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This is due to the merging of the DSM-4 criteria of substance abuse and substance dependence into a single SUD category in DSM-5, according to a 2021 article by Livne et al., published in the journal Drug and Alcohol Dependence , titled Agreement between DSM-5 and DSM-IV measures of substance use disorders in a sample of adult substance users . Diagnosis of disorder severity: A majority of DSM-4 abuse diagnoses that also meet two dependence criteria are categorized as mild SUD according to the DSM-5, according to a 2014 article by Kopak et al., published in the journal Current Addiction Report , titled The Elimination of Abuse and Dependence in DSM-5 Substance Use Disorders: What Does This Mean for Treatment

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"If you own stores in New Jersey and New Jersey wants to raise the excise tax, it's cheaper for customers to go to Pennsylvania or Delaware and they (store owners) are concerned about it," he said

When combined, their effects may intensify, leading to heightened feelings of anxiety and depression

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