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Multiple DSM‐5 substance use disorders: A national study of US adults

dc.contributor.authorMcCabe, Sean Esteban
dc.contributor.authorWest, Brady T.
dc.contributor.authorJutkiewicz, Emily M.
dc.contributor.authorBoyd, Carol J.
dc.date.accessioned2017-10-05T18:17:08Z
dc.date.available2018-12-03T15:34:02Zen
dc.date.issued2017-09
dc.identifier.citationMcCabe, Sean Esteban; West, Brady T.; Jutkiewicz, Emily M.; Boyd, Carol J. (2017). "Multiple DSM‐5 substance use disorders: A national study of US adults." Human Psychopharmacology: Clinical and Experimental 32(5): n/a-n/a.
dc.identifier.issn0885-6222
dc.identifier.issn1099-1077
dc.identifier.urihttps://hdl.handle.net/2027.42/138251
dc.description.abstractObjectiveOur aim is to determine the lifetime and past‐year prevalence estimates of multiple Diagnostic and Statistical Manual of Mental Disorders fifth edition (DSM‐5) substance use disorders (SUDs) among U.S. adults.MethodsThe 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions featured in‐person interviews with a nationally representative sample of adults aged 18 and older.ResultsThe majority of past‐year nonalcohol DSM‐5 SUDs had at least 1 other co‐occurring past‐year SUD, ranging from 56.8% (SE = 3.4) for past‐year prescription opioid use disorder to 97.5% (SE = 2.7) for past‐year hallucinogen use disorder. In contrast, only 15.0% (SE = 0.6) of past‐year alcohol use disorders had a co‐occurring past‐year SUD. The odds of past‐year multiple SUDs were greater among males, younger adults, African‐Americans, and those with mood, personality, posttraumatic stress, or multiple psychiatric disorders.ConclusionsAssessment, diagnosis, and treatment often focus on individual substance‐specific SUDs rather than multiple SUDs, despite evidence for substantial rates of polysubstance use in clinical and epidemiological studies. There are notable differences in the prevalence of multiple SUDs between alcohol use disorders and other nonalcohol SUDs that have important clinical implications; for example, multiple SUDs are more persistent than individual SUDs. These findings suggest that clinical assessment and diagnosis should screen for multiple SUDs, especially among adults with nonalcohol DSM‐5 SUDs.
dc.publisherNational Institute on Alcohol Abuse and Alcoholism
dc.publisherWiley Periodicals, Inc.
dc.subject.otherDSM‐5
dc.subject.otherepidemiology
dc.subject.otherpolysubstance
dc.subject.othersubstance use disorders
dc.titleMultiple DSM‐5 substance use disorders: A national study of US adults
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelPsychiatry
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/138251/1/hup2625_am.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/138251/2/hup2625.pdf
dc.identifier.doi10.1002/hup.2625
dc.identifier.sourceHuman Psychopharmacology: Clinical and Experimental
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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