The Impact of the Proposed Changes for the DSM-5 on Diagnoses of First-time DUI/DWI Offenders.

Abstract:

:Driving while impaired (DWI) is a frequently committed crime with enormous individual and social costs. The type of disposition and/or treatment appropriate for an individual offender is often determined, in part, by diagnostic criteria based on the American Psychiatric Association's Diagnostic and Statistics Manual. The DSM-5 significantly modified these criteria by eliminating legal problems as a criterion and dropping the categories of abuse and dependence. A brief substance abuse focused interview was conducted with 658 consecutive first-time DUI offenders who were arrested for driving under the influence of alcohol. Most were white, well-educated males. Contingency analyses were utilized to compare the current with the new diagnostic criteria based on algorithms for both diagnostic formulations. The major change observed when moving from DSM-IV-TR to DSM-5 criteria was that, approximately 54% of first-time DUI/DWI offenders would no longer meet diagnostic criteria based on the DSM-5. Of the nearly 17% who met dependence criteria, the majority were in the severe designation of the DSM-5.

journal_name

Subst Use Misuse

journal_title

Substance use & misuse

authors

Baley JW,Hoffman NG

doi

10.3109/10826084.2015.1027923

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

1747-52

issue

14

eissn

1082-6084

issn

1532-2491

journal_volume

50

pub_type

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