CoChat
Sign Up
Cited by 63Substance Abuse Treatment and OutcomesMental Health and PsychiatryGambling Behavior and Treatments

Substance dependence and non‐dependence in the Diagnostic and Statistical Manual of Mental Disorders (DSM) and the International Classification of Diseases (ICD): can an identical conceptualization be achieved?

Saunders, John B.·2006·Addiction
DOI 10.1111/j.1360-0443.2006.01589.x
Open this paper in CoChat — free account

Abstract

BACKGROUND: This review summarizes the history of the development of diagnostic constructs that apply to repetitive substance use, and compares and contrasts the nature, psychometric performance and utility of the major diagnoses in the Diagnostic and Statistical Manual of Mental Disorders (DSM) and International Classification of Diseases (ICD) diagnostic systems. METHODS: The available literature was reviewed with a particular focus on diagnostic concepts that are relevant for clinical and epidemiological practice, and so that research questions could be generated that might inform the development of the next generation of DSM and ICD diagnoses. RESULTS: The substance dependence syndrome is a psychometrically robust and clinically useful construct, which applies to a range of psychoactive substances. The differences between the DSM fourth edition (DSM-IV) and the ICD tenth edition (ICD-10) versions are minimal and could be resolved. DSM-IV substance abuse performs moderately well but, being defined essentially by social criteria, may be culture-dependent. ICD-10 harmful substance use performs poorly as a diagnostic entity. CONCLUSIONS: There are good prospects for resolving many of the differences between the DSM and ICD systems. A new non-dependence diagnosis is required. There would also be advantages in a subthreshold diagnosis of hazardous or risky substance use being incorporated into the two systems. Biomedical research can be drawn upon to define a psychophysiological 'driving force' which could underpin a broad spectrum of substance use disorders.

Integrity signals

Registry

Crossref · 10.1111/j.1360-0443.2006.01589.x

Cites

55 of 55 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • The disease model of addiction has been adopted in European and American medical classification manuals, beginning with DSM-III-R in 1987 and ICD-10 in 1992.

    “The adoption of a disease model of addiction has been manifested by its inclusion in the European and American medical classification manuals, beginning with DSM-III-R in 1987 and ICD-10 in 1992 (5).”

    From Addiction Psychotherapy: Going Beyond Self-Medication (2022) · cites this paper as [5]

Cites

Flagged first, then by citations

Cited by

Sorted by citations

Related

Authors
Saunders, J. B.
Affiliations
The University of Queensland (AU)
Corresponding author
Saunders, John B.
ORCID
Saunders, John B.
Venue
Addiction
Publisher
Wiley
Published
2006-08-08
Volume
101
Issue
s1
Pages
48-58
ISSN
  • 0965-2140 (ISSN-L)
  • 1360-0443
DOI
10.1111/j.1360-0443.2006.01589.x
OpenAlex
W2153963392
Cited by
63
References
55
Citations by year
2022: 3 · 2021: 1 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 3 · 2015: 6 · 2014: 5 · 2013: 3 · 2012: 5
FWCI
4.15
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Addiction (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
  • Social Sciences › Psychology › Clinical Psychology › Gambling Behavior and Treatments
Keywords
substance dependence, substance use disorders, DSM-IV, ICD-10, diagnostic classification, substance abuse, harmful substance use, psychometric properties
MeSH terms
Alcoholism, Culture, Family Health, Humans, Psychometrics, Psychotropic Drugs, Social Values, Substance-Related Disorders, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review