Abstract
In the field of substance use, cultural considerations when assessing Hispanic clients include issues regarding the availability of translated and validated instruments in Spanish and interpretation of the data collected. The objective of this chapter is to describe the major assessment instruments used in the field of substance abuse, with a special focus on screening and multidimensional instruments that examine alcohol or drug using patterns, as well as associated problems. In particular, the Addiction Severity Index (ASI), CAGE questionnaire, Alcohol Use Disorders Identification Test (AUDIT), Michigan Alcoholism Screening Test (MAST), Drug Abuse Screening Test (DAST), and Substance Abuse Subtle Screening Inventory (SASSI) will be discussed. We summarize the psychometric evidence of each assessment instrument, provide information about the availability of each instrument in the Spanish language and its psychometric properties, and present information on translated versions and adaptations of each assessment instrument for use with younger populations.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Alegria, M., Canino, G., Shrout, P. E., Woo, M., Duan, N., Vila, D., et al. (2008). Prevalence of mental illness in immigrant and non-immigrant U.S. Latino groups. American Journal of Psychiatry, 165, 359–369. doi:10.1176/appi.ajp.2007.07040704.
Alterman, A. I., Brown, L. S., Zaballero, A., & McKay, J. R. (1994). Interviewer severity ratings and composite scores of the ASI: A further look. Drug and Alcohol Dependence, 34(3), 201–209. doi:10.1016/0376-8716(94)90157-0.
Annis, H. M., Sobell, L. C., Ayala-Velazquez, H., Rybakowski, J. K., Sandahl, C., Saunders, B., et al. (1996). Drinking-related assessment instruments: Cross-cultural studies. Substance Use & Misuse, 31, 1525–1546. doi:10.3109/10826089609063990.
Appleby, L., Dyson, V., Altman, E., & Luchins, D. J. (1997). Assessing substance use in multiproblem patients: Reliability and validity of the Addiction Severity Index in a mental hospital population. The Journal of Nervous and Mental Disease, 185, 159–165.
Aquilino, W. S. (1994). Interview mode effects in surveys of drug and alcohol use: A field experiment. Public Opinion Quarterly, 54, 71–91. doi:10.1086/269419.
Arroyo, J. A., Miller, W. R., & Tonigan, J. S. (2003). The influence of Hispanic ethnicity on long-term outcome in three alcohol-treatment modalities. Journal of Studies on Alcohol, 64, 98–104.
Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., & Monteiro, M. G. (2001). The Alcohol Use Disorders Identification Test: Guidelines for use in primary care (2nd ed.). Geneva, Switzerland: World Health Organization, Department of Mental Health and Substance Dependence.
Ballesteros, J., & Ariño, J. (1995). Utilidad del Michigan Alcoholism Screening Test (MAST) en la evaluación del alcoholismo. In F. Rodriguez Pulido & A. Sierra Lopez (Eds.), La investigación epidemiológica de drogodepencias. Las Palmas,Spain: ICEPSS.
Bedregal, L. E., Sobell, L. C., Sobell, M. B., & Simco, E. (2006). Psychometric characteristics of a Spanish version of the DAST-10 and the RAGS. Addictive Behaviors, 31, 309–319. doi:10.1016/j.addbeh.2005.05.012.
Berry, J. W. (1997). Immigration, acculturation, and adaptation. Applied Psychology: An International Review, 46(1), 5–68. doi:10.1111/j.1464-0597.1997.tb01087.x.
Bohn, M. J., Babor, T. F., & Kranzler, H. R. (1995). The Alcohol Use Disorders Identification Test (AUDIT): Validation of a screening instrument for use in medical settings. Journal of Studies on Alcohol, 56, 423–432.
Butler, S. F., Redondo, J. P., Fernandez, K. C., & Villapiano, A. (2009). Validation of the Spanish Addiction Severity Index Multimedia Version (S-ASI-MV). Drug and Alcohol Dependence, 99, 18–27. doi:10.1016/j.drugalcdep.2008.06.012.
