title: [Diagnostic of pharmacodependence: comparison between patients and doctors approaches. Introduction].
abstract: The aim of our study is to evaluate the extent           of agreement between pharmacodependence  to benzodiazepines, as           diagnosed by doctors and as self evaluated by patients, using DSM-IV           dependence criteria. Method. This is a prospective study.
  
  
  METHODS
  prescription of a benzodiazepines or related           substances.
  
  
  METHODS
  doctor questionnaire and patient questionnaire           filled anonymously and independently. Main judgment criterion: rate           of agreement between doctor diagnosis (is this patient dependent?),           and patient evaluation (dependence is positive if at least 3 of           the DSM-IV items are met). Results. One hundred and           twenty-eight patients were included by 11 doctors: 89 (69.5%) cases           of agreement between doctor diagnosis and patient self evaluation           and 39 (30.5%) cases of disagreement Discussion. There           is an over assessment of dependence: doctors diagnose a dependence           in 72% of the disagreement cases although there is none according           to the self evaluation; the over assessment shows how difficult           it is to evaluate dependence in general practice medicine.
authors: Service de Pharmacologie Clinique, Centre d'Évaluation et d'Information sur la Pharmacodépendance - Addictovigilance, CHU Nantes, Nantes, France. caroline.vigneau@chu-nantes.fr
authors: Caroline
authors: C
authors: Victorri-Vigneau
authors: Laura
authors: L
authors: Wainstein
authors: Jean-Yves
authors: JY
authors: Guillet
authors: Marie
authors: M
authors: Gérardin
authors: Pascale
authors: P
authors: Jolliet
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001569:Benzodiazepines; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D006993:Hypnotics and Sedatives; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000453:epidemiology; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D006993:Hypnotics and Sedatives; D001569:Benzodiazepines