Reliability and validity of the Cocaine Selective Severity Assessment

Reliability and validity of the Cocaine Selective Severity Assessment
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DOI:
10.1016/s0306-4603(98)00011-2
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发表时间:
1998-07-01
影响因子:
4.4
通讯作者:
Epperson, LE
Epperson, LE
中科院分区:
医学2区
文献类型:
--
作者:
Kampman, KM;Volpicelli, JR;Epperson, LE

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本文评估可卡因选择性严重程度评估(CSSA)的信度和效度,这是一种衡量可卡因戒断体征和症状的方法。量表间信度和量表内部一致性高。可卡因依赖者的初始CSSA得分明显高于酒精依赖者。最初的综援评分与最近的可卡因使用和成瘾严重程度指数(ASI)的严重程度指标(包括采访者严重程度评分和药物部分的综合评分)高度相关。在可卡因依赖者中,那些未能戒断或随后退出治疗的人最初的CSSA分数更高。此外,继续接受治疗并保持戒断的受试者的CSSA分数随着时间的推移显示出一致和显著的下降。综援量表似乎是一种可靠和有效的衡量可卡因戒断症状的方法,也是预测可卡因依赖治疗不良结果的有用指标。1998爱思唯尔科学有限公司
This article assesses the reliability and validity of the Cocaine Selective Severity Assessment (CSSA), a measure of cocaine abstinence signs and symptoms. Interrater reliability and scale internal consistency were high. Initial CSSA scores were significantly higher in cocaine-dependent subjects than in alcohol-dependent subjects. Initial CSSA scores were highly correlated with recent cocaine use and with severity measures from the Addiction Severity Index (ASI) including the interviewer severity rating and composite score in the drug section. Among cocaine-dependent subjects, initial CSSA scores were higher for those who failed to achieve abstinence or who subsequently dropped out of treatment. Further, CSSA scores showed consistent and marked declines over time for subjects who continued in treatment and remained abstinent. The CSSA appears to be a reliable and valid measure of cocaine abstinence symptoms and a useful predictor of negative outcomes in cocaine dependence treatment. (C) 1998 Elsevier Science Ltd.