物质使用障碍诊断中的真相与后果。
Truth or consequences in the diagnosis of substance use disorders.
作者信息
Martin Christopher S, Langenbucher James W, Chung Tammy, Sher Kenneth J
机构信息
Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA; Center of Alcohol Studies, Rutgers University, Piscataway, NJ, USA.
出版信息
Addiction. 2014 Nov;109(11):1773-8. doi: 10.1111/add.12615. Epub 2014 Jun 10.
Abstract
AIMS
This commentary critically evaluates the use of substance-related negative psychosocial and health consequences to define and diagnose alcohol and other substance use disorders.
METHODS
Narrative review.
RESULTS
The consequences of substance use cause much suffering and are major public health and economic problems. However, there are a number of conceptual and measurement problems with using consequences as diagnostic criteria for substance disorders. Data indicate that substance-related consequences introduce systematic bias and degrade the validity of diagnostic systems.
CONCLUSIONS
Negative psychosocial and health consequences of substance use should play a fundamentally reduced role in modern diagnostic systems for, and definitions of, addictive disorders.
摘要
目的
本评论批判性地评估使用与物质相关的负面心理社会和健康后果来定义和诊断酒精及其他物质使用障碍的情况。
方法
叙述性综述。
结果
物质使用的后果造成了许多痛苦，是主要的公共卫生和经济问题。然而，将后果用作物质使用障碍的诊断标准存在一些概念和测量问题。数据表明，与物质相关的后果会引入系统偏差并降低诊断系统的有效性。
结论
物质使用的负面心理社会和健康后果在现代成瘾性障碍的诊断系统及定义中应从根本上减少其作用。
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