Cherpitel, C. J. (1998). Gender, injury status and acculturation differences in performance of screening instruments for alcohol problems among US Hispanic emergency department patients. Drug and Alcohol Dependence, 53, 147–157. doi:10.1016/S0376-8716(98)00122-7.
Clements, R. (2002). Psychometric properties of the Substance Abuse Subtle Screening Inventory-3. Journal of Substance Abuse Treatment, 23, 419–423. doi:10.1016/S0740-5472(02)00279-9.
Contel Guillamón, M., Gual Solé, A., & Colom Farran, J. (1999). Test para la identificación de transtornos por uso de alcohol (AUDIT): Traducción y validación del AUDIT al catalán y castellano. Adicciones, 11(4), 337–347.
Cook, R. L., Chung, T., Kelly, T. M., & Clark, D. B. (2005). Alcohol screening in young persons attending a sexually transmitted disease clinic: Comparison of AUDIT, CRAFFT, and CAGE instruments. Journal of General Internal Medicine, 20, 96–97.
Crowe, R. R., Kramer, J. R., Hesselbrock, V., Manos, G., & Bucholz, K. K. (1997). The utility of the Brief MAST and the CAGE in identifying alcohol problems. Archives of Family Medicine, 6, 477–483. doi:10.1001/archfami.6.5.477.
de Meneses-Gaya, C., Zuardi, A. W., Loureiro, S. R., & Crippa, A. S. (2009). Alcohol Use Disorders Identification Test (AUDIT): An updated systematic review of psychometric properties. Psychology & Neuroscience, 2(1), 83–97. doi:10.3922/j.psns.2009.1.12.
Diaz, R., Castro-Fornieles, J., Serrano, L., Gonzalez, L., Calvo, R., Goti, J., et al. (2008). Clinical and research utility of Spanish Teen-Addiction Severity Index (T-ASI). Addictive Behaviors, 33, 188–195. doi:10.1016/j.addbeh.2007.06.002.
Diaz Mesa, E. M., Garcia-Portilla, P., Saiz, P. A., Bobes Bascaran, T., Casares, M. J., Fonseca, E., et al. (2010). Rendimiento psicométrico de la sexta versión del Addiction Severity Index en español (ASI-6). Psicothema, 22(3), 513–519.
Dybek, I., Bischof, G., Grothues, J., Reinhardt, S., Meyer, C., Hapke, U., et al. (2006). The reliability and validity of the Alcohol Use Disorders Identification Test (AUDIT) in a German general practice population sample. Journal of Studies on Alcohol, 67, 473–481.
Ewing, J. A. (1984). Detecting alcoholism: The CAGE questionnaire. Journal of the American Medical Association, 252, 1905–1907. doi:10.1001/jama.252.14.1905.
Feldstein, S. W., & Miller, W. R. (2006). Does subtle screening for substance abuse work? A review of the Substance Abuse Subtle Screening Inventory (SASSI). Addiction, 102, 41–50. doi:10.1111/j.1360-0443.2006.01634.x.
Flaherty, J. A. (1987). Appropriate and inappropriate research methodologies for Hispanic mental health. In M. Gaviria (Ed.), Health and behavior: Research agenda for Hispanics (pp. 177–186). Chicago: University of Illinois Press.
Freeman, R. C., Lewis, Y. P., & Colon, H. M. (2002). Instrumentation, data collection, and analysis issues. In R. C. Freeman, Y. P. Lewis, & H. M. Colon (Eds.), Handbook for conducting drug abuse research with Hispanic populations (pp. 167–188). Westport, CT: Praeger.
Gomez, A., Conde, A., Santana, J. M., & Jorrin, A. (2005). Diagnostic usefulness of brief versions of Alcohol Use Disorders Identification Test (AUDIT) for detecting hazardous drinkers in primary care settings. Journal of Alcohol Studies, 66, 305–308.
