Impact of the DSM-IV to DSM-5 Changes on the National Survey on Drug ...
IMPACT OF THE DSM-IV TO DSM-5 CHANGES ON THE NATIONAL SURVEY
ON DRUG USE AND HEALTH
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Substance Abuse and Mental Health Services Administration Center for Behavioral Health Statistics and Quality Rockville, Maryland 20857 June 2016
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IMPACT OF THE DSM-IV TO DSM-5
CHANGES ON THE NATIONAL
SURVEY ON DRUG USE AND
HEALTH
Contract No. HHSS283201000003C
RTI Project No. 0212800.001.108.006.026
RTI Authors: Cristie Glasheen Kathryn Batts Rhonda Karg
SAMHSA Authors: Jonaki Bose Sarra Hedden Kathryn Piscopo
RTI Project Director: David Hunter
SAMHSA Project Officer: Peter Tice
For questions about this report, please e-mail Peter.Tice@samhsa.. Prepared for Substance Abuse and Mental Health Services Administration, Rockville, Maryland Prepared by RTI International, Research Triangle Park, North Carolina
June 2016
Recommended Citation: Center for Behavioral Health Statistics and Quality. (2016). Impact of the DSM-IV to DSM-5 Changes on the National Survey on Drug Use and Health. Substance Abuse and Mental Health Services Administration, Rockville, MD.
Acknowledgments
This report would not be possible without the guidance and input of staff from the Center for Behavioral Health Statistics and Quality. In particular, at the Substance Abuse and Mental Health Services Administration: Janet Kuramoto, Dicy Painter, and Peggy Barker. At RTI International (a trade name of Research Triangle Institute), Mark Edlund, Justin Landwehr, and Jennifer Schoden.
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Table of Contents
Chapter
Page
Executive Summary .........................................................................................................................1
1. Introduction..........................................................................................................................3
2. Substance Use Disorders......................................................................................................5 2.1 Overview................................................................................................................. 5 2.2 Categorization Changes .......................................................................................... 5 2.3 Types of Substances................................................................................................ 9 2.4 Criteria for Substance Use Disorders...................................................................... 9 2.4.1 Substance Abuse and Substance Dependence .......................................... 10 2.4.2 Withdrawal Criteria .................................................................................. 11 2.4.3 Severity Criteria ........................................................................................ 15 2.5 Specific SUDs....................................................................................................... 15 2.5.1 Alcohol Use Disorder ............................................................................... 15 2.5.2 Caffeine Use Disorder............................................................................... 22 2.5.3 Cannabis Use Disorder ............................................................................. 22 2.5.4 Phencyclidine Use Disorder and Other Hallucinogen Use Disorder ........ 24 2.5.5 Inhalant Use Disorder ............................................................................... 29 2.5.6 Opioid Use Disorder ................................................................................. 33 2.5.7 Sedative, Hypnotic, or Anxiolytic Use Disorder ...................................... 44 2.5.8 Stimulant Use Disorder............................................................................. 50 2.5.9 Tobacco Use Disorder............................................................................... 61 2.5.10 Other Considerations ................................................................................ 61 2.6 Substance Use Disorders in NSDUH.................................................................... 62
3. Mental Illness.................................................................................................................... 65 3.1 Mental Illness in NSDUH and MHSS: Overview ................................................ 65 3.2 Overarching Structural Changes in the DSM ....................................................... 67 3.2.1 Elimination of the Multi-Axial System..................................................... 67 3.2.2 Removal of the GAF score ....................................................................... 68 3.2.3 Disorder Reclassification .......................................................................... 71 3.3 Changes to NSDUH/MHSS Included Diagnoses ................................................. 77 3.3.1 Major Depressive Episode/Disorder (NSDUH and MHSS)..................... 77 3.3.2 Dysthymic Disorder (MHSS) ................................................................... 80 3.3.3 Manic Episode and Bipolar I Disorder (MHSS)....................................... 82 3.3.4 Panic Disorder and Agoraphobia (MHSS) ............................................... 91 3.3.5 Specific Phobia (MHSS)........................................................................... 95 3.3.6 Social Phobia (MHSS).............................................................................. 97 3.3.7 Obsessive-Compulsive Disorder (MHSS) ................................................ 98 3.3.8 Posttraumatic Stress Disorder (MHSS) .................................................. 100 3.3.9 Generalized Anxiety Disorder (MHSS).................................................. 104 3.3.10 Anorexia Nervosa (MHSS)..................................................................... 105 3.3.11 Bulimia Nervosa (MHSS)....................................................................... 107 3.3.12 Intermittent Explosive Disorder (MHSS) ............................................... 108
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