![Addiction and dependence in DSM-V [For debate]](https://bdoc.ofdt.fr/img_cache/ebb146bae3baa9a8d9ea8f53eb2ffa1b.png)
| Titre : | Addiction and dependence in DSM-V [For debate] (2011) |
| Titre traduit : | (Addiction et dépendance dans le DSM-5) |
| Auteurs : | C. P. O'BRIEN ; V. POZNYAK ; G. M. REED ; N. CLARK ; T. F. BABOR ; W. LING ; R. E. MEYER ; M. HEILIG ; H. KEANE ; D. MOORE ; S. FRASER ; M. TEESSON ; T. SLADE ; L. MEWTON ; D. T. COURTWRIGHT ; R. ROOM ; K. C. WINTERS ; C. S. MARTIN ; T. CHUNG ; C. M. BEYNON ; R. CAETANO ; M. E. MEDINA-MORA ; A. UCHTENHAGEN ; K. STENIUS ; J. EDMAN ; R. RAY ; A. DHAWAN ; C. DRUMMOND ; J. R. HUGHES ; T. BAKER ; N. BRESLAU ; L. COVEY ; S. SHIFFMAN |
| Type de document : | Article : Périodique |
| Dans : | Addiction (Vol.106, n°5, May 2011) |
| Article en page(s) : | 866-897 |
| Langues: | Anglais |
| Discipline : | SAN (Santé publique / Public health) |
| Mots-clés : |
Thésaurus TOXIBASE ADDICTION ; DEPENDANCE ; DIAGNOSTIC ; DSM (III,IV,5) ; HISTOIRE ; CLASSIFICATION ; DEFINITIONThésaurus Géographique INTERNATIONAL |
| Résumé : | As preparations for the fifth revision of the Diagnostic and Statistical Manual of Mental Disorders (DSM) are under way, this paper focuses upon changes proposed for the substance use disorders section. It briefly outlines the history behind the current nomenclature, and the selection of the term 'dependence' over 'addiction' in earlier versions of the DSM. The term 'dependence', while used in past decades to refer to uncontrolled drug-seeking behavior, has an alternative meaning - the physiological adaptation that occurs when medications acting on the central nervous system are ingested with rebound when the medication is abruptly discontinued. These dual meanings have led to confusion and may have propagated current clinical practices related to under-treatment of pain, as physicians fear creating an 'addiction' by prescribing opioids. In part to address this problem, a change proposed for DSM-V is to alter the chapter name to 'Addiction and Related Disorders', which will include disordered gambling. The specific substance use disorders may be referred to as 'alcohol use' or 'opioid use' disorders. The criteria for the disorders are likely to remain similar, with the exception of removal of the 'committing illegal acts' criterion and addition of a 'craving' criterion. The other major change relates to the elimination of the abuse/dependence dichotomy, given the lack of data supporting an intermediate stage. These changes are anticipated to improve clarification and diagnosis and treatment of substance use and related disorders. |
| Note de contenu : |
Commentaries:
• Applying an international public health perspective to proposed changes for DSM-V. Poznyak V., Reed G.M., Clark N., p. 868-870; discussion 895-867. • Substance, not semantics, is the issue: comments on the proposed addiction criteria for DSM-V. Babor T.F., p. 870-872. • DSM-V: time for change. Ling W., p. 872-873. • A commentary on 'Addiction and dependence in DSM-V'. Meyer R.E., p. 873-874. • A welcome change that stops short of being fully satisfying. Heilig M., p. 874-875. • Addiction and dependence: making realities in the DSM. Keane H., Moore D., Fraser S., p. 875-877. • DSM-5: evidence translating to change is impressive. Teesson M., Slade T., Mewton L., p. 877-878. • Language-use disorder: comment on DSM-V's proposed 'addiction and related disorders' and Charles O'Brien's 'Addiction and dependence in DSM-V'. Courtwright D.T., p. 878-879. • Substance use disorders--a conceptual and terminological muddle. Room R., p. 879-882. • Substance use disorders in DSM-V when applied to adolescents. Winters K.C., Martin C.S., Chung T., p. 882-884; discussion 895-887. • Diagnosing the use of illegal drugs by older people--comments on the proposed changes to DSM-V. Beynon C., p. 884-885; discussion 895-887. • There is potential for cultural and social bias in DSM-V. Caetano R., p. 885-887; discussion 895-887. • In support of substance use disorders. Medina Mora M.E., p. 887-888; discussion 895-887. • New and remaining problems with DSM-V. Uchtenhagen A., p. 888-889; discussion 895-887. • Why do we care? Notes from the periphery. Stenius K., Edman J., p. 889-891; discussion 895-887. • Diagnostic orphans. Ray R., Dhawan A., p. 891-892. • The end of the dependence syndrome as we know it? Drummond C., p. 892-894. • Applicability of DSM criteria to nicotine dependence. Hughes J.R., Baker T., Breslau N., Covey L., Shiffman S., p. 894-895. • Response to commentaries, p. 895-897. |
| Domaine : | Addictions sans produit / Addictions without drug ; Alcool / Alcohol ; Autres substances / Other substances ; Drogues illicites / Illicit drugs ; Tabac / Tobacco |
| Refs biblio. : | 233 |
| Affiliation : | University of Pennsylvania, Treatment Research Center, Philadelphia, PA, USA |
| Lien : | http://dx.doi.org/10.1111/j.1360-0443.2010.03144.x |
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