The tangible common denominator of substance use disorders: a reply to commentaries to Rehm et al. (2013a).

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State: Public
Version: Final published version
License: Not specified
It was possible to publish this article open access thanks to a Swiss National Licence with the publisher.
Serval ID
serval:BIB_2A5E02D3252E
Type
Article: article from journal or magazin.
Publication sub-type
Letter (letter): Communication to the publisher.
Collection
Publications
Institution
Title
The tangible common denominator of substance use disorders: a reply to commentaries to Rehm et al. (2013a).
Journal
Alcohol and Alcoholism
Author(s)
Rehm J., Anderson P., Gual A., Kraus L., Marmet S., Nutt D.J., Room R., Samokhvalov A.V., Scafato E., Shield K.D., Trapencieris M., Wiers R.W., Gmel G.
ISSN
1464-3502 (Electronic)
ISSN-L
0735-0414
Publication state
Published
Issued date
2014
Peer-reviewed
Oui
Volume
49
Number
1
Pages
118-122
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't Publication Status: ppublishDocument Type: Letter
Abstract
In response to our suggestion to define substance use disorders via 'heavy use over time', theoretical and conceptual issues, measurement problems and implications for stigma and clinical practice were raised. With respect to theoretical and conceptual issues, no other criterion has been shown, which would improve the definition. Moreover, heavy use over time is shown to be highly correlated with number of criteria in current DSM-5. Measurement of heavy use over time is simple and while there will be some underestimation or misrepresentation of actual levels in clinical practice, this is not different from the status quo and measurement of current criteria. As regards to stigma, research has shown that a truly dimensional concept can help reduce stigma. In conclusion, 'heavy use over time' as a tangible common denominator should be seriously considered as definition for substance use disorder.
Pubmed
Web of science
Open Access
Yes
Create date
07/02/2014 18:25
Last modification date
14/02/2022 7:54
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