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Validity of the DSM-5 craving criterion for alcohol, tobacco, cannabis, cocaine, heroin, and non-prescription use of prescription painkillers (opioids).

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Title: Validity of the DSM-5 craving criterion for alcohol, tobacco, cannabis, cocaine, heroin, and non-prescription use of prescription painkillers (opioids).
Authors: Shmulewitz, D., Stohl, M., Greenstein, E., Roncone, S., Walsh, C., Aharonovich, E., Wall, M. M., Hasin, D. S.
Source: Psychological Medicine. Apr2023, Vol. 53 Issue 5, p1955-1969. 15p.
Subjects: Narcotics, Research evaluation, Cannabis (Genus), Substance abuse, Cocaine, Research funding, Pathological psychology, Classification of mental disorders, Alcohols (Chemical class), Logistic regression analysis, Odds ratio, Tobacco, Heroin
Abstract: Background: Although the DSM-5 was adopted in 2013, the validity of the new substance use disorder (SUD) diagnosis and craving criterion has not been investigated systematically across substances. Methods: Adults (N = 588) who engaged in binge drinking or illicit drug use and endorsed at least one DSM-5 SUD criterion were included. DSM-5 SUD criteria were assessed for alcohol, tobacco, cannabis, cocaine, heroin, and opioids. Craving was considered positive if "wanted to use so badly that could not think of anything else" (severe craving) or "felt a very strong desire or urge to use" (moderate craving) was endorsed. Baseline information on substance-related variables and psychopathology was collected, and electronic daily assessment queried substance use for the following 90 days. For each substance, logistic regression estimated the association between craving and validators, i.e. variables expected to be related to craving/SUD, and whether association with the validators differed for DSM-5 SUD diagnosed with craving as a criterion v. without. Results: Across substances, craving was associated with most baseline validators (p values<0.05); neither moderate nor severe craving consistently showed greater associations. Baseline craving predicted subsequent use [odds ratios (OR): 4.2 (alcohol) – 234.3 (heroin); p 's ⩽ 0.0001], with stronger associations for moderate than severe craving (p 's < 0.05). Baseline DSM-5 SUD showed stronger associations with subsequent use when diagnosed with craving than without (p 's < 0.05). Conclusion: The DSM-5 craving criterion as operationalized in this study is valid. Including craving improves the validity of DSM-5 SUD diagnoses, and clinical relevance, since craving may cause impaired control over use and development and maintenance of SUD. [ABSTRACT FROM AUTHOR]
Copyright of Psychological Medicine is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Validity of the DSM-5 craving criterion for alcohol, tobacco, cannabis, cocaine, heroin, and non-prescription use of prescription painkillers (opioids).
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Shmulewitz%2C+D%2E%22&quot;&gt;Shmulewitz, D.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Stohl%2C+M%2E%22&quot;&gt;Stohl, M.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Greenstein%2C+E%2E%22&quot;&gt;Greenstein, E.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Roncone%2C+S%2E%22&quot;&gt;Roncone, S.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Walsh%2C+C%2E%22&quot;&gt;Walsh, C.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Aharonovich%2C+E%2E%22&quot;&gt;Aharonovich, E.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Wall%2C+M%2E+M%2E%22&quot;&gt;Wall, M. M.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Hasin%2C+D%2E+S%2E%22&quot;&gt;Hasin, D. S.&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22Psychological+Medicine%22&quot;&gt;Psychological Medicine&lt;/searchLink&gt;. Apr2023, Vol. 53 Issue 5, p1955-1969. 15p.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Narcotics%22&quot;&gt;Narcotics&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Research+evaluation%22&quot;&gt;Research evaluation&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cannabis+%28Genus%29%22&quot;&gt;Cannabis (Genus)&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Substance+abuse%22&quot;&gt;Substance abuse&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Cocaine%22&quot;&gt;Cocaine&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Research+funding%22&quot;&gt;Research funding&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Pathological+psychology%22&quot;&gt;Pathological psychology&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Classification+of+mental+disorders%22&quot;&gt;Classification of mental disorders&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Alcohols+%28Chemical+class%29%22&quot;&gt;Alcohols (Chemical class)&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Logistic+regression+analysis%22&quot;&gt;Logistic regression analysis&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Odds+ratio%22&quot;&gt;Odds ratio&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Tobacco%22&quot;&gt;Tobacco&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Heroin%22&quot;&gt;Heroin&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: Although the DSM-5 was adopted in 2013, the validity of the new substance use disorder (SUD) diagnosis and craving criterion has not been investigated systematically across substances. Methods: Adults (N = 588) who engaged in binge drinking or illicit drug use and endorsed at least one DSM-5 SUD criterion were included. DSM-5 SUD criteria were assessed for alcohol, tobacco, cannabis, cocaine, heroin, and opioids. Craving was considered positive if &quot;wanted to use so badly that could not think of anything else&quot; (severe craving) or &quot;felt a very strong desire or urge to use&quot; (moderate craving) was endorsed. Baseline information on substance-related variables and psychopathology was collected, and electronic daily assessment queried substance use for the following 90 days. For each substance, logistic regression estimated the association between craving and validators, i.e. variables expected to be related to craving/SUD, and whether association with the validators differed for DSM-5 SUD diagnosed with craving as a criterion v. without. Results: Across substances, craving was associated with most baseline validators (p values&lt;0.05); neither moderate nor severe craving consistently showed greater associations. Baseline craving predicted subsequent use [odds ratios (OR): 4.2 (alcohol) – 234.3 (heroin); p &#39;s ⩽ 0.0001], with stronger associations for moderate than severe craving (p &#39;s &lt; 0.05). Baseline DSM-5 SUD showed stronger associations with subsequent use when diagnosed with craving than without (p &#39;s &lt; 0.05). Conclusion: The DSM-5 craving criterion as operationalized in this study is valid. Including craving improves the validity of DSM-5 SUD diagnoses, and clinical relevance, since craving may cause impaired control over use and development and maintenance of SUD. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: &lt;i&gt;Copyright of Psychological Medicine is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=163117339
RecordInfo BibRecord:
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    Identifiers:
      – Type: doi
        Value: 10.1017/S0033291721003652
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 15
        StartPage: 1955
    Subjects:
      – SubjectFull: Narcotics
        Type: general
      – SubjectFull: Research evaluation
        Type: general
      – SubjectFull: Cannabis (Genus)
        Type: general
      – SubjectFull: Substance abuse
        Type: general
      – SubjectFull: Cocaine
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Pathological psychology
        Type: general
      – SubjectFull: Classification of mental disorders
        Type: general
      – SubjectFull: Alcohols (Chemical class)
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Tobacco
        Type: general
      – SubjectFull: Heroin
        Type: general
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      – TitleFull: Validity of the DSM-5 craving criterion for alcohol, tobacco, cannabis, cocaine, heroin, and non-prescription use of prescription painkillers (opioids).
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              Text: Apr2023
              Type: published
              Y: 2023
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