Adolescents and substance-related disorders: research agenda to guide decisions on Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-V).
Saved in:
| Title: | Adolescents and substance-related disorders: research agenda to guide decisions on Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-V). |
|---|---|
| Authors: | Crowley, Thomas J. (AUTHOR) |
| Source: | Addiction. Sep2006 Supplement, Vol. 101, p115-124. 10p. 2 Graphs. |
| Subjects: | Cannabis (Genus), Smokable plants, Nosology, Child psychiatry, Classification of mental disorders, Substance abuse, Medicine, Addictions, Pathological psychology, Classification |
| Abstract: | Aims Since the publication of the Diagnostic and Statistical Manual of Mental Disorders fourth edition (DSM-IV), many studies have addressed substance use disorders (SUD) in adolescents. Based on that adolescent literature, this paper suggests further research to help guide decisions about revising for DSM-V the SUD criteria in DSM-IV. Method The author has reviewed the ‘Substance Related Disorders’ section of DSM-IV-TR, recalled his experience in helping to draft that section, accessed relevant articles in PubMed and reviewed his own extensive file of literature citations. Results This paper suggests six questions for adolescent research to help guide the framers of DSM-V’s ‘Substance Related Disorders’ section: (a) DSM-IV did not provide a diagnosis of cannabis withdrawal; should DSM-V continue that position? (b) Should SUD be included or referenced among ‘Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence’? (c) Can inter-rater reliability of the substance abuse (SA) criteria be improved with altered example situations, text descriptions or phrasing of the current criteria? (d) Between ages 14 and 18 years is earlier onset of SUD a severity marker that could be incorporated into DSM-V as a predictor of worse course? (e) In DSM-V could a phenotypic descriptor of pathological multi-substance involvement document severity and predict course of SUD? (f) Could clinicians and patients benefit from DSM-V-related postpublication procedures for classifying emerging new drugs into DSM-V’s categories? Conclusion Without substantive changes in SA or substance dependence diagnostic criteria, research may improve the usefulness of those criteria for adolescents. [ABSTRACT FROM AUTHOR] |
| Copyright of Addiction is the property of Wiley-Blackwell 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 |
|
Full text is not displayed to guests.
Login for full access.
|
|
| FullText | Links: – Type: pdflink Text: Availability: 1 |
|---|---|
| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 21857383 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Adolescents and substance-related disorders: research agenda to guide decisions on Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-V). – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Crowley%2C+Thomas+J%2E%22">Crowley, Thomas J.</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Addiction%22">Addiction</searchLink>. Sep2006 Supplement, Vol. 101, p115-124. 10p. 2 Graphs. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Cannabis+%28Genus%29%22">Cannabis (Genus)</searchLink><br /><searchLink fieldCode="DE" term="%22Smokable+plants%22">Smokable plants</searchLink><br /><searchLink fieldCode="DE" term="%22Nosology%22">Nosology</searchLink><br /><searchLink fieldCode="DE" term="%22Child+psychiatry%22">Child psychiatry</searchLink><br /><searchLink fieldCode="DE" term="%22Classification+of+mental+disorders%22">Classification of mental disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Medicine%22">Medicine</searchLink><br /><searchLink fieldCode="DE" term="%22Addictions%22">Addictions</searchLink><br /><searchLink fieldCode="DE" term="%22Pathological+psychology%22">Pathological psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Classification%22">Classification</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Aims Since the publication of the Diagnostic and Statistical Manual of Mental Disorders fourth edition (DSM-IV), many studies have addressed substance use disorders (SUD) in adolescents. Based on that adolescent literature, this paper suggests further research to help guide decisions about revising for DSM-V the SUD criteria in DSM-IV. Method The author has reviewed the ‘Substance Related Disorders’ section of DSM-IV-TR, recalled his experience in helping to draft that section, accessed relevant articles in PubMed and reviewed his own extensive file of literature citations. Results This paper suggests six questions for adolescent research to help guide the framers of DSM-V’s ‘Substance Related Disorders’ section: (a) DSM-IV did not provide a diagnosis of cannabis withdrawal; should DSM-V continue that position? (b) Should SUD be included or referenced among ‘Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence’? (c) Can inter-rater reliability of the substance abuse (SA) criteria be improved with altered example situations, text descriptions or phrasing of the current criteria? (d) Between ages 14 and 18 years is earlier onset of SUD a severity marker that could be incorporated into DSM-V as a predictor of worse course? (e) In DSM-V could a phenotypic descriptor of pathological multi-substance involvement document severity and predict course of SUD? (f) Could clinicians and patients benefit from DSM-V-related postpublication procedures for classifying emerging new drugs into DSM-V’s categories? Conclusion Without substantive changes in SA or substance dependence diagnostic criteria, research may improve the usefulness of those criteria for adolescents. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Addiction is the property of Wiley-Blackwell 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.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=21857383 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/j.1360-0443.2006.01594.x Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 115 Subjects: – SubjectFull: Cannabis (Genus) Type: general – SubjectFull: Smokable plants Type: general – SubjectFull: Nosology Type: general – SubjectFull: Child psychiatry Type: general – SubjectFull: Classification of mental disorders Type: general – SubjectFull: Substance abuse Type: general – SubjectFull: Medicine Type: general – SubjectFull: Addictions Type: general – SubjectFull: Pathological psychology Type: general – SubjectFull: Classification Type: general Titles: – TitleFull: Adolescents and substance-related disorders: research agenda to guide decisions on Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-V). Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Crowley, Thomas J. IsPartOfRelationships: – BibEntity: Dates: – D: 02 M: 09 Text: Sep2006 Supplement Type: published Y: 2006 Identifiers: – Type: issn-print Value: 09652140 Numbering: – Type: volume Value: 101 Titles: – TitleFull: Addiction Type: main |
| ResultId | 1 |