The DSM-5 commentary recognizes that addiction is a term that is easily confused with dependence.[3] The categories of substance abuse and substance dependence were eliminated in the DSM-5, and replaced with the overarching category of substance-use disorders.[3] Within this category, substance-use disorders are defined by the specific substance of abuse.[3]
Reference:
[1] Szalavitz M, Rigg KK, Wakeman SE. Drug dependence is not addiction – and it matters. Ann Med 2021; 53 (1): 1989–1992.
[2] Robinson SM, Adinoff B. The classification of substance use disorders: historical, contextual, and conceptual considerations. Behav Sci (Basel) 2016; 6 (3): 18.
[3] American Psychiatric Association (APA). Diagnostic and Statistical Manual of Mental Disorders, 5th edition. American Psychiatric Association, 2013.
[4] Lagisetty P, Garpestad C, Larkin A, et al. Identifying individuals with opioid use disorder: validity of International Classification of Diseases diagnostic codes for opioid use, dependence and abuse. Drug Alcohol Depend 2021; 221: 108583.
