Table 1

 Changes in diagnostic criteria for tobacco dependence in DSM-III, 1976–1980

DSM-III draft, March 197638DSM-III draft, January 197861DSM-III, 19808
…the use of tobacco is considered here as a disorder only when it fulfils the following criteria:Diagnostic criteria for tobacco use disorder Either (1) or (2): (1) The individual experiences distress at the need to use tobacco repeatedly (2) Both (a) and (b): (a) A serious physical disorder in which smoking is a significant etiological or exacerbating factor; and (b) Evidence of current physiological dependence on tobacco or nicotine either by the presence of tobacco withdrawal or by the daily intake of nicotine of sufficient magnitude that the diagnostician judges that the withdrawal syndrome would ensue if the intake of tobacco stopped for more than 24 hoursDiagnostic criteria for tobacco dependence (A) Continuous use of tobacco for at least one month (B) At least one of the following: (1) Serious attempts to stop or significantly reduce the amount of tobacco use on a permanent basis have been unsuccessful (2) Attempts to stop smoking have led to the development of tobacco withdrawal… (3) The individual continues to use tobacco despite a serious physical disorder (e.g. respiratory or cardiovascular disease) that he or she knows is exacerbated by tobacco use
(1) The use of the substance is directly associated with either distress at the need to repeatedly take the substance or, (2) It directly produces signs or symptoms, usually of a physical nature, which would remit, at least in part, on cessation of tobacco use