Titre : | "Diagnostic orphans" among young adult cannabis users: persons who report dependence symptoms but do not meet diagnostic criteria (2002) |
Titre traduit : | ("Diagnostics orphelins" parmi les jeunes adultes usagers de cannabis qui ont des symptômes de dépendance mais ne répondent pas aux critères de diagnostic) |
Auteurs : | L. DEGENHARDT ; M. LYNSKEY ; C. COFFEY ; G. PATTON |
Type de document : | Article : Périodique |
Dans : | Drug and Alcohol Dependence (Vol.67, n°2, July 2002) |
Article en page(s) : | 205-212 |
Note générale : | Drug and Alcohol Dependence, 2002, 67, (2), 205-212 |
Langues: | Anglais |
Mots-clés : |
Thésaurus mots-clés CANNABIS ; DSM (III,IV,5) ; ABUS ; DEPENDANCE ; DIAGNOSTIC ; JEUNE ADULTE |
Résumé : | Objective: To examine the characteristics of 'diagnostic orphans' among cannabis users - those who report one or two symptoms of DSM-IV dependence but do not meet diagnostic criteria for DSM-IV abuse or dependence. Method: Data were collected from a representative population cohort of 1601 young adults aged 20-21 years. Those who reported that they had used cannabis at least weekly at some point within the past year were assessed for symptoms of DSM-IV cannabis abuse and dependence using the Composite International Diagnostic Interview. Results: Approximately 2.8% of the cohort could be classified as diagnostic orphans, with another 3.0 and 7.5% meeting criteria for abuse and dependence, respectively. Diagnostic orphans were: similar to those who met criteria for cannabis abuse or dependence in terms of demographic characteristics; similar to those who met criteria for cannabis abuse in terms of cannabis use patterns; and similar to those who met criteria for abuse and dependence in their rates of heavy alcohol use and DSM-IV alcohol dependence. However, they did not appear to have elevated rates of illicit drug use or mental health problems compared to non users. Conclusions: Diagnostic orphans reported using cannabis in a manner similar to persons meeting criteria for cannabis abuse, and had similar rates of alcohol dependence and other illicit drug use. Strict adherence to DSM-IV diagnoses of abuse and dependence may overlook a substantial proportion of young persons who experience cannabis-related problems. There is a need to consider (a) subthreshold levels of cannabis-related problems among those seeking treatment for other problems; and (b) interventions for this group to prevent escalation of such problems. |
Domaine : | Drogues illicites / Illicit drugs |
Refs biblio. : | 31 |
Affiliation : | Nat. Drug Alcohol Res. Ctr., Univ. NSW, Sydney NSW 2052, Australie. Australia. |
Numéro Toxibase : | 804120 |
Centre Emetteur : | 08 CAS Strasbourg |
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