Differences in the profiles of DSM-IV and DSM-5 alcohol use disorders: implications for clinicians.
- Authors
- Dawson, Deborah A; Goldstein, Risë B; Grant, Bridget F
- Year
- 2013
- Journal
- Alcoholism, clinical and experimental research
- PMID
- 22974144
- DOI
- 10.1111/j.1530-0277.2012.01930.x
- PMCID
- PMC3800556
BACKGROUND: Existing information on consequences of the DSM-5 revision for the diagnosis of alcohol use disorders (AUD) has gaps, including missing information critical to understanding implications of the revision for clinical practice. METHODS: Data from Wave 2 of the National Epidemiologic Survey on Alcohol and Related Conditions were used to compare AUD severity, alcohol consumption and treatment, sociodemographic and health characteristics, and psychiatric comorbidity among individuals with DSM-IV abuse versus DSM-5 moderate AUD and DSM-IV dependence versus DSM-5 severe AUD. For each pair of disorders, we additionally compared 3 mutually exclusive groups: individuals positive solely for the DSM-IV disorder, those positive solely for the DSM-5 disorder, and those positive for both. RESULTS: Whereas 80.5% of individuals positive for DSM-IV dependence were positive for DSM-5 severe AUD, only 58.0% of those positive for abuse were positive for moderate AUD. The profiles of individuals with DSM-IV dependence and DSM-5 severe AUD were almost identical. The only significant (p < 0.005) difference, more AUD criteria among the former, reflected the higher criterion threshold (≥ 4 vs. ≥ 3) for severe AUD relative to dependence. In contrast, the profiles of individuals with DSM-5 moderate AUD and DSM-IV abuse differed substantially. The former endorsed more AUD criteria, had higher rates of physiological dependence, were less likely to be White individuals and men, had lower incomes, were less likely to have private and more likely to have public health insurance, and had higher levels of comorbid anxiety disorders than the latter. CONCLUSIONS: Similarities between the profiles of DSM-IV and DSM-5 AUD far outweigh differences; however, clinicians may face some changes with respect to appropriate screening and referral for cases at the milder end of the AUD severity spectrum, and the mechanisms through which these will be reimbursed may shift slightly from the private to public sector.
Classification of alcohol use disorder under the DSM-5 and proposed DSM-V criteria
LLM interpretation
This figure is a comparison table detailing the classification criteria for Alcohol Use Disorder under the DSM-IV and DSM-5. It contrasts the DSM-IV's two distinct constructs (alcohol abuse and dependence) with the DSM-5's single unitary construct categorized by severity (moderate and severe). The table lists specific behavioral and physiological criteria for both versions, highlighting the addition of "Alcohol craving" in the DSM-5.
No entities extracted from this document yet.
No uploaded files.
In this knowledge base
| Title | Year | PMID |
|---|---|---|
| Genetics and alcoholism. | 2013 | 23712313 |
External
| Title | Authors | Journal | Year | Link |
|---|---|---|---|---|
| Diagnostic accuracy of the alcohol use disorders identification test (AUDIT) in Swedish young adult outpatients in general psychiatry. | Lenninger S et al. | — | 2026 | → |
| Comparing content within a culturally-adapted digital treatment for Hispanic patients with alcohol use disorder. | Benitez B et al. | — | 2025 | → |
| Comparing Content Within a Culturally-Adapted Digital Treatment for Hispanic Patients with Alcohol Use Disorder | Benitez B et al. | — | 2025 | — |
| Results from a randomized controlled trial of zonisamide in the treatment of alcohol use disorder. | Farchione TJ et al. | — | 2024 | → |
| Cluster-b personality disorder traits and impulsivity: Indirect associations with alcohol use severity through positive alcohol expectancies. | Guillot CR et al. | — | 2023 | → |
| Exposure to Alcohol-Related Content on Social-Media. | Janiuk K et al. | — | 2023 | → |
| The preliminary efficacy of virtual agent-assisted intelligent rehabilitation treatment (Echo app v2.0) in patients with alcohol use disorders: Study protocol for a randomized controlled trial. | Li S et al. | — | 2023 | → |
| A History of Childhood Maltreatment Has Substance- and Sex-Specific Effects on Craving During Treatment for Substance Use Disorders. | Gerhardt S et al. | — | 2022 | → |
| Associations of common mental disorder with alcohol use in the adult general population: a systematic review and meta-analysis. | Puddephatt JA et al. | — | 2022 | → |
