{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T19:46:33Z","timestamp":1791229593229,"version":"4.1.0"},"reference-count":14,"publisher":"S. Karger AG","issue":"5","license":[{"start":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T00:00:00Z","timestamp":1721692800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T00:00:00Z","timestamp":1721692800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom"],"abstract":"<jats:p>Introduction: Selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) may cause withdrawal at dose decrease, discontinuation, or switch. Current diagnostic methods (e.g., DSM) do not take such phenomenon into account. Using a new nosographic classification of withdrawal syndromes due to SSRI\/SNRI decrease or discontinuation [by Psychother Psychosom. 2015;84(2):63\u201371], we explored whether DSM is adequate to identify DSM disorders when withdrawal occurs. Methods: Seventy-five self-referred patients with a diagnosis of withdrawal syndrome due to discontinuation of SSRI\/SNRI, diagnosed via the Diagnostic Clinical Interview for Drug Withdrawal 1 \u2013 New Symptoms of Selective Serotonin Reuptake Inhibitors or Serotonin-Norepinephrine Reuptake Inhibitors (DID-W1), and at least one DSM-5 diagnosis were analyzed. Results: In 58 cases (77.3%), the DSM-5 diagnosis of current mental disorder was not confirmed when the DID-W1 diagnosis of current withdrawal syndrome was established. In 13 cases (17.3%), the DSM-5 diagnosis of past mental disorder was not confirmed when criteria for DID-W1 diagnosis of lifetime withdrawal syndrome were met. In 3 patients (4%), the DSM-5 diagnoses of current and past mental disorders were not confirmed when the DID-W1 diagnoses of current and lifetime withdrawal syndromes were taken into account. The DSM-5 diagnoses most frequently mis-formulated were current panic disorder (50.7%, n = 38) and past major depressive episode (18.7%, n = 14). Conclusion: DSM needs to be complemented by clinimetric tools, such as the DID-W1, to detect withdrawal syndromes induced by SSRI\/SNRI discontinuation, decrease, or switch, following long-term use. <\/jats:p>","DOI":"10.1159\/000540031","type":"journal-article","created":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T21:02:51Z","timestamp":1721768571000},"page":"340-345","source":"Crossref","is-referenced-by-count":11,"title":["Selective Serotonin Reuptake Inhibitor and Serotonin-Noradrenaline Reuptake Inhibitor Withdrawal Changes DSM Presentation of Mental Disorders: Results from the Diagnostic Clinical Interview for Drug Withdrawal"],"prefix":"10.1159","volume":"93","author":[{"given":"Fiammetta","family":"Cosci","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginie-Anne","family":"Chouinard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guy","family":"Chouinard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2024,7,23]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1159\/000370338"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1159\/000491524"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1097\/00004714-199808000-00017"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2018.08.027"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1159\/000506868"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1159\/000371865"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1708\/2891.29158"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1097\/JCP.0000000000001491"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2020.164"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1159\/000458458"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.32872\/cpe.v1i2.32158"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1159\/000342243"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.4088\/JCP.19com12794"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291722001507"}],"container-title":["Psychotherapy and Psychosomatics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/pps\/article-pdf\/93\/5\/340\/4288750\/000540031.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/karger.com\/pps\/article-pdf\/93\/5\/340\/4288750\/000540031.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:28:04Z","timestamp":1745422084000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000540031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,23]]},"references-count":14,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024,10,11]]},"published-print":{"date-parts":[[2024,10,16]]}},"URL":"https:\/\/doi.org\/10.1159\/000540031","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.26105758","asserted-by":"subject"}]},"ISSN":["0033-3190","1423-0348"],"issn-type":[{"value":"0033-3190","type":"print"},{"value":"1423-0348","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,23]]}}}