Diagnostic Issues in Substance Use Disorders: Refining the Research Agenda for DSM-V

353 Pages·2007·2.05 MB·English

by  John B. Saunders

Diagnostic Issues in
Substance Use
Disorders
Refining the Research Agenda
for DSM-V
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Diagnostic Issues in
Substance Use
Disorders
Refining the Research Agenda
for DSM-V
Edited by
John B. Saunders, M.D., F.R.C.P.
Marc A. Schuckit, M.D.
PaulJ. Sirovatka, M.S.
Darrel A. Regier, M.D., M.P.H.
Published by the
American Psychiatric Association
Arlington, Virginia
Note: The authors have worked to ensure that all information in this book is ac-
curate at the time of publication and consistent with general psychiatric and med-
ical standards, and that information concerning drug dosages, schedules, and
routes of administration is accurate at the time of publication and consistent with
standards set by the U.S. Food and Drug Administration and the general medical
community. As medical research and practice continue to advance, however, ther-
apeutic standards may change. Moreover, specific situations may require a specific
therapeutic response not included in this book. For these reasons and because hu-
man and mechanical errors sometimes occur, we recommend that readers follow
the advice of physicians directly involved in their care or the care of a member of
their family.
The findings, opinions, and conclusions of this report do not necessarily represent
the views of the officers, trustees, or all members of the American Psychiatric As-
sociation. The views expressed are those of the authors of the individual chapters.
Copyright © 2007 American Psychiatric Association
ALL RIGHTS RESERVED
Manufactured in the United States of America on acid-free paper
11 10 09 08 07 5 4 3 2 1
First Edition
Typeset in Adobe’s Frutiger and AGaramond.
American Psychiatric Association
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www.psych.org
Library of Congress Cataloging-in-Publication Data
Diagnostic issues in substance use disorders : refining the research agenda for
DSM-V / edited by John B. Saunders ... [et al.]. — 1st ed.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-0-89042-299-1 (pbk. : alk. paper)
1. Substance abuse—Diagnosis. 2. Substance abuse—Classification.
3. Diagnostic and statistical manual of mental disorders. I. Saunders, John B.
II. American Psychiatric Association. [DNLM: 1. Diagnostic and statistical
manual of mental disorders. 5th ed. 2. Substance-Related Disorders—
diagnosis. 3. Substance-Related Disorders—classification. WM 270 D5368
2007]
RC564.D533 2007
362.29—dc22
2007001492
British Library Cataloguing in Publication Data
A CIP record is available from the British Library.
CONTENTS
CONTRIBUTORS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ix
DISCLOSURE STATEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xiii
FOREWORD. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xvii
Darrel A. Regier, M.D., M.P.H.
INTRODUCTION: DEVELOPMENT OF A RESEARCH AGENDA FOR
SUBSTANCE USE DISORDERS DIAGNOSIS IN DSM-V . . . . . . . . . . . . .xxi
John B. Saunders, M.D., F.R.C.P.
Marc A. Schuckit, M.D.
1
SHOULD SUBSTANCE USE DISORDERS BE CONSIDERED
CATEGORICAL OR DIMENSIONAL? . . . . . . . . . . . . . . . . . . . . . . . . . .1
Bengt Muthén, Ph.D.
2
SHOULD THERE BE BOTH CATEGORICAL AND DIMENSIONAL
CRITERIA FOR THE SUBSTANCE USE DISORDERS IN DSM-V?. . . . . .21
John E. Helzer, M.D.
Wim van den Brink, M.D.
Sarah E. Guth
3
NEUROBIOLOGY OF ADDICTION:
A Neuroadaptational View Relevant for Diagnosis . . . . . . . . . . . . . .31
George F. Koob, M.D.
4
CULTURAL AND SOCIETAL INFLUENCES ON SUBSTANCE USE
DIAGNOSES AND CRITERIA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
Robin Room, Ph.D.
5
CULTURAL ISSUES AND PSYCHIATRIC DIAGNOSIS:
Providing a General Background for Considering
Substance Use Diagnoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61
Javier I. Escobar, M.D.
William A. Vega, Ph.D.
6
