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Predicting DSM-IV dependence diagnoses from Addiction Severity Index composite scores

2006; Elsevier BV; Volume: 31; Issue: 1 Linguagem: Inglês

10.1016/j.jsat.2006.03.003

1873-6483

Samuel H. Rikoon, John S. Cacciola, Deni Carise, Arthur I. Alterman, A. Thomas McLellan,

Mental Health Treatment and Access

This study, using data from the Drug Evaluation Network System and a study conducted through the Center for Studies on Addiction of the University of Pennsylvania/Philadelphia Veterans Administration Medical Center, sought to determine the potential of the Addiction Severity Index (ASI) to serve as a screening instrument for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) substance dependence. A significant positive correlation was found between ASI composite scores (CSs) and DSM-IV diagnoses of dependence in both the alcohol (r > .7) and drug (r > .5) domains (p < .01). Receiver operating characteristic analyses were run to predict DSM-IV alcohol and drug dependence diagnoses from the respective ASI CSs. Results showed good to strong prediction; ASI CSs identified dependent clients with approximately 85% sensitivity and 80% specificity. We recommend strategies for using ASI CSs as a diagnostic screening instrument in both research and treatment delivery environments.