DSM-V criteria for opioid use disorder

Opioid Use Disorder Diagnostic Criteria:
A minimum of 2−3 criteria are required for a mild, while 4−5 are for moderate, and ≥ 6 are for severe opioid use disorder diagnosis, occurring within 12 months.
1. Taking the opioid in larger amounts and for longer than intended
2. Wanting to cut down or quit but not being able to do it
3. Spending a lot of time obtaining the opioid
4. Craving for or a strong desire to use opioids
5. Repeatedly unable to carry out major obligations at work, school, or home due to opioid use
6. Continued use despite persistent or recurring social or interpersonal problems caused or made worse by opioid use
7. Stopping or reducing important social, occupational, or recreational activities due to opioid use
8. Recurrent use of opioids in physically hazardous situations
9. Consistent use of opioids despite acknowledgment of persistent or recurrent physical or psychological difficulties from using opioids
10. aTolerance as defined by either a need for markedly increased amounts to achieve intoxication or desired effect or markedly diminished effect with continued use of the same amount
11. aWithdrawal manifesting as either characteristic syndrome or the substance is used to avoid withdrawal

aThis criterion is not counted for the diagnosis of opioid use disorder if the patients are taking opioids appropriately for pain treatment under medical supervision.

Korean J Pain 2024;37:119~131 https://doi.org/10.3344/kjp.24022
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