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Disorders Related to Use of Psychoactive Substances in DSM-5: Changes and Challenges
In the most recent edition of Diagnostic and Statistical Manual (DSM) that is DSM-5 many modifications have been made in substance use disorder section. These include changes in terminology; sections and categories; diagnostic criteria; threshold for diagnosis; severity; and specifier. Additionally,...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2015
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4676222/ https://www.ncbi.nlm.nih.gov/pubmed/26702188 http://dx.doi.org/10.4103/0253-7176.168613 |
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author | Bhad, Roshan Lal, Rakesh Balhara, Yatan Pal Singh |
author_facet | Bhad, Roshan Lal, Rakesh Balhara, Yatan Pal Singh |
author_sort | Bhad, Roshan |
collection | PubMed |
description | In the most recent edition of Diagnostic and Statistical Manual (DSM) that is DSM-5 many modifications have been made in substance use disorder section. These include changes in terminology; sections and categories; diagnostic criteria; threshold for diagnosis; severity; and specifier. Additionally, there have been certain additions and omissions from the earlier version. Critical evaluation of the changes made to the section on disorders related to use of psychoactive substances in India context has not been published so far. The current paper presents a critique of the changes made to the substance use disorder section in DSM-5. The rationale for these changes put forth by DSM-5 work group on substance related disorders have been discussed. Additionally, attempt has been made to highlight the possible future challenges consequent to the current nosological revision for substance use disorder category. Overall DSM-5 seems to be promising in fulfilling its goal of DSM-ICD harmonisation and movement towards an internationally compatible and practical diagnostic system for mental health disorders. It has increased the scope of addiction by inclusion of behavioural addiction. It has also tried to balance the categorical and dimensional approach to diagnosis. However, the real test of this newer edition of one of the most commonly used nosological systems will be during clinical care and research. This will help address the debatable issues regarding the changes that DSM-5 brings with it. |
format | Online Article Text |
id | pubmed-4676222 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-46762222015-12-23 Disorders Related to Use of Psychoactive Substances in DSM-5: Changes and Challenges Bhad, Roshan Lal, Rakesh Balhara, Yatan Pal Singh Indian J Psychol Med New Horizon In the most recent edition of Diagnostic and Statistical Manual (DSM) that is DSM-5 many modifications have been made in substance use disorder section. These include changes in terminology; sections and categories; diagnostic criteria; threshold for diagnosis; severity; and specifier. Additionally, there have been certain additions and omissions from the earlier version. Critical evaluation of the changes made to the section on disorders related to use of psychoactive substances in India context has not been published so far. The current paper presents a critique of the changes made to the substance use disorder section in DSM-5. The rationale for these changes put forth by DSM-5 work group on substance related disorders have been discussed. Additionally, attempt has been made to highlight the possible future challenges consequent to the current nosological revision for substance use disorder category. Overall DSM-5 seems to be promising in fulfilling its goal of DSM-ICD harmonisation and movement towards an internationally compatible and practical diagnostic system for mental health disorders. It has increased the scope of addiction by inclusion of behavioural addiction. It has also tried to balance the categorical and dimensional approach to diagnosis. However, the real test of this newer edition of one of the most commonly used nosological systems will be during clinical care and research. This will help address the debatable issues regarding the changes that DSM-5 brings with it. Medknow Publications & Media Pvt Ltd 2015 /pmc/articles/PMC4676222/ /pubmed/26702188 http://dx.doi.org/10.4103/0253-7176.168613 Text en Copyright: © Indian Journal of Psychological Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution NonCommercial ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | New Horizon Bhad, Roshan Lal, Rakesh Balhara, Yatan Pal Singh Disorders Related to Use of Psychoactive Substances in DSM-5: Changes and Challenges |
title | Disorders Related to Use of Psychoactive Substances in DSM-5: Changes and Challenges |
title_full | Disorders Related to Use of Psychoactive Substances in DSM-5: Changes and Challenges |
title_fullStr | Disorders Related to Use of Psychoactive Substances in DSM-5: Changes and Challenges |
title_full_unstemmed | Disorders Related to Use of Psychoactive Substances in DSM-5: Changes and Challenges |
title_short | Disorders Related to Use of Psychoactive Substances in DSM-5: Changes and Challenges |
title_sort | disorders related to use of psychoactive substances in dsm-5: changes and challenges |
topic | New Horizon |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4676222/ https://www.ncbi.nlm.nih.gov/pubmed/26702188 http://dx.doi.org/10.4103/0253-7176.168613 |
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