The Tangible Common Denominator of Substance Use Disorders: A Reply to Commentaries to Rehm et al. (2013a)

被引：43

作者：

Rehm, J. ^{[1
,2
,3
,4
,5
]}

Anderson, P. ^{[6
,7
]}

Gual, A. ^{[8
]}

Kraus, L. ^{[9
,10
]}

Marmet, S. ^{[11
]}

Nutt, D. J. ^{[12
]}

Room, R. ^{[10
,13
,14
]}

Samokhvalov, A. V. ^{[2
,5
]}

Scafato, E. ^{[15
,16
]}

Shield, K. D. ^{[2
,3
]}

Trapencieris, M. ^{[17
]}

Wiers, R. W. ^{[18
]}

Gmel, G. ^{[2
,11
,19
,20
]}

机构：

[1] Tech Univ Dresden, Inst Clin Psychol & Psychotherapy, Dresden, Germany

[2] CAMH, Toronto, ON, Canada

[3] Univ Toronto, Inst Med Sci, Toronto, ON, Canada

[4] Univ Toronto, DLSPH, Toronto, ON, Canada

[5] Univ Toronto, Dept Psychiat, Toronto, ON, Canada

[6] Newcastle Univ, Inst Hlth & Soc, Newcastle Upon Tyne NE1 7RU, Tyne & Wear, England

[7] Maastricht Univ, Fac Hlth Med & Life Sci, Maastricht, Netherlands

[8] IDIBAPS, Hosp Clin, Inst Neurosci, Addict Unit,Psychiat Dept, Barcelona, Spain

[9] IFT Inst Therapieforsch, Munich, Germany

[10] Stockholm Univ, Ctr Social Res Alcohol & Drugs, S-10691 Stockholm, Sweden

[11] Addict Switzerland, Lausanne, Switzerland

[12] Univ London Imperial Coll Sci Technol & Med, Ctr Neuropsychopharmacol, London, England

[13] Univ Melbourne, Melbourne Sch Populat & Global Hlth, Melbourne, Vic, Australia

[14] Turning Point Alcohol & Drug Ctr, Ctr Alcohol Policy Res, Fitzroy, Vic, Australia

[15] Ist Super Sanita, Natl Ctr Epidemiol Surveillance & Hlth Promot, Natl Observ Alcohol CNESPS, Populat Hlth Unit, I-00161 Rome, Italy

[16] Ist Super Sanita, Natl Ctr Epidemiol Surveillance & Hlth Promot, Natl Observ Alcohol CNESPS, Hlth Determinants Unit, I-00161 Rome, Italy

[17] Latvian State Univ, Inst Philosophy & Sociol, LV-1063 Riga, Latvia

[18] Univ Amsterdam, Addict Dev & Psychopathol ADAPT Lab, Amsterdam, Netherlands

[19] Univ W England, Bristol BS16 1QY, Avon, England

[20] Univ Lausanne Hosp, Alcohol Treatment Ctr, CH-1011 Lausanne, Switzerland

来源：

ALCOHOL AND ALCOHOLISM | 2014年 / 49卷 / 01期

关键词：

ALCOHOL DEPENDENCE; MENTAL-DISORDERS; NEED; MORTALITY; ADDICTION; CONSUMPTION; COUNTRIES; DRINKING; RISK;

D O I：

10.1093/alcalc/agt171

中图分类号：

R194 [卫生标准、卫生检查、医药管理];

学科分类号：

摘要：

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.

引用

页码：118 / 122

页数：5

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