González-Saiz, F. (1997). Estandarización de un instrumento de evaluación multidimensional en los trastornos adictivos. (Tesis doctoral). Universidad de Cádiz, Spain. In J. Iraurgi Castillo & F. Gonzalez-Saiz (Eds.), Instrumentos de Evaluacion en Drogodependencia (pp. 255–261). Madrid, Spain: Aula Médica.
Gonzalez-Saiz, F., Salvador Carulla, L., Martinez Delgado, J. M., Lopez Cardenas, A., & Ruz Franzi, I. (2002). Estudio de fiabilidad y validez de la versión española de la entrevista clinica Addiction Severity Index (ASI). In J. Iraurgi Castillo & F. Gonzalez-Saiz (Eds.), Instrumentos de Evaluacion en Drogodependencia (pp. 271–307). Madrid, Spain: Aula Médica.
Hays, R. D., Merz, J. F., & Nicholas, R. (1995). Response burden, reliability, and validity of the CAGE, Short MAST, and AUDIT alcohol screening measures. Behavioral Research Methods, Instruments & Computers, 27, 277–280. doi:10.3758/BF03204745.
Hendriks, V. M., Kaplan, C. D., van Limbeek, J., & Geerlings, P. (1989). The Addiction Severity Index: Reliability and validity in a Dutch addict population. Journal of Substance Abuse Treatment, 6, 133–141.
Hodgins, V. M., & El-Guebaly, N. (1992). More data on the Addiction Severity Index: Reliability and validity with the mentally ill substance abuser. The Journal of Nervous and Mental Disease, 180, 197–201.
Iraugi, I., Gonzalez Saiz, F., & Gisbert, J. (2002). Instumentos de evaluación utilizados en la investigación clÃnica de las toxicomanÃas: Una guÃa de los instrumentos adaptados al castellano. In I. Castillo & F. Gonzalez-Saiz (Eds.), Instrumentos de evaluación en drogodependencias (pp. 79–120). Madrid, Spain: Aula Médica.
Kaminer, Y., Bukstein, O., & Tarter, R. E. (1991). The Teen-Addiction Severity Index: Rationale and reliability. The International Journal of the Addictions, 26(2), 219–226. doi:10.3109/10826089109053184.
Kaminer, Y., Wagner, E., Plummer, B., & Seifer, R. (1993). Validation of the Teen Addiction Severity Index (T-ASI): Preliminary findings. The American Journal on Addictions, 2(3), 250–254. doi:10.3109/10550499309113946.
Kelly, T. M., Donovan, J. E., Chung, T., Cook, R. L., & Delbridge, T. R. (2004). Alcohol use disorders among emergency department-treated older adolescents: A new brief screen (RUFT-Cut) using the AUDIT, CAGE, CRAFFT, and RAPS-QF. Alcoholism, Clinical and Experimental Research, 28(5), 746–753. doi:10.1097/01.ALC.0000125346.37075.85.
Knight, J. R., Sherritt, L., Harris, S. K., Gates, E. C., & Chang, G. (2003). Validity of brief alcohol screening tests among adolescents: A comparison of the AUDIT, POSIT, CAGE, and CRAFFT. Alcoholism, Clinical and Experimental Research, 27, 67–73.
Kosten, T. R., Rounsaville, B. J., & Kleber, H. D. (1983). Concurrent validity of the Addiction Severity Index. Journal of Nervous and Mental Disorders, 171, 606–610.
Laux, J. M., Newman, I., & Brown, R. (2004). The Michigan Alcoholism Screening Test (MAST): A statistical validation analysis. Measurement and Evaluation in Counseling and Development, 36, 209–225.
Lazowski, L. E., Boye, M. W., Miller, G. A., & Miller, F. G. (2002). The development and validation of the Spanish SASSI. Springville, IN: The SASSI Institute.
Makela, K. (2004). Studies of the reliability and validity of the Addiction Severity Index. Addiction, 99, 398–410. doi:10.1111/j.1360-0443.2004.00665.x.
