Columbia University, Department of Psychiatry, College of Physicians and Surgeons, 1051 Riverside Drive #123, New York, NY 10032, USA.
Drug Alcohol Depend. 2012 Apr 1;122(1-2):20-1. doi: 10.1016/j.drugalcdep.2011.10.028. Epub 2011 Dec 2.
The DSM-5 Substance Use Disorders (SUD) Workgroup has considered a number of issues in the process of implementing revisions designed to result in better definitions of the disorders. One of the main issues considered was what to do about the DSM-IV division between two disorders, abuse and dependence. This issue arose because the reliability and validity of abuse was far lower and more variable than the reliability and validity of dependence, and also because misconceptions regarding the relationship of abuse to dependence abound among clinicians and researchers. Additional issues the SUD workgroup considered included whether to add new criteria, e.g., craving, and remove existing criteria, e.g. legal problems. Some issues pertaining to gambling disorders were considered as well.
DSM-5 物质使用障碍（SUD）工作组在实施修订的过程中考虑了许多问题，这些修订旨在更好地定义这些障碍。其中一个主要考虑的问题是如何处理 DSM-IV 中将两种障碍，滥用和依赖分开的问题。这个问题的出现是因为滥用的可靠性和有效性远远低于依赖的可靠性和有效性，而且临床医生和研究人员对滥用与依赖的关系存在许多误解。SUD 工作组还考虑了其他一些问题，例如是否添加新的标准，例如渴望，以及是否删除现有的标准，例如法律问题。还考虑了一些与赌博障碍相关的问题。
