Alcohol Use Disorders in the Draft ICD-11, and How They Compare with DSM-5

被引：0
作者：
Saunders J.B. [1 ,2 ]
Peacock A. [3 ,4 ]
Degenhardt L. [3 ]
机构：
[1] Centre for Youth Substance Abuse Research, University of Queensland, Brisbane, 4072, QLD
[2] Disciplines of Psychiatry and Addiction Medicine, Faculty of Medicine, University of Sydney, Sydney, 2006, NSW
[3] National Drug and Alcohol Research Centre, University of New South Wales, Sydney, 2052, NSW
[4] School of Medicine (Psychology), University of Tasmania, Hobart, TAS
来源：
Current Addiction Reports | 2018年 / 5卷 / 2期
基金：
英国医学研究理事会;
关键词：
Alcohol Dependence; Alcohol Use Disorder; Classification; Diagnosis; DSM-5; ICD; 10; ICD-11;
D O I：
10.1007/s40429-018-0197-8
中图分类号：
学科分类号：
摘要：
Purpose of Review: This review examines how disorders due to alcohol are conceptualised, defined and classified in the latest draft of the Eleventh Revision of the International Classification of Diseases (ICD-11) published in November 2017. Some key diagnoses are compared with their nearest counterparts in the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Recently published papers relevant to these comparisons are highlighted. Recent Findings: There are distinct differences between ICD-11 and DSM-5 in how they treat disorders due to alcohol, in both the diagnoses presented and their associated criteria. Shifts in the conceptualisation of substance use disorder have generated some controversy. These relate primarily to the aggregation of DSM-IV Alcohol Abuse and Alcohol Dependence to Alcohol Use Disorder in DSM-5. In the draft ICD-11, there is a simplified definition and the six diagnostic guidelines for Alcohol Dependence in ICD 10 have been combined into three. Early findings indicate high levels of agreement for the diagnosis of Alcohol Dependence in ICD-11, ICD 10 and DSM-IV, with DSM-5 Alcohol Use Disorder capturing a wider and different aspect of problematic use. The draft ICD-11 has introduced Hazardous Alcohol Use as a distinct diagnosis and details alcohol-related physical disorders, with no DSM equivalents. Summary: Certain diagnoses are unique to a classification system, and preliminary research suggests that modifications in the latest versions may impact on concordance between the two systems in the diagnosis of alcohol use disorders, although further research assessing this across different populations is warranted. © 2018, Springer International Publishing AG, part of Springer Nature.
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页码：257 / 264
页数：7
相关论文
共 20 条
[1]  
International Guide for Monitoring Alcohol Consumption and Related Harm, (2000)
[2]  
11th Revision of the International Classification of Diseases, (2017)
[3]  
Diagnostic and statistical manual of mental disorders, (2013)
[4]  
Definition of Addiction, (2011)
[5]  
Saunders J.B., Latt N.C., Diagnosis and classification of substance use disorders, Addiction medicine: science and practice, pp. 95-113, (2011)
[6]  
Saunders J.B., Substance use and addictive disorders in DSM-5 and ICD 10 and the draft ICD 11, Curr Opin Psychiatry, 30, 4, pp. 227-237, (2017)
[7]  
Pull C.B., Saunders J.B., Mavreas V., Cottler L.B., Grant B.F., Hasin D.S., Blaine J., Mager D., Ustun B.T., Concordance between ICD 10 alcohol and drug use disorder criteria and diagnoses as measured by the AUDADIS-ADR, CIDI and SCAN: results of a cross-national study, Drug Alcohol Depend, 47, 3, pp. 207-216, (1997)
[8]  
Hasin D., Classification of alcohol use disorders, Alcohol Res Health, 27, 1, pp. 5-17, (2003)
[9]  
Jason B., Ye Y., Cherpitel C.J., Borges G., Cremonte M., Moskalewicz J., Swiatkiewicz G., Scaling properties of the combined ICD 10 dependence and harms criteria and comparisons with DSM-5 alcohol use disorder criteria among patients in the emergency department, J Stud Alcohol Drugs, 73, 2, pp. 328-336, (2012)
[10]  
Witkiewitz K., Hallgren K.A., O'Sickey A.J., Roos C.R., Maisto S.A., Reproducibility and differential item functioning of the alcohol dependence syndrome construct across four alcohol treatment studies: an integrative data analysis, Drug Alcohol Depend, 158, pp. 86-93, (2016)
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