Predicting DSM-IV dependence diagnoses from Addiction Severity Index composite scores.
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.
Rikoon
Samuel H
SH
Treatment Research Institute, Philadelphia, PA 19106, USA.
Cacciola
John S
JS
Carise
Deni
D
Alterman
Arthur I
AI
McLellan
A Thomas
AT
D000328:Adult; D000437:Alcoholism / Q000175:diagnosis / Q000523:psychology; D019540:Area Under Curve; D003627:Data Interpretation, Statistical; D005260:Female; D005544:Forecasting; D006801:Humans; D008297:Male; D011569:Psychiatric Status Rating Scales; D012984:Software; D019966:Substance-Related Disorders / Q000175:diagnosis* / Q000523:psychology*