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Chunk #34 — Suggested Criteria for the Assessment of Tobacco Dependence — Rationale for Included Criteria — Criteria 3 & 4: Time to first cigarette (TTFC) after waking, and usual number of cigarettes consumed per day (cpd)

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DSM criteria for tobacco use disorder and tobacco withdrawal: a critique and proposed revisions for DSM-5.
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The four criteria listed above tend to have a stronger evidence base than any of the criteria in DSM-IV, and they should certainly be tested for inclusion in DSM-5. However, other criteria should also be tested for possible inclusion. For instance, we believe that two criteria from the DSM-IV should be modified to make them more appropriate for tobacco use, and then tested for possible inclusion in the DSM-V: viz.