物质使用障碍诊断的实证基础:《精神疾病诊断与统计手册》第五版(DSM-V)的研究建议

The empirical basis of substance use disorders diagnosis: research recommendations for the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-V).

作者信息

Schuckit Marc A, Saunders John B

机构信息

University of California, San Diego, Veterans Association Medical Center, San Diego, CA, USA.

出版信息

Addiction. 2006 Sep;101 Suppl 1:170-3. doi: 10.1111/j.1360-0443.2006.01611.x.

Abstract

AIMS

This paper presents the recommendations, developed from a 3-year consultation process, for a program of research to underpin the development of diagnostic concepts and criteria in the Substance Use Disorders section of the Diagnostic and Statistical Manual of Mental Disorders (DSM) and potentially the relevant section of the next revision of the International Classification of Diseases (ICD).

METHODS

A preliminary list of research topics was developed at the DSM-V Launch Conference in 2004. This led to the presentation of articles on these topics at a specific Substance Use Disorders Conference in February 2005, at the end of which a preliminary list of research questions was developed. This was further refined through an iterative process involving conference participants over the following year.

RESULTS

Research questions have been placed into four categories: (1) questions that could be addressed immediately through secondary analyses of existing data sets; (2) items likely to require position papers to propose criteria or more focused questions with a view to subsequent analyses of existing data sets; (3) issues that could be proposed for literature reviews, but with a lower probability that these might progress to a data analytic phase; and (4) suggestions or comments that might not require immediate action, but that could be considered by the DSM-V and ICD 11 revision committees as part of their deliberations.

CONCLUSIONS

A broadly based research agenda for the development of diagnostic concepts and criteria for substance use disorders is presented.

摘要

目的

本文介绍了一项历经3年磋商过程制定的研究计划建议,该计划旨在为《精神疾病诊断与统计手册》(DSM)物质使用障碍章节以及可能的《国际疾病分类》下一版相关章节中诊断概念和标准的制定提供支持。

方法

2004年DSM - V发布会上制定了一份初步研究主题清单。这促使在2005年2月的一次特定物质使用障碍会议上就这些主题发表文章,会议结束时制定了一份初步研究问题清单。在接下来的一年里,通过一个涉及会议参与者的迭代过程对其进行了进一步完善。

结果

研究问题已被分为四类:(1)可通过对现有数据集进行二次分析立即解决的问题;(2)可能需要立场文件来提出标准或更具针对性问题以便随后对现有数据集进行分析的项目;(3)可提议进行文献综述但进入数据分析阶段可能性较低的问题;(4)可能不需要立即采取行动,但DSM - V和ICD - 11修订委员会在审议过程中可考虑的建议或意见。

结论

提出了一个基础广泛的关于物质使用障碍诊断概念和标准制定的研究议程。

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