Reliability of DSM-IV diagnostic criteria using the semi-structured assessment for drug dependence and alcoholism (SSADDA)
Reliability of DSM-IV diagnostic criteria using the semi-structured assessment for drug dependence and alcoholism (SSADDA)
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DOI：
10.1016/j.drugalcdep.2007.04.014
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发表时间：
2007-11-02
影响因子：
4.2
通讯作者：
Kranzler, Henry R.
中科院分区：
文献类型：
--
作者：
Pierucci-Lagha, Amira;Gelernter, Joel;Kranzler, Henry R.
药物依赖和酒精中毒的半结构化评估（SSADDA）为各种精神疾病（包括酒精和药物依赖）提供了可靠的DSM-IV诊断。本研究探讨了DSM-IV个体物质依赖诊断标准的可靠性以及这些标准对诊断可靠性的影响（妇女占52.2%; 38.2%非洲裔美国人，46.8%欧洲裔美国人，7.5%的西班牙裔）进行了为期2周的两次访谈，以检查评分员之间的信度（n= 173）或重测信度（n= 120）的SSADDA。Cohen的K-统计量及其置信区间被用来评估个人诊断criteris.Results的可靠性：总体而言，评价者之间的可靠性估计是优秀的个人DSM-IV标准尼古丁和阿片类药物依赖，良好的酒精和可卡因的依赖，公平的依赖大麻，镇静剂和兴奋剂。任何单个标准对诊断可靠性的影响都是最小的，这与DSM-IV对物质依赖的诊断测量了一个在特定物质组之间相对一致的基本结构的概念一致。Gelernter，J.，费恩河，Cubells，J.F.，Pearson，D.，Pollastri，A.，法勒湖，克兰兹勒人力资源部2005.药物依赖和酒精中毒半结构化评估（SSADDA）的诊断可靠性。药物酒精依赖。80，303-312]，表明该工具可以可靠地用于评估物质依赖性。(C)2007爱思唯尔爱尔兰有限公司保留所有权利。
The semi-structured assessment for drug dependence and alcoholism (SSADDA) yields reliable DSM-IV diagnoses for a variety of psychiatric disorders, including alcohol and drug dependence. This study examines the reliability of individual DSM-IV criteria for lifetime Substance dependence diagnoses and the impact of those criteria on diagnostic reliability.Methods: Two hundred ninety-three subjects (52.2% women; 38.2% African American, 46.8% European American, 7.5% Hispanic) were interviewed twice over a 2-week period to examine the inter-rater reliability (n= 173) or test-retest reliability (n= 120) of the SSADDA. Cohen's K-statistic and its confidence interval were used to assess the reliability of individual diagnostic criteria.Results: Overall, the inter-rater reliability estimates were excellent for individual DSM-IV criteria for nicotine and opioid dependence; good for alcohol and cocaine dependence, and fair for dependence on cannabis, sedatives and stimulants. The impact of any individual criterion on diagnostic reliability was minimal, consistent with the notion that the DSM-IV diagnosis of substance dependence measures an underlying construct that is relatively consistent across specific groups of substances.Conclusions: These results, combined with results from a study of the SSADDA's diagnostic reliability [Pierucci-Lagha, A., Gelernter, J., Feinn, R., Cubells, J.F., Pearson, D., Pollastri, A., Farrer, L., Kranzler, H.R., 2005. Diagnostic reliability of the semi-structured assessment for drug dependence and alcoholism (SSADDA). Drug Alcohol Depend. 80, 303-312], show that the instrument can be used reliably to assess substance dependence. (C) 2007 Elsevier Ireland Ltd. All rights reserved.