Validation of the World Health Organization alcohol, smoking and substance involvement screening test (ASSIST): report of results from the Australian site
Validation of the World Health Organization alcohol, smoking and substance involvement screening test (ASSIST): report of results from the Australian site
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DOI：
10.1080/09595230500170266
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发表时间：
2005-05-01
影响因子：
3.8
通讯作者：
Ali, R
中科院分区：
文献类型：
--
作者：
Newcombe, DAL;Humeniuk, RE;Ali, R
世界卫生组织酒精物质介入筛查试验（ASSIST）的并发、结构、判别和预测效度在澳大利亚样本中进行了检验。一百。从药物治疗（n = 50）和初级卫生保健（PHC）机构（n = 100）招募的50名参与者在基线时使用一组仪器，在3个月时使用改良的一组仪器。措施包括ASSIST；成瘾严重程度指数（ASI-Lite）；依赖程度量表（SDS）；MINI国际神经精神病学访谈（MINI- plus）；注射现场条件等级（RISC）；药物滥用筛选试验（DAST）；酒精使用障碍鉴定试验（审计）；修订法格斯特罗姆容忍问卷（RTQ）；以及“病态成瘾专家”。（MAP）。ASSIST得分与ASI-lite、SDS、AUDIT和DAST得分呈显著相关，证明了并发效度；那些被诊断为滥用或依赖的人的ASSIST分数也明显更高。通过ASSIST评分与药物和酒精问题发展的危险因素测量之间的显著相关性，建立了结构效度。被诊断为注意缺陷/多动障碍或反社会人格障碍的参与者的ASSIST得分明显高于未被诊断为此类的参与者。判别效度是通过ASSIST区分物质使用、滥用和依赖的能力来建立的。ROC分析能够为澳大利亚样本建立临界值，对大多数物质具有合适的特异性和敏感性。预测效度通过基线和随访时获得的ASSIST分数的相似性来证明。的。研究结果表明，ASSIST是一种有效的筛选试验，用于使用多种物质并有不同程度的物质使用的个体的精神活性物质使用。
The concurrent, construct, discriminative and predictive validity of the World Health Organization's Alcohol Substance Involvement Screening Test ( ASSIST) were examined in an Australian sample. One hundred and. fifty participants, recruited from drug treatment (n = 50) and primary health care (PHC) settings ( n = 100), were administered a battery of instruments at baseline and a modified battery at 3 months. Measures included the ASSIST; the Addiction Severity Index-Lite (ASI-Lite); the Severity of Dependence Scale (SDS); the MINI International Neuropsychiatric Interview ( MINI-Plus); the Rating of Injection Site Condition ( RISC); the Drug Abuse Screening Test ( DAST); the Alcohol Use Disorders Identification Test ( AUDIT); the Revised Fagerstrom Tolerance Questionnaire (RTQ); and the Maudsely Addiction Pro. le ( MAP). Concurrent validity was demonstrated by significant correlations between ASSIST scores and scores from the ASI-lite, SDS, AUDIT and DAST; and significantly greater ASSIST scores for those with diagnoses of abuse or dependence. Construct validity was established by significant correlations between ASSIST scores and measures of risk factors for the development of drug and alcohol problems. Participants diagnosed with attention deficit/hyperactivity disorder or antisocial personality disorder had significantly higher ASSIST scores than those not diagnosed as such. Discriminative validity was established by the capacity of the ASSIST to discriminate between substance use, abuse and dependence. ROC analysis was able to establish cut-off scores for an Australian sample, with suitable specificities and sensitivities for most substances. Predictive validity was demonstrated by similarity in ASSIST scores obtained at baseline and at follow-up. The. findings demonstrated that the ASSIST is a valid screening test for psychoactive substance use in individuals who use a number of substances and have varying degrees of substance use.