Defining substance use disorders: do we really need more than heavy use?

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Serval ID
serval:BIB_885F96E9A786
Type
Article: article from journal or magazin.
Publication sub-type
Editorial
Collection
Publications
Institution
Title
Defining substance use disorders: do we really need more than heavy use?
Journal
Alcohol and Alcoholism
Author(s)
Rehm J., Marmet S., Anderson P., Gual A., Kraus L., Nutt D.J., Room R., Samokhvalov A.V., Scafato E., Trapencieris M., Wiers R.W., Gmel G.
ISSN
1464-3502 (Electronic)
ISSN-L
0735-0414
Publication state
Published
Issued date
2013
Volume
48
Number
6
Pages
633-640
Language
english
Notes
Publication types: Journal ArticlePublication Status: ppublishDocument Type: Editorial Material
Abstract
AIMS: The aim of the study was to explore whether the concept of heavy substance use over time can be used as definition of substance use disorder.
METHODS: Narrative review.
RESULTS: Heavy use over time clearly underlies the neurobiological changes associated with current thinking of substance use disorders. In addition, there is evidence that heavy use over time can explain the majority of social problems and of burden of disease (morbidity and mortality). A definition of substance use disorders via heavy use over time would avoid some of the problems of current conceptualizations, for instance the cultural specificity of concepts such as loss of control. Finally, stressing the continuum of use may avoid the high level of stigmatization currently associated with substance use disorders.
CONCLUSION: 'Heavy substance use over time' seems to be a definition of substance use disorders in line with results of basic research and epidemiology. Additionally, it reduces stigmatization. This approach should thus be further explored.
Pubmed
Web of science
Open Access
Yes
Create date
21/11/2013 19:00
Last modification date
25/09/2019 7:09
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