullanım bozukluklarında tanı ölçütleri. In Alkol Madde Bağımlılığı Tanı ve Tedavi El Kitabı (Eds. C Evren, K Ögel, B Uluğ):35-42. Ankara, Türkiye Psikiyatri Derneği.
  • Boscarino JA, Rukstalis MR, Hoffman SN, Han JJ, Erlich PM, Ross S et al. (2011) Prevalence of prescription opioid-use disorder among chronic pain patients: comparison of the DSM-5 vs. DSM-4 diagnostic criteria. J Addict Dis, 30:185–194.
  • Castaldelli-Maia JM, Silveira CM, Siu ER, Wang YP, Milhorance IA, Alexandrino-Silva C et al. (2014) DSM-5 latent classes of alcohol users in a population-based sample:results from the Sao Paulo Megacity Mental Healthy survey, Brazil. Drug Alcohol Depend, 136: 92-99.
  • Cherpitel CJ, Borges G, Ye Y, Bond J, Cremonte M, Moskalewicz J et al (2010). Performance of a craving criterion in DSM alcohol use disorders. J Stud Alcohol Drugs, 71: 674-684.
  • Christensen DR, Jackson AC, Dowling NA, Volberg RA, Thomas SA (2015) An examination of a proposed DSM-IV pathological gambling hierarchy in a treatment seeking population:similarities with substance dependence and evidence for three classification systems. J Gambl Study, 31:787-805.
  • Chung T, Martin CS, Maisto SA, Cornelius JR, Clark DB (2012) Greater prevalence of DSM-5 nicotine use disorder compared to DSM- IV nicotine dependence in treated adolescents and young adults. Addiction, 107:810-818.
  • Dawson DA, Goldstein RB, Grant BF (2013) Differences in the profiles of DSM-IV and DSM-5 alcohol use disorders: implications for clinicians. Alcohol Clin Exp Res, 37 (Suppl 1):305–313
  • Hasin DS, O’Brein CP, Auriacombe M, Borges G, Bucholz K, Budney A et al. (2013) DSM-5 criteria for substance use disorders:recommendations and rationale. Am J Psychiatry, 170:834-851.
  • Jaffe JH, Anthony JC (2005) Substance-related disorders: introduction and overview. In Kaplan and Sadock’s Comprehensive Texbook of Psychiatry, 8th ed. (Eds HI Sadock, VA Sadock):1137-1167. Philadelphia, Lippincott Williams and Wilkins.
  • Kelly SM, Gryczynski J, Mitchell SG,Kirk A, O’Grady KE, Schwartz RP (2014) Concordance between DSM-5 and DSM-IV nicotine, alcohol, and cannabis use disorder diagnoses among pediatric patients. Drug Alcohol Depend, 140: 213-216.
  • Markel H (2012) The DSM gets addiction rights. Available from http://www.nytimes.com/2012/06/06/opinion/the-dsm-gets- addiction-right.html?_r=3&.
  • Meyer RE (2011) A commentary on addiction and dependence in DSM-V. Addiction 106: 868-897.
  • Mewton L, Slade T, Teesson M (2013) An evaluation of the proposed DSM-5 cannabis use disorder criteria using Australian national survey data. J Stud Alcohol Drugs, 74: 614–621.
  • NIH (2015) Fact sheet: alcohol use disorder: a comparison between DSM-IV and DSM-5. Bethesda, National Institute on Alcohol Abuse and Alcoholism.
  • O’Brein C (2011) Addiction and dependence in DSM-V. Addiction, 106:1-3.
  • Peer K, Rennert K, Lynch KG, Farrer L, Gelernter J, Kranzler HR (2013) Prevalence of DSM-IV and DSM-5 alcohol, cocaine, opioid, and cannabis use disorders in a largely substance dependent sample. Drug and Alcohol Dependence, 127:215-219.
  • Proctor SL, Kopak AM, Hoffmann NG (2012) Compatibility of current DSM-IV and proposed DSM-5 diagnostic criteria for cocaine use disorders. Addict Behav, 37:722–728.
  • Schuckit MA (2013) Editor’s corner: DSM-5-ready or not, here it comes. J Stud Alcohol Drugs, 74: 661-663.
  • Uluğ B (2013). DSM-5 ne getiriyor: bize ve hastalarımıza. Turk Psikiyatri Derg, 24(2):i.
  • Zimmerman M, Spitzer R (2005) Psychiatric classification. In Kaplan and Sadock’s Comprehensive Texbook of Psychiatry, 8th ed. (Eds HI Sadock, VA Sadock):1003-1033. Philadelphia, Lippincott Williams and Wilkins.
  • West R, Miller P (2011) What is the purpose of diagnosing addiction or dependence and what does this mean for establishing diagnostic criteria. Addiction, 106:863-865.

