title: Generalizability of the clinical dimensions of the Addiction Severity Index to nonopioid-dependent patients.
abstract: Clinical dimensions (CDs) for the Addiction Severity Index recently have been established for application among opioid-dependent patients in methadone treatment (P. A. McDermott et al., 1996). This article examines the generalizability of the CDs to other substance-dependent patients. A sample of 2,027 adult nonopioid-dependent patients was identified; it comprised 581 primarily cocaine-dependent, 544 primarily alcohol-dependent, and 803 polydrug-dependent patients and 99 patients who were dependent on other varied drugs. Generality of dimensions was assessed through confirmatory components analysis, structural congruence, internal consistency, and variance partitioning in higher order factoring. The CDs were found generalizable overall and to specific nonopioid-dependent subgroups, and across patient gender and age, and to African American and White patients. Preliminary concurrent and predictive validity data supported the CD structure.
authors.affiliation: University of Pennsylvania School of Medicine, Philadelphia, USA.
authors.forename: A I
authors.initials: AI
authors.lastname: Alterman
authors.forename: P A
authors.initials: PA
authors.lastname: McDermott
authors.forename: T G
authors.initials: TG
authors.lastname: Cook
authors.forename: J S
authors.initials: JS
authors.lastname: Cacciola
authors.forename: J R
authors.initials: JR
authors.lastname: McKay
authors.forename: A T
authors.initials: AT
authors.lastname: McLellan
authors.forename: M J
authors.initials: MJ
authors.lastname: Rutherford
mesh_terms: D000328:Adult; D000437:Alcoholism / Q000175:diagnosis* / Q000523:psychology; D019970:Cocaine-Related Disorders / Q000175:diagnosis / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D009293:Opioid-Related Disorders / Q000175:diagnosis* / Q000523:psychology; D010555:Personality Inventory / Q000706:statistics & numerical data*; D011594:Psychometrics; D011619:Psychotropic Drugs; D015203:Reproducibility of Results; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000523:psychology
chemical_list: D011619:Psychotropic Drugs