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Table 3 American Psychiatric Association criteria for alcohol use disorders

From: Care for hospitalized patients with unhealthy alcohol use: a narrative review

DSM-IV Alcohol dependence

DSM-IV Alcohol abuse

DSM-V Alcohol use disorder

(≥ 3 of the following)

(≥ 1 of the following)

(≥ 2 of the following)

• Tolerance

Continued drinking despite….

• Tolerance

• Withdrawal

• Withdrawal

• Repeatedly exceeding intended limits

• Increased risk for physical harm

• Repeatedly exceeding intended limits

• Spending a lot of time drinking or recovering from alcohol effects

• Trouble in important relationships

• Spending a lot of time drinking or recovering from alcohol effects

• Failed attempts to cut down or abstain

• Failure to perform important roles

• Failed attempts to cut down or abstain

• Continued drinking despite physical or psychological problems

• Legal problems*

• Continued drinking despite physical or psychological problems

• Spending less time on important activities due to drinking

 

• Spending less time on important activities due to drinking

  

• Increased risk for physical harm

  

• Trouble in important relationships

  

• Failure to perform important roles

  

• Craving for alcohol*

  1. *“Legal problems” will be dropped as an alcohol use disorder criterion, and “craving” will be added.