scholarly journals Agreement between DSM-IV and DSM-5 measures of substance use disorders in a sample of adult substance users

2020 ◽  
Author(s):  
Ofir Livne ◽  
Malka Stohl ◽  
Dvora Shmulewitz ◽  
Zachary Mannes ◽  
Deborah Hasin
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Substance Dependence ◽  
Psychiatric Research ◽  
Substance Users ◽  
Stimulant Use ◽  
Dsm 5 ◽  
Similar Information ◽  
Research Interview ◽  
Dsm Iv

AbstractAimIn DSM-5, definitions of substance use disorders (SUD) were changed considerably from DSM-IV, yet little is known about how well DSM-IV and DSM-5 SUD diagnoses agree with each other within a series of individuals with substance use problems.MethodsPrevalences and chance-corrected agreement of DSM-5 SUD and DSM-IV substance dependence were evaluated in 588 adult substance users, interviewed by clinician interviewers using the semi-structured Psychiatric Research Interview for Substance and Mental Disorders (PRISM-5). Alcohol, tobacco, cannabis, cocaine, heroin, opioid, sedative, and stimulant use disorders were examined. Cohen’s kappa was used to assess agreement between DSM-5 and DSM-IV SUD (including abuse or dependence), DSM-5 SUD and DSM-IV dependence, and DSM-5 moderate-to-severe SUD and DSM-IV dependence.ResultsAgreement between DSM-5 and DSM-IV SUD was excellent for alcohol, cocaine, heroin, opioids, sedatives, and stimulants (κ=0.84; 0.91; 0.99; 0.96; 0.92; 0.97; respectively) and substantial for alcohol and tobacco (κ=0.75; 0.80, respectively). Agreement between DSM-5 SUD and DSM-IV substance dependence was excellent for cocaine, heroin, opioids, sedatives, and stimulants (κ=0.89; 0.97; 0.90; 0.88; 0.94, respectively) and substantial for alcohol, tobacco, and cannabis (κ=0.75; 0.69; 0.63, respectively). Agreement between moderate and severe DSM-5 SUD and DSM-IV dependence was excellent across all substances.ConclusionFindings suggest that while care should always be used in interpreting the results of studies using different methods, studies relying on DSM-IV or DSM-5 SUD diagnostic criteria can be considered to offer similar information and thus can be compared when accumulating a body of evidence on a particular issue regarding substance use.

Agreement Between DSM-5 And DSM-IV Measures of Substance Use Disorders In a Sample of Adult Substance Users

2021 ◽  
pp. 108958
Author(s):  
Ofir Livne ◽  
Dvora Shmulewitz ◽  
Malka Stohl ◽  
Zachary Mannes ◽  
Efrat Aharonovich ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Substance Users ◽  
Dsm 5 ◽  
Dsm Iv

scholarly journals Diagnosing comorbidity: concepts, criteria, and methods

2004 ◽  
Vol 16 (1) ◽  
pp. 9-18 ◽  
Author(s):  
S. Samet ◽  
E. V. Nunes ◽  
D. Hasin
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Drug Users ◽  
Psychiatric Symptoms ◽  
Alcohol Intoxication ◽  
Psychiatric Research ◽  
Diagnostic Instruments ◽  
Substance Disorders ◽  
Research Interview ◽  
Dsm Iv

Background:The clinical and etiologic implications of comorbid psychiatric and substance-use disorders are relevant across countries and cultures. The DSM-IV now places greater emphasis on the clinical and research utility of the substance-induced disorders classification, and clarifies several important diagnostic issues specific to primary and substance-induced disorders. However, no research consensus exists over the core problem of identifying and differentiating the drug and alcohol intoxication and withdrawal symptoms that can mimic psychiatric symptoms in heavy drinkers and drug users.Objective:To investigate how various diagnostic instruments have measured comorbid psychiatric and substance-use disorders and how each instrument operationalizes the DSM-IV classification.Method:We review the evolution of the concept of comorbidity beginning with its formalization as the ‘primary–secondary’ distinction in the Feighner Criteria. We address the ‘organic–non-organic’ distinction found in the RDC, DSM-III, and DSM-III-R; and finally, review the ‘primary’ and ‘substance-induced’ categories of DSM-IV, DSM-IV-TR and ICD-10. We describe how these distinctions have been operationalized in widely used diagnostic instruments.Conclusion:Further understanding of these classifications and the relationship of co-occurring psychiatric and substance disorders can be accomplished with the range of available measures, particularly the Psychiatric Research Interview for Substance and Mental Disorders (PRISM), which reliably utilizes and refines DSM-IV classification distinctions.

