The Concept of Substance Use Disorders. A Commentary on 'Defining Substance Use Disorders: Do We Really Need More than Heavy Use' by Rehm et al.

被引:9
|
作者
Saunders, John B. [1 ,2 ]
机构
[1] Univ Queensland, Fac Hlth Sci, Brisbane, Qld, Australia
[2] Univ Sydney, Fac Med, Disciplines Psychiat & Addict Med, Sydney, NSW 2006, Australia
来源
ALCOHOL AND ALCOHOLISM | 2013年 / 48卷 / 06期
关键词
ALCOHOL DEPENDENCE; DSM-IV;
D O I
10.1093/alcalc/agt146
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
Substance use disorders reflect more than just substance use. At one level they are patterns of behaviour, at another level they are clusters of experiences and physiological features. Substance use disorders are strongly correlated with the level of substance use, but the importance of defining them as disorders is because this determines the need for treatment (including detoxification, agonist maintenance treatment and other pharmacotherapies). The severity of a substance disorder also strongly influences the individual's prognosis. Quantification of substance use is valuable for both clinical and epidemiological purposes, but it should be as precise as possible and notions such as "heavy use over time" are not fit for purpose.
引用
收藏
页码:644 / 645
页数:2
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