Marin, G., & Marin, B. V. (1991). Research with Hispanic populations. Newbury Park, CA: Sage.
Martinez Delgado, J. M., Fernandez Repeto, M., & Gonzalez Saiz, F. (2002). Instumentos e indicadores para el cribado (screening) de problemas relacionados con el consumo de sustancias. In I. Castillo & F. Gonzalez-Saiz (Eds.), Instrumentos de evaluación en drogodependencias (pp. 79–120). Madrid, Spain: Aula Médica.
Martino, S., Grilo, C. M., & Fehon, D. C. (2000). Development of the Drug Abuse Screening Test for Adolescents (DAST-A). Addictive Behaviors, 25(1), 57–70. doi:10.1016/S0306-4603(99)00030-1.
Mayfield, R. L., McLeod, G., & Hall, P. (1974). The CAGE questionnaire: Validation of a new alcoholism screening instrument. The American Journal of Psychiatry, 131(10), 1121–1123.
McLellan, A. T., Luborsky, L., Cacciola, J., Griffith, J., Evans, F., Barr, H. L., et al. (1985). New data from the Addiction Severity Index reliability and validity in three centers. The Journal of Nervous and Mental Disease, 173(7), 412–423. doi:10.1097/00005053-198507000-00005.
McLellan, A. T., Luborsky, L., Woody, G. E., & O’Brien, C. P. (1980). An improved diagnostic evaluation instrument for substance abuse patients: The Addiction Severity Index. The Journal of Nervous and Mental Disease, 168(1), 26–33. doi:10.1097/00005053-198001000-00006.
Meyers, K., McLellan, A. T., Jaeger, J. L., & Pettinati, H. M. (1995). The development of the Comprehensive Addiction Severity Index for Adolescents (CASI-A). Journal of Substance Abuse Treatment, 12(3), 181–193. doi:10.1016/0740-5472(95)00009-T.
Miller, G. A. (1999). The Substance Abuse Subtle Screening Inventory (SASSI) manual, Second Edition. Springville, IN: The SASSI Institute. (Original work published 1985).
Miller, W. R., Zweben, A., DiClemente, C. C., & Rychtarik, R. G. (1992). Motivational enhancement therapy manual: A clinical research guide for therapists treating individuals with alcohol abuse and dependence (Project MATCH monograph series, Vol. 2). Rockville, MD: NIAAA.
Ortega, A. N., Rosenheck, R., Alegria, M., & Desai, R. A. (2000). Acculturation and the lifetime risk of psyÂchiatric and substance use disorders among Hispanics. The Journal of Nervous and Mental Disease, 188, 728–735. doi:10.1097/00005053-200011000-00002.
Pérez Gálvez, B., GarcÃa Fernández, L., de Vicente Manzanaro, M., Oliveras Valenzuela, M., & Lahoz Lafuente, M. (2010). Validación española del Drug Abuse Screening Test (DAST-20 y DAST-10). Salud y Drogas, 10(1), 35–50.
Perula-de-Torres, L. A., Fernandez-Garcia, J. A., Arias-Vega, R., Muriel-Palomino, M., Marquez-Rebollo, E., & Ruiz-Moral, R. (2005). Validity of AUDIT test for detection of disorders related with alcohol consumption in women. Medicina ClÃnica (Barcelona), 125, 727–730.
Robins, L. N., Wing, J., Wittchen, H. U., Helzer, J. E., Babor, T. F., Burke, J., et al. (1988). The Composite International Diagnostic Interview: An epidemiologic instrument suitable for use in conjunction with different diagnostic systems and in different cultures. Archives of General Psychiatry, 45, 1069–1077. doi:10.1001/archpsyc.1988.01800360017003.
Rogers, S. M., Miller, H. G., & Turner, C. F. (1998). Effects of interview mode on bias in survey measurements of drug use: Do respondent characteristics make a difference? Substance Use & Misuse, 33, 2179–2200. doi:10.3109/10826089809069820.
