A field trial of DSM-III-R psychoactive substance dependence disorders

Am J Psychiatry. 1987 Mar;144(3):351-5. doi: 10.1176/ajp.144.3.351.


The authors field-tested proposed criteria for diagnoses of psychoactive substance use disorders in the revision of DSM-III (DSM-III-R) and compared them with DSM-III criteria in a treated group of 83 patients. They found a high level of agreement between the diagnostic systems in rates of diagnosis and in the individuals receiving the diagnosis. The greatest cross-system agreement occurred when the minimum number of symptoms required to make the DSM-III-R diagnosis was set at three. Discrepant diagnoses between systems related to removal of social consequences as a requirement for the DSM-III-R diagnoses, less emphasis on physiological tolerance in DSM-III-R, and disagreement in subjects with mild symptoms.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Evaluation Studies as Topic
  • Female
  • Hallucinogens
  • Humans
  • Male
  • Manuals as Topic / standards*
  • Psychiatric Status Rating Scales
  • Substance-Related Disorders / classification
  • Substance-Related Disorders / diagnosis*


  • Hallucinogens