Compatibility of current DSM-IV and proposed DSM-5 diagnostic criteria for cocaine use disorders

DSM-5 SUD diagnoses: Changes, reactions, remaining open questions

“…Among other studies, single-criterion DSM-IV abuse cases were often dropped from a diagnosis by DSM-5, offset by the addition of DSM-IV diagnostic "orphans" with 2 dependence criteria, who were diagnosed as mild cases in DSM-5. Very modest increases in prevalence were found in some studies (Agrawal et al, 2014;Bartoli et al, 2014;Kelly et al, 2014) and no increases of a meaningful magnitude in yet other studies (Bartoli et al, 2014;Boscarino et al, 2011;Gilder et al, 2014;Hasin et al, 2013;Mewton et al, 2013;Proctor et al, 2012). Thus, the diagnostic threshold of two or more criteria appears to have accomplished its task concerning overall rates of AUD or SUD.…”

Latent Class Analysis of DSM-5 Criteria for Opioid Use Disorders: Results from the Iranian National Survey on Mental Health

“…Another weakness of DSM-IV concerns individuals who meet two dependence criteria, but are not diagnosed as dependent; these cases are given diagnostic orphan status [34]. Many adolescents and adults with clinical symptoms may fall in this category [35].…”

A Comparison of DSM-IV Versus DSM-5 Substance Use Disorder Diagnoses in Adolescent Populations

“…As with the findings from adult populations, each individual criterion differs in terms of overall prevalence and how exclusively they tend to be found among the severe designation (Kopak et al, 2013;Kopak et al, 2012;Proctor et al, 2012). This analysis focuses on the males because the female sample had too few cases among the less severe and no-diagnosis groups to yield stable estimates of each criterion.…”

“…Previous findings with adults have demonstrated that some of the criteria are almost exclusively found among the more severe cases while other criteria are more prevalent among those with a mild to moderate condition irrespective of the substance studied (Kopak, Metze, & Hoffmann, 2013;Kopak et al, 2013;Proctor et al, 2012).…”

“…Previous analyses on adults documented that the different criteria varied in the extent to which they indicated a serious condition. That is, some criteria were found almost exclusively among those with the more severe condition while others were more widely distributed across different levels of severity (Kopak et al, 2013;Proctor et al, 2012). These analyses were conducted only on the males because too few females had no diagnosis.…”