Diagnosing the Use of Illegal Drugs by Older People – Comments on the Proposed Changes to Dsm‐V

Beynon, Caryl

doi:10.1111/j.1360-0443.2010.03283.x

Cited by 4 publications

(2 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Nevertheless, the amount of data bearing on particular issues varied, and the data sets that informed the process were collected 10 or more years ago. In addition, questions and concerns were raised about the revisions, including the relevance of particular criteria across substances (Room, 2011) and across sex, race or ethnicity, age groups, and developmental phases (Babor, 2011;Beynon, 2011;Caetano, 2011;Room, 2011;Winters et al, 2011). Others reflected the possibility that some criteria, largely but not exclusively those for abuse, may be social class and culture bound (Babor, 2011;Caetano, 2011;Meyer, 2011;Room, 2011).…”

Section: Aims Of the Present Studymentioning

confidence: 99%

Nosologic Comparisons of DSM-IV and DSM-5 Alcohol and Drug Use Disorders: Results From the National Epidemiologic Survey on Alcohol and Related Conditions–III

Goldstein

Chou

Smith

et al. 2015

J. Stud. Alcohol Drugs

View full text Add to dashboard Cite

ABSTRACT. Objective: The purpose of this study was to examine prevalences and concordances between Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), and Fifth Edition (DSM-5) substance use disorders (SUDs) in a newly completed U.S. epidemiologic survey. Method: The National Epidemiologic Survey on Alcohol and Related Conditions-III surveyed 36,309 civilian, noninstitutionalized adults. SUDs were assessed using the Alcohol Use Disorder and Associated Disabilities Interview Schedule-5. Concordances between DSM-IV and DSM-5 disorders were assessed using kappa statistics. Results: Prevalences of past-year substance-specific DSM-5 disorders (2+ criteria) were modestly higher than those of DSM-IV dependence and abuse combined for alcohol, sedatives/ tranquilizers, opioids, and heroin, but lower for cannabis, cocaine, and stimulants. Lifetime prevalences were lower under DSM-5. Prevalences were similar between moderate to severe (4+ criteria) DSM-5 disorders and dependence, whereas prevalences of DSM-5 disorders at 3+ criteria (DSM-5 [3+]) were higher, particularly for cannabis. Past-year concordances were excellent for DSM-IV dependence and abuse combined versus any DSM-5 and DSM-IV dependence versus DSM-5 moderate to severe disorders; lifetime concordances were fair to excellent. Past-year concordances between DSM-IV and DSM-5 (3+) were generally similar to or modestly higher than those with any DSM-5 disorder; lifetime concordances were mostly lower. Conclusions: Findings are consistent with those informing the development of DSM-5. Future research should examine differences in patterns between past-year and lifetime disorders, particularly for cannabis. Other questions warranting investigation include whether different combinations of the same numbers of criteria carry different clinical or nosologic implications, whether changes in nosology yield changes in treatment demand, and whether changes in characteristics of individuals with DSM-5 SUDs dictate modifications to screening and intervention. (J. Stud. Alcohol Drugs, 76, 378-388, 2015)

show abstract

Section: Aims Of the Present Studymentioning

confidence: 99%

Nosologic Comparisons of DSM-IV and DSM-5 Alcohol and Drug Use Disorders: Results From the National Epidemiologic Survey on Alcohol and Related Conditions–III

Goldstein

Chou

Smith

et al. 2015

J. Stud. Alcohol Drugs

View full text Add to dashboard Cite

show abstract

“…I would like to begin by thanking the 18 colleagues [1–18] who took the time to read our proposed DSM‐V classification on the American Psychiatric Association (APA) website and my commentary in Addiction [19] and write thoughtful responses. It should be known that the DSM‐V is still a work in progress, with a field trial ongoing.…”

mentioning

confidence: 99%

Response to Commentaries

O’Brien¹

2011

Addiction

View full text Add to dashboard Cite

that these alternative scales/items outperform the DSM criteria, we suggest that the better-validated items be adopted, independent of whether they were included in the original conceptualization for DSM and independent of whether they apply to other substances. We believe such a program could produce the most empirically based, accurate and useful criteria to determine nicotine dependence. Declarations of interestJohn Hughes and Saul Shiffman have received grants and consulting fees from many non-profit and for-profit organizations that develop or promote smoking cessation products or services. Tim Baker has served as an investigator on research sponsored by various pharmaceutical companies. Naomi Breslau has no interests to declare. Lirio Covey has received a grant from a for-profit organization that develops and promotes smoking cessation products. AcknowledgementsNone.

show abstract

Effects of Gambling Diagnostic Criteria Changes from DSM-IV to DSM-5 on Mental Disorder Comorbidity Across Younger, Middle-Aged, and Older Adults in a Nationally Representative Sample

et al. 2018

View full text Add to dashboard Cite

Changes in Diagnostic and Statistical Manual (DSM) criteria for a gambling disorder from DSM-IV to DSM-5 included a drop in the minimum number of criteria required to qualify for a diagnosis. This threshold reduction resulted in a near doubling of prevalence in non-gambling focused populations. However, the impact of this change on psychiatric comorbidity with gambling is unknown. The current study aimed to: (a) examine whether the diagnostic change affected the severity of those diagnosed with a gambling disorder with respect to mental disorder comorbidity, and (b) determine whether this relationship differed across younger (18-34 years old), middle-aged (35-54 years old), and older (55 years old and over) age groups. This study utilized data from the National Epidemiological Survey for Alcohol and Related Conditions. Results indicated that the prevalence of comorbid mental health/substance use disorders did not significantly change between the DSM-IV pathological gambling group and DSM-5 gambling disorder group in the overall sample. However, among older adults, the DSM-5 gambling disorder were more likely to exhibit any anxiety disorder as well as any comorbid mental health/substance-use disorder compared to the DSM-IV pathological gamblers. No other significant differences were observed in mental health or substance-use disorders within age-specific groupings. Findings suggest that the new, less restrictive DSM-5 criteria for gambling addiction capture older gamblers with more severe clinical presentations in terms of co-occurring mental disorders, contrary to our expectation that the lowered threshold for diagnosis would result in less severe clinical cases.

show abstract

Diagnosing the Use of Illegal Drugs by Older People – Comments on the Proposed Changes to Dsm‐V

Cited by 4 publications

References 10 publications

Nosologic Comparisons of DSM-IV and DSM-5 Alcohol and Drug Use Disorders: Results From the National Epidemiologic Survey on Alcohol and Related Conditions–III

Nosologic Comparisons of DSM-IV and DSM-5 Alcohol and Drug Use Disorders: Results From the National Epidemiologic Survey on Alcohol and Related Conditions–III

Response to Commentaries

Effects of Gambling Diagnostic Criteria Changes from DSM-IV to DSM-5 on Mental Disorder Comorbidity Across Younger, Middle-Aged, and Older Adults in a Nationally Representative Sample

Contact Info

Product

Resources

About