Validation of the revised Problems Assessment for Substance Using Psychiatric Patients.

Validation of the revised Problems Assessment for Substance Using Psychiatric Patients.
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修订后的精神病患者物质使用问题评估的验证。

DOI:
10.1016/j.addbeh.2011.01.024
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发表时间:
2011
影响因子:
4.4
通讯作者:
Mercer,NicoleD
Mercer,NicoleD
中科院分区:
医学2区
文献类型:
--
作者:
Vincent,PaulaC;Bradizza,ClaraM;Carey,KateB;Maisto,StephenA;Stasiewicz,PaulR;Connors,GerardJ;Mercer,NicoleD

文献摘要

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This study assessed the factor structure, internal consistency, test–retest reliability, and construct validity of the Problems Assessment for Substance Using Psychiatric Patients (PASUPP; Carey, Roberts, Kivlahan, Carey, & Neal, 2004) with a sample of 278 men and women seeking outpatient dual-diagnosis treatment. All participants were diagnosed with a current AUD and schizophrenia and/or bipolar disorder. Initial confirmatory factor analysis did not support the 1-factor model for the 50-item measure found by Carey and colleagues. Instead, exploratory factor analysis yielded a shorter (27-item) scale with four distinct, yet related factors (Physical Problems, Aggression, Social and Financial Consequences, and Psychological Problems). The factor-based scales had good internal consistency (α=.77–.81) and 1-week test–retest reliability (r=.67–.73). The revised PASUPP (PASUPP-R) was associated with measures of psychiatric symptoms/adjustment, substance use/dependence, and another measure of substance use problems, providing evidence for convergent validity. Subgroup comparisons suggested few demographic differences on the PASUPP-R, but differential patterns of problems endorsement emerged as a function of mental health and substance use diagnosis. Overall, this study provides preliminary evidence for the psychometric soundness of the PASUPP-R as a measure of problems experienced by persons with co-occurring psychiatric and substance use disorders.