Crosswalk between DSM-IV dependence and DSM-5 substance use disorders for opioids, cannabis, cocaine and alcohol.
Crosswalk between DSM-IV dependence and DSM-5 substance use disorders for opioids, cannabis, cocaine and alcohol.
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DOI：
10.1016/j.drugalcdep.2013.02.036
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发表时间：
2013-09-01
影响因子：
4.2
通讯作者：
Grant BF
中科院分区：
文献类型：
--
作者：
Compton WM;Dawson DA;Goldstein RB;Grant BF
确定DSM-4和DSM-5之间的一致性对于确定DSM-4病症的治疗对根据拟议的DSM-5诊断的人的适用性是重要的。来自美国成年人的全国代表性样本的数据用于比较过去一年的DSM-IV阿片类药物，大麻，可卡因和酒精依赖与过去一年的DSM-5疾病的一致性，这些疾病的阈值为3+，4+ 5+和6+阳性DSM-5标准，其中阿片类药物（n=264），大麻（n= 1，622），可卡因（n=271）和酒精（n= 23，013）。物质特异性2×2表得出总体一致性（kappa）、灵敏度、特异性、阳性预测值（PPV）和阴性预测值（NPV）。对于DSM-IV酒精、可卡因和阿片类药物依赖，当支持4+ DSM-5标准时，出现最佳一致性，对应于中度DSM-5酒精、可卡因和阿片类药物使用障碍的阈值。当6+标准被认可时，DSM-IV大麻依赖和DSM-5大麻使用障碍的最大一致性发生，对应于严重DSM-5大麻使用障碍的阈值。在这些最佳阈值下，灵敏度、特异性、PPV和NPV通常超过85%（大麻>75%）。总体而言，在酒精，大麻，可卡因和阿片类药物使用者的一般人群样本中记录了DSM-IV依赖与DSM-5物质使用障碍的良好对应关系。这些结果支持DSM-5酒精、可卡因或阿片类药物使用障碍（至少中度严重）或重度大麻使用障碍患者的DSM-IV依赖性治疗适用性。需要进一步研究，以提供证据，说明对轻度物质使用障碍者的治疗适用性。
Ascertaining agreement between DSM-IV and DSM-5 is important to determine the applicability of treatments for DSM-IV conditions to persons diagnosed according to the proposed DSM-5. Data from a nationally representative sample of US adults were used to compare concordance of past-year DSM-IV Opioid, Cannabis, Cocaine and Alcohol Dependence with past-year DSM-5 disorders at thresholds of 3+, 4+ 5+ and 6+ positive DSM-5 criteria among past-year users of opioids (n=264), cannabis (n=1,622), cocaine (n=271) and alcohol (n=23,013). Substance-specific 2×2 tables yielded overall concordance (kappa), sensitivity, specificity, positive predictive values (PPV) and negative predictive values (NPV). For DSM-IV Alcohol, Cocaine and Opioid Dependence, optimal concordance occurred when 4+ DSM-5 criteria were endorsed, corresponding to the threshold for moderate DSM-5 Alcohol, Cocaine and Opioid Use Disorders. Maximal concordance of DSM-IV Cannabis Dependence and DSM-5 Cannabis Use Disorder occurred when 6+ criteria were endorsed, corresponding to the threshold for severe DSM-5 Cannabis Use Disorder. At these optimal thresholds, sensitivity, specificity, PPV and NPV generally exceeded 85% (>75% for cannabis). Overall, excellent correspondence of DSM-IV Dependence with DSM-5 Substance Use Disorders was documented in this general population sample of alcohol, cannabis, cocaine and opioid users. Applicability of treatments tested for DSM-IV Dependence is supported by these results for those with a DSM-5 Alcohol, Cocaine or Opioid Use Disorder of at least moderate severity or Severe Cannabis Use Disorder. Further research is needed to provide evidence for applicability of treatments for persons with milder substance use disorders.
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影响因子：
11.5
作者：
Tetrault JM;Fiellin DA
通讯作者：
Fiellin DA
影响因子：
6
作者：
Mewton, Louise;Slade, Tim;Teesson, Maree
通讯作者：
Teesson, Maree
DOI：
10.1111/j.1530-0277.2012.01930.x
发表时间：
2013-01-01
影响因子：
3.2
作者：
Dawson, Deborah A.;Goldstein, Rise B.;Grant, Bridget F.
通讯作者：
Grant, Bridget F.
影响因子：
2.2
作者：
Winhusen T;Brady KT;Stitzer M;Woody G;Lindblad R;Kropp F;Brigham G;Liu D;Sparenborg S;Sharma G;Vanveldhuisen P;Adinoff B;Somoza E
通讯作者：
Somoza E
影响因子：
3.4
作者：
Litten RZ;Egli M;Heilig M;Cui C;Fertig JB;Ryan ML;Falk DE;Moss H;Huebner R;Noronha A
通讯作者：
Noronha A