A diagnostic interview module for anabolic-androgenic steroid dependence: preliminary evidence of reliability and validity.
A diagnostic interview module for anabolic-androgenic steroid dependence: preliminary evidence of reliability and validity.
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合成代谢雄激素类固醇依赖的诊断访谈模块：可靠性和有效性的初步证据。
DOI：
10.1037/a0019370
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发表时间：
2010
影响因子：
2.3
通讯作者：
Hudson,JamesI
中科院分区：
文献类型：
--
作者：
Pope,HarrisonG;Kean,Joseph;Nash,Adam;Kanayama,Gen;Samuel,DouglasB;Bickel,WarrenK;Hudson,JamesI
合成代谢-雄激素类固醇（AAS）依赖综合征，虽然公认的，仍然缺乏研究。在这项初步的心理测量研究中，美国和英国的研究人员分别管理一个结构化的诊断访谈模块，根据最近提出的标准AAS依赖，42名男性AAS用户在米德尔斯堡，英格兰。另一位调查者对诊断访谈结果不知情，评估了自我报告的“肌肉功能障碍”症状; AAS对功能各个方面的影响;以及用于AAS的年收入的最大比例。我们还评估了人口统计学指标，其他物质的使用史，以及在假设的AAS购买任务中的表现。访谈模块产生了非常好的评价者间的可靠性（Kappa= 0.76和整体组内相关性= 0.79）和强大的内部一致性（Cronbach的α = 0.77-0.87）。被诊断为AAS依赖的男性，与非依赖男性相比，报告了AAS使用的明显更早发生，AAS使用的持续时间更长，最大剂量更高，更频繁地使用其他性能增强药物，以及AAS花费的收入的最大百分比更大。依赖用户也“买”了更多的AAS在假设的购买任务，但评价显着更负面的影响，AAS对他们的心理健康的研究结果都表明，AAS依赖的诊断显示结构效度。作为一个群体，AAS用户表现出高度的关注与肌肉外观，但依赖本身并没有显着相关性，这表明AAS依赖的诊断显示了一些证据的判别效度。总的来说，这些研究结果表明，AAS依赖可能是可靠的诊断，初步证据的结构和判别效度。（PsycInfo数据库记录（c）2016阿帕，保留所有权利）
The syndrome of anabolic-androgenic steroid (AAS) dependence, though well recognized, remains poorly studied. In this preliminary psychometric study, American and British investigators separately administered a structured diagnostic interview module, based on recently proposed criteria for AAS dependence, to 42 male AAS users in Middlesbrough, England. Another investigator, blinded to the diagnostic interview findings, assessed self-reported symptoms of “muscle-dysmorphia”; effects of AAS on various aspects of functioning; and maximum proportion of annual income spent on AAS. We also assessed demographic measures, history of other substance use, and performance on a hypothetical AAS-purchasing task. The interview module yielded very good interrater reliability (kappa= 0.76 and overall intraclass correlation= 0.79) and strong internal consistency (Cronbach's alpha= 0.77–0.87). Men diagnosed as AAS-dependent, when compared to nondependent men, reported significantly earlier onset of AAS use, longer duration and higher maximum doses of AAS used, more frequent use of other performance-enhancing drugs, and a somewhat larger maximum percentage of income spent on AAS. Dependent users also “bought” more AAS in the hypothetical purchase task, but rated significantly more negatively the effects of AAS on their mental health—findings all suggesting that the diagnosis of AAS dependence shows construct validity. As a group, AAS users showed high preoccupation with muscular appearance, but dependence per se was not significantly associated with this measure—suggesting that the diagnosis of AAS dependence shows some evidence of discriminant validity. Collectively, these findings suggest that AAS dependence may be diagnosed reliably, with preliminary evidence for construct and discriminant validity.(PsycINFO Database Record (c) 2016 APA, all rights reserved)