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Definition of dependence and abuse of drugs
Nur Amalina bt. Aminuddin Baki60
Introduction
• Diagnostic and Statistical Manual of Mental Disorders 4th edition (DSM-IV)o Common language and criteria for classification of
mental retardation • International Classification of Diseases and
Related Health Problems 10th edition (ICD-10)oMedical classification list by WHO for
diseases, signs, symptoms, abnormal findings, complaint and causes of disorder
Differences
Substance Dependence • Arise out of maladaptive
pattern of substance use, leading to a cluster of behavioral, cognitive , and physiological phenomena that developed after repeated intake.
• Reliance/ controlled
Substance Abuse• Arise out of maladaptive
pattern of substance use, manifested by recurrent and significant adverse consequences related to repeated intake.
• Misuse
Substance Dependence • Strong desire to take drug• Difficult to control use • Persistent use despite
harmful consequences • Prioritizes above other • Increased tolerance • Physical withdrawal state
Substance Abuse• Occur recurrently during
same 12- month period• Harmful sequences due to
repeated use
• compulsive use, tolerance , withdrawal
Substance Intoxication
• DSM-IVo Unwanted physiological or psychological effect
that cause maladaptive behaviour• ICD-10
o Produce disturbance in level of consciousness, cognition, perception or behaviour that is clinically significant
Substance Withdrawal
• DSM-IVo Major symptoms resulting from cessation of
substance abuse , accompanied by behavioural change
o Caffein or cannabis• ICD-10
o Caffein or canabis
Physical Dependence • Alteration in neural system,
manifested by tolerance and withdrawal effect
Addiction• Compulsive use of drugs
resulting in harm and continued use despite that harm