title: [Alcohol-related cognitive impairment and the DSM-5].
abstract: BACKGROUND
  It is evident from the dsm-iv-tr that alcohol-related impairment is extremely difficult to classify accurately. As a result, cognitive deficits can easily be overlooked. The dsm-5, however, incorporates a new category, namely 'neurocognitive disorders', which may lead to significant improvements in clinical practice.
  
  
  OBJECTIVE
  To compare the classification of alcohol-related cognitive dysfunction in dsm-iv-tr and dsm-5 and to discuss the clinical relevance of the revised classification in the dsm-5.
  
  
  METHODS
  We compare the chapters of the dsm-iv-tr and the dsm-5 concerning alcohol-related cognitive impairment and describe the changes that have been made.
  
  
  RESULTS
  The dsm-5 puts greater emphasis on alcohol-related neurocognitive impairment. Not only does dsm-5 distinguish between the degree of severity (major or minor neurocognitive disorder), it also distinguishes between the type of impairment (non-amnestic-type versus confabulating-amnestic type). It also makes a distinction between the durations of impairment (behavioural and/or persistent disorders).
  
  
  CONCLUSIONS
  The dsm-5 gives a clearer description of alcohol-related neurocognitive dysfunction than does dsm-iv-tr and it stresses the essential role of neuropsychological assessment in the classification, diagnosis, and treatment of neurocognitive disorders.
authors.forename: S J W
authors.initials: SJ
authors.lastname: Walvoort
authors.forename: A J
authors.initials: AJ
authors.lastname: Wester
authors.forename: M C
authors.initials: MC
authors.lastname: Doorakkers
authors.forename: R P C
authors.initials: RP
authors.lastname: Kessels
authors.forename: J I M
authors.initials: JI
authors.lastname: Egger
mesh_terms: D000437:Alcoholism / Q000145:classification* / Q000453:epidemiology; D003072:Cognition Disorders / Q000145:classification* / Q000453:epidemiology; D015897:Comorbidity; D039721:Diagnostic and Statistical Manual of Mental Disorders; D006801:Humans; D019965:Neurocognitive Disorders / Q000145:classification* / Q000453:epidemiology