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The Diagnostic and Statistical Manual of Mental Disorders (DSM), the standard classification of mental disorders published by the American Psychiatric Association (APA), is used for many clinical, research, policy, and reimbursement purposes. Since publication of the first edition in 1952 (American Psychiatric Association 1952), the manual has been revised six times. DSM-5 (American Psychiatric Association 2013), the current edition, included several changes to the criteria for and coverage of substance use disorders (SUDs). This chapter has two purposes: 1) to review some of the major changes made to SUDs in DSM-5, expanding on the background, methods, and rationales behind these changes (Hasin et al. 2013); and 2) to present new studies that have examined the reliability and validity of the DSM-5 SUD criteria since DSM-5 was published.
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