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Criteria and Terminology

Criteria are provided for substance use disorder, accompanied by criteria for:
 * Intoxication
 * Withdrawal
 * Substance/medication-induced disorders
 * Unspecified substance-induced disorders

The changes in DSM-5 to substance use disorders are as follows:
 * 1) The DSM-IV recurrent legal problems criterion for substance abuse has been deleted from DSM-5


 * 1) Craving or a strong desire or urge to use a substance has been added.


 * 1) The threshold for substance use disorder diagnosis in DSM-5 is set at two or more criteria, in contrast to a threshold of one or more criteria for a diagnosis of DSM-IV substance abuse and three or more for DSM-IV substance dependence.


 * 1) Cannabis withdrawal is new for DSM-5, as is caffeine withdrawal


 * 1) The criteria for DSM-5 tobacco use disorder are the same as those for other substance use disorders. DSM-IV did not have a category for tobacco abuse.


 * 1) 2–3 criteria indicate a mild disorder; 4–5 criteria, a moderate disorder; and 6 or more, a severe disorder.

The DSM-IV specifier for a physiological subtype has been eliminated in DSM-5, as has the DSM-IV diagnosis of polysubstance dependence.


 * 1) Early remission from a DSM-5 substance use disorder is defined as at least 3 but less than 12 months without substance use disorder criteria (except craving)


 * 1) Sustained remission is defined as at least 12 months without criteria (except craving).


 * 1) Additional new DSM-5 specifiers include “in a controlled environment” and “on maintenance therapy” as the situation warrants.

{| class="wikitable sortable" border="1" ! Setting ! Reference ! Base Rate ! Demography ! Diagnostic Method
 * -}

(NCS-A)
 * National Comorbidity Survey-Adolescent
 * Kessler et al., 2012
 * 3.0%
 * All of U.S.A.
 * Composite International Diagnostic Interview (CIDI) 3.0