| Does Effectiveness of a Brief Substance Use Treatment Depend on PTSD? An Evaluation of Motivational Enhancement Therapy for Active-Duty Army Personnel. | Kaysen D et al. | — | 2022 | → |
| The effects of nalmefene on the impulsive and reflective system in alcohol use disorder: A resting-state fMRI study. | Grundinger N et al. | — | 2022 | → |
| Common and distinct neural connectivity in attention-deficit/hyperactivity disorder and alcohol use disorder studied using resting-state functional magnetic resonance imaging. | Farré-Colomés À et al. | — | 2021 | → |
| Longitudinal Examination of the Impact of Resilience and Stressful Life Events on Alcohol Use Disorder Outcomes. | Sheerin CM et al. | — | 2021 | → |
| Evaluation of adding the community reinforcement approach to motivational enhancement therapy for adults aged 60 years and older with DSM-5 alcohol use disorder: a randomized controlled trial. | Andersen K et al. | — | 2020 | → |
| Heterogeneous Dose-Response Analyses of Alcohol Abuse and Dependence. | Gruenewald PJ et al. | — | 2019 | → |
| Sexual orientation and gender identity disparities in substance use disorders during young adulthood in a United States longitudinal cohort. | Jun HJ et al. | — | 2019 | → |
| Longitudinal Examination of the Influence of Individual Posttraumatic Stress Disorder Symptoms and Clusters of Symptoms on the Initiation of Cigarette Smoking. | Seelig AD et al. | — | 2018 | → |
| Posttraumatic Stress Disorder Symptom Association With Subsequent Risky and Problem Drinking Initiation. | Bensley KM et al. | — | 2018 | → |
| Usefulness of the Alcohol Use Disorders Identification Test-Korean Revised Version in Screening for Diagnostic and Statistical Manual of Mental Disorders 5th Edition Alcohol Use Disorder among College Students. | Kim SJ et al. | — | 2018 | → |
| Racial/Ethnic Differences in the Prevalence of Clinically Recognized Alcohol Use Disorders Among Patients from the U.S. Veterans Health Administration. | Williams EC et al. | — | 2016 | → |
| An exploration of substance abuse course offerings for students in counseling and social work programs. | Russett JL et al. | — | 2015 | → |
| DSM-IV and DSM-5 alcohol use disorder among young Swiss men. | Mohler-Kuo M et al. | — | 2015 | → |
| From DSM-IV to DSM-5 alcohol use disorder: an overview of epidemiological data. | Bartoli F et al. | — | 2015 | → |
| Limits of Current Approaches to Diagnosis Severity Based on Criterion Counts: An Example with DSM-5 Alcohol Use Disorder. | Lane SP et al. | — | 2015 | → |
| Nosologic Comparisons of DSM-IV and DSM-5 Alcohol and Drug Use Disorders: Results From the National Epidemiologic Survey on Alcohol and Related Conditions-III. | Goldstein RB et al. | — | 2015 | → |
| Outpatient treatment of alcohol use disorders among subjects 60+ years: design of a randomized clinical trial conducted in three countries (Elderly Study). | Andersen K et al. | — | 2015 | → |
| Pharmacotherapy for anxiety and comorbid alcohol use disorders. | Ipser JC et al. | — | 2015 | → |
| Primary Care Management of Alcohol Misuse. | Berger D et al. | — | 2015 | → |
| Sociodemographic and psychiatric diagnostic predictors of 3-year incidence of DSM-IV substance use disorders among men and women in the National Epidemiologic Survey on Alcohol and Related Conditions. | Goldstein RB et al. | — | 2015 | → |
| The National Epidemiologic Survey on Alcohol and Related Conditions (NESARC) Waves 1 and 2: review and summary of findings. | Hasin DS et al. | — | 2015 | → |
| Association among different measures of alcohol use across adolescence and emerging adulthood. | Thompson K et al. | — | 2014 | → |
| Bringing patient-centered care to patients with alcohol use disorders. | Bradley KA et al. | — | 2014 | → |
| Concordance between DSM-5 and DSM-IV nicotine, alcohol, and cannabis use disorder diagnoses among pediatric patients. | Kelly SM et al. | — | 2014 | → |
| DSM-IV alcohol dependence and marital dissolution: evidence from the National Epidemiologic Survey on Alcohol and Related Conditions. | Cranford JA | — | 2014 | → |
| Patient preferences and perspectives regarding reducing alcohol consumption: role of nalmefene. | Luquiens A et al. | — | 2014 | → |
| Crosswalk between DSM-IV dependence and DSM-5 substance use disorders for opioids, cannabis, cocaine and alcohol. | Compton WM et al. | — | 2013 | → |
| Genetics and alcoholism. | Edenberg HJ et al. | — | 2013 | → |
| KASL clinical practice guidelines: management of alcoholic liver disease. | Korean Association for the Study of the Liver (KASL) | — | 2013 | → |