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

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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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Authors and Affiliations

  1. Center for Studies of Addiction, University of Pennsylvania, Philadelphia, PA, USA

    John S. Cacciola & Arthur I. Alterman

  2. Treatment Research Institute, Philadelphia, PA, USA

    John S. Cacciola & Anna Pecoraro

  3. Institute for Graduate Clinical Psychology, Widener University, Chester, PA, USA

    Anna Pecoraro

  4. The Treatment Research Institute, 600 Public Ledger Building, 150 S. Independence Mall West, Philadelphia, PA, 19106-3475, USA

    John S. Cacciola

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Cacciola, J.S., Pecoraro, A. & Alterman, A.I. Development of ASI Psychiatric Severity Cut-Off Scores To Identify Co-Occurring Psychiatric Disorders. Int J Ment Health Addiction 6, 77–92 (2008). https://doi.org/10.1007/s11469-007-9103-7

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