DSM-5'te Alkol ve Madde Kullanım Bozuklukları

Year 2015, Volume: 7 Issue: 4, 448 - 460, 15.08.2015
https://doi.org/10.5455/cap.20150325081809

Abstract

DSM-5’te alkol madde kullanımı ile ilgili bozukluklar ile ilgili en göze çarpan değişiklik “bağımlılık bozuklukları olarak yeni oluşturulan kategoridir. Bu kategoride şimdilik sadece kumar oynama bozukluğu tanımlanmıştır. Belki de DSM-5’teki değişiklikler arasında en çok ses getirecek olan da budur. Çünkü tanı ölçütlerini genişletme ‘normal’ olan günlük davranışların bozukluk olarak değer-lendirilmesine neden olabilir. Ayrıca kafein ve kannabis yoksunluğu da DSM-5’te tanımlanmıştır. DSM-IV’te madde ile ilişkili bozukluklar başlığı altında toplanan bozukluklar DSM-5’te madde ile ilişkili ve bağımlılık bozuklukları adı altında toplanmıştır. Madde kötüye kullanımı ve madde bağımlı-lığı “madde kullanım bozuklukları” başlığı altında birleştirilmiştir. Madde kötüye kullanımındaki “yasal sorunlar yaşama” ölçütü çıkarılmış “aşerme ya da madde kullanımına yönelik güçlü bir istek ya da dürtü” ölçütü getirilmiştir. DSM-5’te kötüye kulanım kavramı artık hafif şiddette madde kullanım bozukluğu olarak tanımlanmaktadır. Yeni ölçütlerle bağımlılık oranlarında bir değişiklik olup olma-yacağı yapılacak çalışmalarla takip edilmelidir.

 

