The Short Inventory of Problems - Revised (SIP-R): Psychometric Properties Within a Large, Diverse Sample of Substance Use Disorder Treatment Seekers

The Short Inventory of Problems - Revised (SIP-R): Psychometric Properties Within a Large, Diverse Sample of Substance Use Disorder Treatment Seekers
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DOI:
10.1037/a0028445
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发表时间:
2013-03-01
影响因子:
3.4
通讯作者:
Carroll, Kathleen M.
Carroll, Kathleen M.
中科院分区:
心理学2区
文献类型:
--
作者:
Kiluk, Brian D.;Dreifuss, Jessica A.;Carroll, Kathleen M.

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物质使用的不良后果的评估在临床和研究环境中起着重要的作用,但没有普遍同意的措施与多种类型的物质使用障碍的后果。最常用的措施之一,简短的问题清单(SIP),已调整和评价在几个特定的人群,但需要证据的可靠性和有效性在更广泛的物质使用障碍的人的样本。本研究在酒精和药物使用障碍治疗寻求者的大样本组合中评估了SIP修订版(SIP-R)的心理测量学特性,参与者来自两个国家,多地点,随机临床试验。共有886名参与者在10个门诊治疗机构完成了一个共同的评估电池,包括SIP-R,成瘾严重程度指数(ASI),罗得岛大学变化评估(URICA)、HIV风险行为量表(HRBS)和物质使用日历。结果支持SIP-R的内部可靠性(α = .95)。验证性因素分析表明,假设的5因素模型与一个高阶因素产生的最佳拟合。收敛有效性是显而易见的,通过SIP-R的相关性与几个综合评分从ASI和URICA,分析支持其概念上的区别,从数量指标的药物/酒精使用。SIP-R还表现出预测治疗保留的能力,分数越高,保留越差。这些结果为SIP-R的心理测量特性提供了支持,作为衡量寻求治疗的药物和酒精使用者的广泛样本的后果。
Assessment of the adverse consequences of substance use serves an important function in both clinical and research settings, yet there is no universally agreed upon measure of consequences relevant to multiple types of substance use disorders. One of the most commonly used measures, the Short Inventory of Problems (SIP), has been adapted and evaluated in several specific populations, but evidence is needed of its reliability and validity across broader samples of persons with substance use disorders. This study evaluated the psychometric properties of a revised version of the SIP (SIP-R) in a large combined sample of alcohol and drug use disorder treatment seekers, with participants pooled from two national, multisite, randomized clinical trials A total of 886 participants across 10 outpatient treatment facilities completed a common assessment battery that included the SIP-R, Addiction Severity Index (ASI), University of Rhode Island Change Assessment (URICA), HIV Risk Behavior Scale (HRBS), and a substance use calendar. Results supported the SIP-R's internal reliability (alpha = .95). Confirmatory factor analysis demonstrated that the hypothesized 5-factor model with one higher-order factor produced the best fit. Convergent validity was evident through the SIP-R's correlation with several composite scores from the ASI and the URICA, and analyses supported its conceptual distinction from quantity indices of drug/alcohol use. The SIP-R also demonstrated an ability to predict treatment retention, with higher scores associated with poorer retention. These results provide support for the SIP-R's psychometric properties as a measure of consequences across a broad sample of treatment-seeking drug and alcohol users.