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International Journal of Mental Health and Addiction

Published in:

01-01-2008

Development of ASI Psychiatric Severity Cut-Off Scores To Identify Co-Occurring Psychiatric Disorders

Authors: John S. Cacciola, Anna Pecoraro, Arthur I. Alterman

Published in: International Journal of Mental Health and Addiction | Issue 1/2008

Abstract

This study empirically evaluates the value of the psychiatric section of the Addiction Severity Index (ASI) as a screening instrument for non-substance use Axis-I psychiatric disorders. Data were from a diverse sample of 672 recently admitted patients to inpatient, residential, and outpatient substance abuse treatment. ASI psychiatric summary scale scores and SCID-III-R results were subjected to Receiver Operating Characteristics analyses to determine how well the ASI identified participants with/out a co-occurring psychiatric disorder. Diagnostic detection using the ASI psychiatric scales was good: ASI Interviewer Severity Ratings (ISRs) yielded 81% sensitivity and 53% specificity (C = 0.73); ASI Clinical Factors (CFs), 85% sensitivity and 55% specificity (C = 0.78); ASI Composite Scores (CSs), 80% sensitivity and 60% specificity (C = 0.76); ASI Evaluation Indices (EIs), 80% sensitivity and 60% specificity (C = 0.75). Separate analyses by gender generated very similar results. Clinical implications and applications as well as further research directions are discussed.

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Title: Development of ASI Psychiatric Severity Cut-Off Scores To Identify Co-Occurring Psychiatric Disorders
Authors: John S. Cacciola
Anna Pecoraro
Arthur I. Alterman
Publication date: 01-01-2008
Publisher: Springer-Verlag
Published in: International Journal of Mental Health and Addiction / Issue 1/2008
Print ISSN: 1557-1874
Electronic ISSN: 1557-1882
DOI: https://doi.org/10.1007/s11469-007-9103-7

At a glance: The STEP trials

Springer Medicine

Development of ASI Psychiatric Severity Cut-Off Scores To Identify Co-Occurring Psychiatric Disorders

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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