The development of the Diagnostic and Statistical Manual of Mental Disorders version V substance use disorders section: establishing the research framework

2007 ◽  
Vol 20 (3) ◽  
pp. 208-212 ◽  
Author(s):  
John B Saunders ◽  
Linda B Cottler
1996 ◽  
Vol 168 (S30) ◽  
pp. 7-8 ◽  
Author(s):  
Hans-Ulrich Wittchen

Comorbidity can be described broadly as the presence of more than one disorder in a person in a defined period of time (Wittchen & Essau, 1993). Stimulated by the introduction of explicit diagnostic criteria and operationalised diagnoses in the Diagnostic and Statistical Manual of Mental Disorders (DSM–III; APA, 1980) and the Diagnostic Criteria for Research in ICD–10 (WHO, 1991), numerous studies in the 1980s and early 1990s, have assessed the extent, the nature, and more recently, the implications of comorbidity for a better understanding of mental disorders. Most studies investigated the association of anxiety and mood disorders, but increasingly there are also studies looking into the association of mood disorders with other disorders (such as somatoform and substance use disorders (Wittchen et al, 1993, 1996)) as well as with somatic conditions (axis II) and personality disorders (axis III).


2018 ◽  
Vol 46 (1) ◽  
pp. 24-41 ◽  
Author(s):  
Steven L. Proctor ◽  
Norman G. Hoffmann ◽  
Alyssa Raggio

This study first sought to estimate the local Diagnostic and Statistical Manual of Mental Disorders (5th ed.; DSM-5) prevalence of various substance use disorders (SUDs) and psychiatric conditions among a sample of male county jail inmates ( N = 200) from 2016 data. The observed patterns in prevalence and internal consistency for the various conditions among a subgroup of inmates with a DSM-5 moderate-severe SUD diagnosis ( n = 149) were then compared to a comparable sample of Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) substance-dependent inmates derived from 2008 data collected in an adjacent county jail ( N = 176) using a nearly identical structured clinical interview. Results revealed 87.0% of inmates in the total 2016 sample met criteria for any DSM-5 SUD. Despite similar methodology, comparable sample populations, and county jails in the same geographic region, there were marked differences between studies with respect to the prevalence of certain SUDs over an 8-year period. Conversely, 2016 prevalence rates for the co-occurring conditions were within 1% to 7% points of the rates evidenced in 2008.


Author(s):  
Thomas A. Widiger ◽  
Maryanne Edmundson

The Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III) is often said to have provided a significant paradigm shift in how psychopathology is diagnosed. The authors of DSM-5 have the empirical support and the opportunity to lead the field of psychiatry to a comparably bold new future in diagnosis and classification. The purpose of this chapter is to address the validity of the categorical and dimensional models for the classification and diagnosis of psychopathology. Considered in particular will be research concerning substance use disorders, mood disorders, and personality disorders. Limitations and concerns with respect to a dimensional classification of psychopathology are also considered. The chapter concludes with a recommendation for a conversion to a more quantitative, dimensional classification of psychopathology.


2018 ◽  
Author(s):  
F Gerard Moeller

There is a consistent body of evidence showing that substance abuse and dependence can worsen preexisting medical conditions, can temporarily mimic medical and psychiatric disorders, and can themselves cause medical problems, including life-threatening overdose. Substance use disorders are common in young and middle-aged persons: the lifetime prevalence of these syndromes, including alcoholism, is over 20% for men and about 15% for women. This chapter discusses dependence, abuse, substance use disorder, and substance-induced disorders involving depressants, stimulants, opioids, cannabinoids, hallucinogens, N-methyl-D-aspartate (NMDA) receptor channel blockers, and inhalants. Epidemiology, etiology, pathophysiology, diagnosis (including clinical assessment and laboratory tests), and treatment are reviewed. Treatment of intoxication, overdose, withdrawal, and rehabilitation is discussed. A figure illustrates the neurocircuitry of addiction. Tables describe the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) diagnostic criteria for abuse and dependence; frequently misused drugs; neural effects of commonly abused drugs; the natural history of drug dependence; conditions affecting the outcome of urinary drug tests; and pharmacologic options for treatment of drug overdose. This chapter contains 1 figure , 6 tables and 112 references


Author(s):  
Thomas A. Widiger ◽  
Maryanne Edmundson

The Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III) is often said to have provided a significant paradigm shift in how psychopathology is diagnosed. The authors of DSM-5 have the empirical support and the opportunity to lead the field of psychiatry to a comparably bold new future in diagnosis and classification. The purpose of this chapter is to address the validity of the categorical and dimensional models for the classification and diagnosis of psychopathology. Considered in particular will be research concerning substance use disorders, mood disorders, and personality disorders. Limitations and concerns with respect to a dimensional classification of psychopathology are also considered. The chapter concludes with a recommendation for a conversion to a more quantitative, dimensional classification of psychopathology.


2018 ◽  
Author(s):  
F Gerard Moeller

There is a consistent body of evidence showing that substance abuse and dependence can worsen preexisting medical conditions, can temporarily mimic medical and psychiatric disorders, and can themselves cause medical problems, including life-threatening overdose. Substance use disorders are common in young and middle-aged persons: the lifetime prevalence of these syndromes, including alcoholism, is over 20% for men and about 15% for women. This chapter discusses dependence, abuse, substance use disorder, and substance-induced disorders involving depressants, stimulants, opioids, cannabinoids, hallucinogens, N-methyl-D-aspartate (NMDA) receptor channel blockers, and inhalants. Epidemiology, etiology, pathophysiology, diagnosis (including clinical assessment and laboratory tests), and treatment are reviewed. Treatment of intoxication, overdose, withdrawal, and rehabilitation is discussed. A figure illustrates the neurocircuitry of addiction. Tables describe the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV) diagnostic criteria for abuse and dependence; frequently misused drugs; neural effects of commonly abused drugs; the natural history of drug dependence; conditions affecting the outcome of urinary drug tests; and pharmacologic options for treatment of drug overdose. This chapter contains 112 references.


2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
A. Homayouni ◽  
G.A. Nikpour ◽  
A. Khanmohammadi ◽  
S.J. Mosavi Amiri ◽  
H. Aghajanipour

Introduction & aim:Since the introduction of Diagnostic and Statistical Manual of Mental Disorders, Third Edition (DSM-III) in 1980, there has been a growing interest in the study of patients with substance use disorders (SUD). The driving force behind this field has been, and still is, the high clinical pessimism about the prognosis, and the difficulties in the clinical management of the characteristics of diagnosed patients. In this way the important matter to study is the evaluation of co-occurring personality problems and substance abuse. So the study investigated the personality traits of addicted and nonadicted people.Method:101 addicted people and 101 nonaddicted people were randomly selected and Mc Care & Costa's NEO PI-R inventory was administered on them. Mean scores were compared with T independent tests.Results:Findings indicated that there are differences among means of personality traits in two groups. Addicted people are more neurotic and open to experience than nonaddicted people and nonaddicted people are more extroverted, agreeable and conscientiousness than addicted people.Conclusion:Findings showed addicted people are more neurotic and open to experience than nonaddicted people and nonaddicted people are more extroverted, agreeable and conscientiousness than addicted people.It indicates that evaluating with reliable measures and with more attentions to personality traits can help the psychiatrists and psychologists to diagnose the cause of tendency to addiction and also reduce the psychological problems that is related with addiction before and in during drug treatment and can reduce duration of treatment and enhance efficacy of treatment methods.


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