scholarly journals Crosswalk between DSM-IV dependence and DSM-5 substance use disorders for opioids, cannabis, cocaine and alcohol

2013 ◽  
Vol 132 (1-2) ◽  
pp. 387-390 ◽  
Author(s):  
Wilson M. Compton ◽  
Deborah A. Dawson ◽  
Risë B. Goldstein ◽  
Bridget F. Grant
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Dsm 5 ◽  
Dsm Iv

Substance Dependence Severity Scale (SDSS): reliability and validity of a clinician-administered interview for DSM-IV substance use disorders

2000 ◽  
Vol 59 (1) ◽  
pp. 63-75 ◽  
Author(s):  
Gloria M. Miele ◽  
Kenneth M. Carpenter ◽  
Melissa Smith Cockerham ◽  
Kristin Dietz Trautman ◽  
Jack Blaine ◽  
...  
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Substance Dependence ◽  
Reliability And Validity ◽  
Severity Scale ◽  
Dsm Iv

Standard EMDR Protocol for Alcohol and Substance Dependence Comorbid With Posttraumatic Stress Disorder: Four Cases With 12-Month Follow-Up

2016 ◽  
Vol 10 (1) ◽  
pp. 33-46 ◽  
Author(s):  
Claire Kullack ◽  
Jonathan Laugharne
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Substance Use ◽  
Alcohol Dependence ◽  
Posttraumatic Stress ◽  
Substance Use Disorders ◽  
Substance Dependence ◽  
Stress Disorder ◽  
Case Series ◽  
Post Traumatic Stress

This report begins with a summary of the literature regarding the theoretical models behind the comorbid relationship between posttraumatic stress disorder and substance use disorders and the various modified addiction protocols formulated to assist in treating these disorders. This case series outlines the effect that the standard eye movement desensitization and reprocessing (EMDR) protocol had on alcohol and substance dependence for 4 patients who attended our Post Traumatic Stress Clinic in Fremantle, Western Australia, primarily for treatment for posttraumatic stress disorder. Patients were assessed for substance use disorders using the Mini International Neuropsychiatric Interview Plus prior to, immediately after, and 12 months after completing EMDR therapy. Results indicate that the standard EMDR protocol was successful in reducing alcohol and substance use. Prior to treatment, 3 patients met criteria for alcohol dependence and 1 met criteria for substance dependence. At 12-month follow-up, 3 out of 4 clients did not meet the diagnostic criteria for current alcohol dependence or current substance dependence. The implications of these findings are discussed with reference to theories of comorbid posttraumatic stress disorder and substance use disorder and the modified EMDR protocols developed for patients with substance dependence.

scholarly journals Substance Use Disorders in Men Presenting to a Psychosexual Clinic

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Ravi Philip Rajkumar
Keyword(s):  
Substance Use ◽  
Family History ◽  
Sexual Dysfunction ◽  
Substance Use Disorders ◽  
Substance Dependence ◽  
Causal Relation ◽  
Alcohol Use Disorders ◽  
Community Based ◽  
History Of ◽  
A Current

Introduction. Substance use disorders (SUDs) are commonly associated with a variety of psychiatric disorders. Community-based studies have found a significant association between SUDs and sexual dysfunction in men, with a possible causal relation in the case of nicotine. Methods. The case records of 105 men presenting to a clinic for patients with psychosexual disorders were reviewed. Men with and without comorbid SUDs were compared in terms of demographic, clinical, and familial variables. Results. 25 of the 105 men (23.8%) had a lifetime diagnosis of SUD, and 19 (18.1%) had a current SUD. The commonest substances involved were nicotine (n = 21, 20%) and alcohol (n = 9, 9.5%). Men with comorbid SUDs were more likely to report a family history of substance dependence, particularly alcoholism. Single men with SUDs were more likely to have a comorbid mood disorder. Conclusion. SUDs, particularly nicotine and alcohol use disorders, are common comorbidities in patients with psychosexual disorders. Identifying and treating these disorders in this population are important aspects of management.

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