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Should DSM-V Include Dimensional Diagnostic Criteria for Alcohol Use Disorders?

Authors


  • JEH and SEG were supported in part by NIAAA grants: AA 11954 and AA14270.

  • KKB and LJB belong to the Collaborative Study on the Genetics of Alcoholism (Principal Investigator: H. Begleiter; Co-Principal Investigators as follows; L. Bierut, H. Edenberg, V. Hesselbrock, and B. Porjesz) includes 9 different centers where data collection, analysis, and storage take place. The 9 sites and principal investigators and co-investigators are: University of Connecticut (V. Hesselbrock); Indiana University (H. Edenberg, J. Nurnberger Jr., P.M. Conneally, and T. Foroud); University of Iowa (R. Crowe, S. Kuperman); SUNY HSCB: (B. Porjesz, H. Begleiter); Washington University (L. Bierut, A. Goate, J. Rice); University of California, San Diego (M. Schuckit); Howard University (R. Taylor); Rutgers University (J. Tischfield); Southwest Foundation: (L. Almasy). Zhaoxia Ren serves as the NIAAA staff collaborator. This national collaborative study is supported by the NIH Grant U10AA08403 from the NIAAA. In memory of Theodore Reich, MD, Co-Principal Investigator of COGA since its inception and one of the founders of modern psychiatric genetics, we acknowledge his immeasurable and fundamental scientific contributions to COGA and the field.

  • MAS was supported by NIAAA Grant No. 05526 and U10AA08401; the Veterans Affairs Research Service; by funds provided by the State of California for medical research on alcohol and substance abuse through the University of California, San Francisco; and a grant from the CompassPoint Addiction Foundation.

Reprint requests: John E. Helzer, MD, Health Behavior Research Center, 54 West Twin Oaks Terrace, Suite 14 South Burlington, VT 05403; Fax 802 -847-1446; E-mail: John.Helzer@vtmednet.org

Abstract

This program calls attention to the upcoming timetable for the revision of the Diagnostic and Statistical Manual (DSM)-IV and the publication of DSM-V. It is vitally important for Research Society of Alcoholism members to be aware of the current discussions of the important scientific questions related to the next DSM revision and to use the opportunity for input. The title of the symposium highlights 1 key question, i.e., whether the DSM definitions should remain strictly categorical as in the past or whether a dimensional component should be included in this revision. Two substantive and 1 conceptual paper are included in this portion of the symposium. The fourth and final presentation detailing the revision timetable and the opportunities for input is by Dr. Darrel Regier. Dr. Regier is the director of American Psychiatric Institute for Research and Education the research and education branch of the American Psychiatric Association and the organization within the APA that will oversee the DSM revision. The discussion is by Marc Schuckit, who was chair of the Substance Use disorders (SUD) Committee for DSM-IV and cochair of the international group of experts reviewing the SUD definitions for DSM-V.

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