SUBSTANCE DEPENDENCE AND NONDEPENDENCE IN DSM AND
THE ICD: Can an Identical Conceptualization Be Achieved?. . . . . . .75
John B. Saunders, M.D., F.R.C.P.
7
SUBSTANCE USE DISORDERS: DSM-IV and ICD-10 . . . . . . . . . . . . 93
Deborah Hasin, Ph.D.
Mark L. Hatzenbuehler
Katherine Keyes
Elizabeth Ogburn
8
COMORBIDITY OF SUBSTANCE USE DISORDERS WITH
PSYCHIATRIC CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
Marc A. Schuckit, M.D.
9
COMORBIDITY OF SUBSTANCE USE WITH DEPRESSION AND
OTHER MENTAL DISORDERS: From DSM-IV to DSM-V . . . . . . . . . 157
Edward V. Nunes, M.D.
Bruce J. Rounsaville, M.D.
10
ARE THERE EMPIRICALLY SUPPORTED AND CLINICALLY
USEFUL SUBTYPES OF ALCOHOL DEPENDENCE? . . . . . . . . . . . . . 171
Victor M. Hesselbrock, Ph.D.
Michie N. Hesselbrock, Ph.D., M.S.W.
11
SUBTYPES OF SUBSTANCE DEPENDENCE AND ABUSE:
Implications for Diagnostic Classification and
Empirical Research. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183
Thomas F. Babor, Ph.D., M.P.H.
Raul Caetano, M.D., Ph.D.
12
DIAGNOSIS OF ALCOHOL DEPENDENCE IN EPIDEMIOLOGICAL
SURVEYS: An Epidemic of Youthful Alcohol Dependence or
a Case of Measurement Error?. . . . . . . . . . . . . . . . . . . . . . . . . . . 195
Raul Caetano, M.D., Ph.D.
Thomas F. Babor, Ph.D., M.P.H.
13
ADOLESCENTS AND SUBSTANCE-RELATED DISORDERS: Research
Agenda to Guide Decisions About DSM-V. . . . . . . . . . . . . . . . . . . 203
Thomas J. Crowley, M.D.
14
ARE SPECIFIC DEPENDENCE CRITERIA NECESSARY FOR
DIFFERENT SUBSTANCES?: How Can Research on
Cannabis Inform This Issue?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221
Alan J. Budney, Ph.D.
15
SHOULD CRITERIA FOR DRUG DEPENDENCE
DIFFER ACROSS DRUGS? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .237
John R. Hughes, M.D.
16
SHOULD ADDICTIVE DISORDERS INCLUDE
NON-SUBSTANCE-RELATED CONDITIONS?. . . . . . . . . . . . . . . . . .251
Marc N. Potenza, M.D.
17
SHOULD THE SCOPE OF ADDICTIVE BEHAVIORS BE BROADENED
TO INCLUDE PATHOLOGICAL GAMBLING? . . . . . . . . . . . . . . . . . .269
Nancy M. Petry, Ph.D.
18
CHARACTERISTICS OF NOSOLOGICALLY INFORMATIVE DATA SETS
THAT ADDRESS KEY DIAGNOSTIC ISSUES FACING THE DSM-V AND
ICD-11 SUBSTANCE USE DISORDERS WORKGROUPS. . . . . . . . . . .285
Linda B. Cottler, Ph.D.
Bridget F. Grant, Ph.D.
19
EMPIRICAL BASIS OF SUBSTANCE USE DISORDERS DIAGNOSIS:
Research Recommendations for DSM-V. . . . . . . . . . . . . . . . . . . . .303
Marc A. Schuckit, M.D.
John B. Saunders, M.D., F.R.C.P.
INDEX. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .309
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CONTRIBUTORS
Thomas F. Babor, Ph.D., M.P.H.
Professor and Chairman, Department of Community Medicine and Health Care,
University of Connecticut School of Medicine, Farmington, Connecticut
Alan J. Budney, Ph.D.
Center for Addiction Research, Department of Psychiatry, College of Medicine,
University of Arkansas for Medical Sciences, Little Rock, Arkansas
Raul Caetano, M.D., Ph.D.
Health Science Center, University of Texas–Houston School of Public Health,
Dallas, Texas
Linda B. Cottler, Ph.D.
Professor of Epidemiology and Director, Epidemiology and Prevention Research
Group, Department of Psychiatry, Washington University School of Medicine,
St.Louis, Missouri
Thomas J. Crowley, M.D.
Director, Division of Substance Dependence, Department of Psychiatry, Univer-
sity of Colorado School of Medicine, Denver, CO
Javier I. Escobar, M.D.
Professor and Chairman, Department of Psychiatry, University of Medicine and Den-
tistry of New Jersey, Robert Wood Johnson Medical School, Piscataway, New Jersey
Bridget F. Grant, Ph.D.
Chief, Laboratory of Epidemiology and Biometry, Division of Clinical and Bio-
logical Research, National Institute on Alcohol Abuse and Alcoholism, National
Institutes of Health, Bethesda, Maryland
Sarah E. Guth
Executive Assistant, Health Behavior Research Center, Department of Psychiatry,
University of Vermont College of Medicine, South Burlington, Vermont
ix