We propose that the cannabis withdrawal syndrome is reliable,
valid, and clinically important and should be included
in the next revision of DSM. Appendix 1 lists symptoms
we propose as criteria for a cannabis withdrawal
disorder (41). The common symptoms reflect those observed
consistently across studies of cannabis withdrawal
and reported by a substantial proportion of participants
studied (Table 1). The less common or equivocal symptoms
have been observed across some studies, are experienced
by a minority of study participants, or are of lesser magnitude.
Other symptoms appear in more than one study but
not in the majority of studies. We believe endorsement of at
least four of these symptoms and evidence that these symptoms
produced clinically significant distress or dysfunction
should lead to a diagnosis of cannabis withdrawal. Furthermore,
adoption of a diagnosis of cannabis withdrawal
would eliminate one of the discrepancies in substance use
disorders between DSM and ICD nosologies.
Link:
http://www.uams.edu/psych/car/pdf files/budney_pubs/AJPreview04.pdf