[Substance-induced disorders: moving towards DSM-V and ICD-11].
The development of substance abuse disorders (SUD) for DSM-V is put into perspective according to an expert meeting organized by APA and chaired by M.A. Schuckit and J.B. Saunders. Substantial compatibility with ICD-11 of WHO was expected to be achieved. A dependence syndrome, a non-dependence category as well as a subthreshold condition is supposed to be included in the SUD section in DSM-V. Categorical criteria will possibly be supplemented by dimensions conceptualized as quantitative formulations of criteria content. General and substance-specific criteria may be included for dependence. The comorbidity problem requires more research to separate substance-induced from substance-independent mental disorders in patients with SUDs. It was an open discussion, whether the aim to include biological criteria for better defining of SUDs will be achieved in DSM-V.
Psychiatrische Klinik und Poliklinik, Johannes Gutenberg-Universität Mainz, Untere Zahlbacher Strasse 8, 55131 Mainz. schmidt@psychiatrie.klinik.uni-mainz.de
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D000437:Alcoholism / Q000145:classification / Q000175:diagnosis*; D015897:Comorbidity; D003937:Diagnosis, Differential; D017831:Diagnosis, Dual (Psychiatry); D039721:Diagnostic and Statistical Manual of Mental Disorders; D006801:Humans; D038801:International Classification of Diseases; D001523:Mental Disorders / Q000145:classification / Q000175:diagnosis; D019966:Substance-Related Disorders / Q000145:classification / Q000175:diagnosis*; D009626:Terminology as Topic