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The Tangible Common Denominator of Substance Use Disorders: A Reply to Commentaries to Rehm et al. (2013a)

Overview of attention for article published in Alcohol and Alcoholism, November 2013
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Title
The Tangible Common Denominator of Substance Use Disorders: A Reply to Commentaries to Rehm et al. (2013a)
Published in
Alcohol and Alcoholism, November 2013
DOI 10.1093/alcalc/agt171
Pubmed ID
Authors

J. Rehm, P. Anderson, A. Gual, L. Kraus, S. Marmet, D.J. Nutt, R. Room, A.V. Samokhvalov, E. Scafato, K.D. Shield, M. Trapencieris, R.W. Wiers, G. Gmel

Abstract

In response to our suggestion to define substance use disorders via 'heavy use over time', theoretical and conceptual issues, measurement problems and implications for stigma and clinical practice were raised. With respect to theoretical and conceptual issues, no other criterion has been shown, which would improve the definition. Moreover, heavy use over time is shown to be highly correlated with number of criteria in current DSM-5. Measurement of heavy use over time is simple and while there will be some underestimation or misrepresentation of actual levels in clinical practice, this is not different from the status quo and measurement of current criteria. As regards to stigma, research has shown that a truly dimensional concept can help reduce stigma. In conclusion, 'heavy use over time' as a tangible common denominator should be seriously considered as definition for substance use disorder.

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The data shown below were compiled from readership statistics for 38 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 38 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 7 18%
Student > Doctoral Student 5 13%
Student > Bachelor 4 11%
Student > Master 4 11%
Student > Ph. D. Student 3 8%
Other 5 13%
Unknown 10 26%
Readers by discipline Count As %
Medicine and Dentistry 8 21%
Psychology 7 18%
Social Sciences 5 13%
Neuroscience 4 11%
Unspecified 1 3%
Other 2 5%
Unknown 11 29%