References

  • APA (1952) Diagnostic and Statistical Manual of Mental Disorders, 1st edition (DSM-I). Washington, DC, American Psychiatric Association.
  • APA (1968) Diagnostic and Statistical Manual of Mental Disorders, 2nd edition (DSM-II). Washington, DC, American Psychiatric Association.
  • APA (1980) Diagnostic and Statistical Manual of Mental Disorders, 3rd edition (DSM-III). Washington, DC, American Psychiatric Association.
  • APA (1987) Diagnostic and Statistical Manual of Mental Disorders, revised 3rd edition (DSM-III-R). Washington, DC, American Psychiatric Association
  • APA (1994) Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV). Washington, DC, American Psychiatric Association.
  • APA (2000) Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision (DSM-IV-TR). Washington, DC, American Psychiatric Association.
  • APA (2013) Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM 5). Washington, DC, American Psychiatric Association.
  • APA (2013b) Substance-related and addictive disorders. Washington, DC, American Psychiatric Association. Available from http://www.dsm5.org/ Documents / Substance%20Use%20Disorder%20Fact%20Sheet.pdf.
  • Ayvaışık B (2009) Alkol ve madde bağımlılığında bilişsel süreçler:beyindeki yapısal değişiklikten bağımlılığa giden yol. In Psikopatolojilerde Bilgi İşleme Süreçleri (Ed. M Irak). Ankara, Hekimler Yayın Birliği.
  • Bilici R (2012) Alkol madde kullanım bozukluklarında tanı ölçütleri. In Alkol Madde Bağımlılığı Tanı ve Tedavi El Kitabı (Eds. C Evren, K Ögel, B Uluğ):35-42. Ankara, Türkiye Psikiyatri Derneği.
  • Boscarino JA, Rukstalis MR, Hoffman SN, Han JJ, Erlich PM, Ross S et al. (2011) Prevalence of prescription opioid-use disorder among chronic pain patients: comparison of the DSM-5 vs. DSM-4 diagnostic criteria. J Addict Dis, 30:185–194.
  • Castaldelli-Maia JM, Silveira CM, Siu ER, Wang YP, Milhorance IA, Alexandrino-Silva C et al. (2014) DSM-5 latent classes of alcohol users in a population-based sample:results from the Sao Paulo Megacity Mental Healthy survey, Brazil. Drug Alcohol Depend, 136: 92-99.
  • Cherpitel CJ, Borges G, Ye Y, Bond J, Cremonte M, Moskalewicz J et al (2010). Performance of a craving criterion in DSM alcohol use disorders. J Stud Alcohol Drugs, 71: 674-684.
  • Christensen DR, Jackson AC, Dowling NA, Volberg RA, Thomas SA (2015) An examination of a proposed DSM-IV pathological gambling hierarchy in a treatment seeking population:similarities with substance dependence and evidence for three classification systems. J Gambl Study, 31:787-805.
  • Chung T, Martin CS, Maisto SA, Cornelius JR, Clark DB (2012) Greater prevalence of DSM-5 nicotine use disorder compared to DSM- IV nicotine dependence in treated adolescents and young adults. Addiction, 107:810-818.
  • Dawson DA, Goldstein RB, Grant BF (2013) Differences in the profiles of DSM-IV and DSM-5 alcohol use disorders: implications for clinicians. Alcohol Clin Exp Res, 37 (Suppl 1):305–313
  • Hasin DS, O’Brein CP, Auriacombe M, Borges G, Bucholz K, Budney A et al. (2013) DSM-5 criteria for substance use disorders:recommendations and rationale. Am J Psychiatry, 170:834-851.
  • Jaffe JH, Anthony JC (2005) Substance-related disorders: introduction and overview. In Kaplan and Sadock’s Comprehensive Texbook of Psychiatry, 8th ed. (Eds HI Sadock, VA Sadock):1137-1167. Philadelphia, Lippincott Williams and Wilkins.
  • Kelly SM, Gryczynski J, Mitchell SG,Kirk A, O’Grady KE, Schwartz RP (2014) Concordance between DSM-5 and DSM-IV nicotine, alcohol, and cannabis use disorder diagnoses among pediatric patients. Drug Alcohol Depend, 140: 213-216.
  • Markel H (2012) The DSM gets addiction rights. Available from http://www.nytimes.com/2012/06/06/opinion/the-dsm-gets- addiction-right.html?_r=3&.
  • Meyer RE (2011) A commentary on addiction and dependence in DSM-V. Addiction 106: 868-897.
  • Mewton L, Slade T, Teesson M (2013) An evaluation of the proposed DSM-5 cannabis use disorder criteria using Australian national survey data. J Stud Alcohol Drugs, 74: 614–621.
  • NIH (2015) Fact sheet: alcohol use disorder: a comparison between DSM-IV and DSM-5. Bethesda, National Institute on Alcohol Abuse and Alcoholism.
  • O’Brein C (2011) Addiction and dependence in DSM-V. Addiction, 106:1-3.
  • Peer K, Rennert K, Lynch KG, Farrer L, Gelernter J, Kranzler HR (2013) Prevalence of DSM-IV and DSM-5 alcohol, cocaine, opioid, and cannabis use disorders in a largely substance dependent sample. Drug and Alcohol Dependence, 127:215-219.
  • Proctor SL, Kopak AM, Hoffmann NG (2012) Compatibility of current DSM-IV and proposed DSM-5 diagnostic criteria for cocaine use disorders. Addict Behav, 37:722–728.
  • Schuckit MA (2013) Editor’s corner: DSM-5-ready or not, here it comes. J Stud Alcohol Drugs, 74: 661-663.
  • Uluğ B (2013). DSM-5 ne getiriyor: bize ve hastalarımıza. Turk Psikiyatri Derg, 24(2):i.
  • Zimmerman M, Spitzer R (2005) Psychiatric classification. In Kaplan and Sadock’s Comprehensive Texbook of Psychiatry, 8th ed. (Eds HI Sadock, VA Sadock):1003-1033. Philadelphia, Lippincott Williams and Wilkins.
  • West R, Miller P (2011) What is the purpose of diagnosing addiction or dependence and what does this mean for establishing diagnostic criteria. Addiction, 106:863-865.
There are 30 citations in total.

Details

Primary Language Turkish
Journal Section Review
Authors

Gülcan Güleç

Ferdi Köşger This is me

Altan Eşsizoğlu This is me

Publication Date August 15, 2015
Published in Issue Year 2015 Volume: 7 Issue: 4

Cite

AMA Güleç G, Köşger F, Eşsizoğlu A. DSM-5’te Alkol ve Madde Kullanım Bozuklukları. Psikiyatride Güncel Yaklaşımlar - Current Approaches in Psychiatry. August 2015;7(4):448-460. doi:10.5455/cap.20150325081809

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