Substance use disorders in DSM-V when applied to adolescents.

Substance use disorders in DSM-V when applied to adolescents.
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DOI:
10.1111/j.1360-0443.2010.03334.x
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发表时间:
2011-05
期刊:
Addiction (Abingdon, England)
影响因子:
--
通讯作者:
Chung T
Chung T
中科院分区:
其他
文献类型:
--
作者:
Winters KC;Martin CS;Chung T

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奥布莱恩和他在DSM-V的同事们提出了DSM-V物质使用障碍(SUD)的诊断标准草案(1)。这些标准草案消除了对物质滥用的诊断,并使用一组11种症状为各种物质类别定义了一个单一的SUD,如“酒精使用障碍”(AUD)。本评注根据标准草案对青少年的适用情况对标准草案进行了审查,青少年是一个发育阶段,其特点是药物使用率相对较高,药物使用障碍的发生率也相当高。根据2008年NSDUH数据集,7.6%的12-17岁奥尔兹在过去一年中至少符合一项DSM-IV SUD标准,另外17%的青少年虽然不符合滥用诊断,但仍然报告了一项或两项物质依赖标准(2)。与成年人一样,青少年通常需要SUD诊断才有资格在美国医疗保健系统内接受药物使用问题的治疗。
O’Brien and colleagues in the DSM-V workgroup have proposed draft diagnostic criteria for DSM-V Substance Use Disorders (SUDs)(1). These draft criteria eliminate the diagnosis of Substance Abuse and define a single SUD for various substance classes—such as “Alcohol Use Disorder”(AUD)—using a set of 11 symptoms. This commentary reviews the draft criteria in light of their application to adolescents.Adolescence is a developmental period characterized by relatively high rates of substance use, as well as appreciably high rates of substance use disorders. Based on the 2008 NSDUH data set, 7.6% of 12–17 year olds met criteria for at least one DSM-IV SUD in the past year, and an additional 17% of teenagers, while not meeting an abuse diagnosis, still reported one or two substance-dependence criteria (2). As with adults, a SUD diagnosis is often needed for youth to be eligible to receive treatment for a substance use problem within the US health care system.
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