Rydon, P. H., Redman, S., Sanson-Fisher, R. W., & Reid, A. L. (1992). Detection of alcohol related problems in general practice. Journal of Studies on Alcohol, 5(3), 197–201.
Saitz, R., Lepore, M. F., Sullivan, L. M., Amaro, H., & Samet, J. H. (1999). Alcohol abuse and dependence in Latinos living in the United States. Archives of Internal Medicine, 159, 718–724. doi:10.1001/archinte.159.7.718.
Sandà Esquivel, L. E., & Avila Corrales, K. (1990). Validity of the Addiction Severity Index (adapted version) in a Costa Rican population group. Bulletin of the Pan American Health Organization, 24(1), 70–76.
Selin, K. H. (2003). Test-retest reliability of the Alcohol Use Disorder Identification Test in a general population sample. Alcoholism, Clinical and Experimental Research, 27, 1428–1435.
Selzer, M. L. (1971). The Michigan Alcoholism Screening Test: The quest for a new diagnostic instrument. The American Journal of Psychiatry, 127, 1653–1658.
Shields, A. L., Howell, R. T., Potter, J. S., & Weiss, R. D. (2007). The Michigan Alcoholism Screening Test and its shortened form: A meta-analytic inquiry into score reliability. Substance Use & Misuse, 42, 1783–1800.
Skinner, H. A. (1982). The drug abuse screening test. Addictive Behaviors, 7(4), 839–845. doi:10.1016/0306-4603(82)90005-3.
Snow, M., Thurber, S., & Hodson, J. M. (2002). An adolescent version of the Michigan Alcoholism Screening Test. Adolescence, 37(148), 835–840.
Suarez-Morales, L., Matthews, J., Martino, S., Ball, S., Rosa, C., Farentinos, C., et al. (2007). Issues in Âdesigning and implementing a Spanish-language Âmultisite clinical trial. The American Journal on Addictions, 16(3), 206–215.
Substance Abuse and Mental Health Services Administration. National Survey on Drug Use and Health, 2003 and 2004. Office of Applied Studies. (2005). Available at: www.oas.samhsa.gov/nsduh. Accessed 10 Nov 2011.
Substance Abuse and Mental Health Services Administration. National Survey on Drug Use and Health, 2006 and 2007. Office of Applied Studies. (2007). Available at: www.oas.samhsa.gov/nsduh. Accessed 10 Nov 2011.
Sue, S., Fujino, D., Hu, L., Takeuchi, D., & Zane, N. (1991). Community mental health services for ethnic minority groups: A test of the cultural responsiveness hypothesis. Journal of Consulting and Clinical Psychology, 59, 533–540. doi:10.1037//0022-006X.59.4.533.
Sullivan, M., & Lasso, B. (1992). Community mental health services for Hispanics: A test of the cultural compatibility hypothesis. Hispanic Journal of Behavioral Sciences, 14, 455–468.
Sweet, R. I., & Suales, K. K. (2003). Validity of the Substance Abuse Subtle Screening Inventory-Adolescent version (SASSI-a). Journal of Substance Abuse Treatment, 24, 331–340. doi:10.1016/S0740-5472(03)00049-7.
U.S. Census Bureau. Language Use. (2000). Available at: http://www.census.gov/population/www/socdemo/lang_use.html. Accessed 6 Nov 2011.
Vega, W. A., Alderete, E., Kolody, B., & Aguilar-Gaxiola, S. (1998). Illicit drug use among Mexicans and Mexican Americans in California: The effects of gender and acculturation. Addiction, 93, 1839–1850. doi:10.1046/j.1360-0443.1998.931218399.x.
Wells, K., Klap, R., Koike, A., & Sherbourne, C. (2001). Ethnic disparities in unmet need for alcoholism, drug abuse, and mental health care. The American Journal of Psychiatry, 158, 2027–2032. doi:10.1176/appi.ajp.158.12.2027.
Yudko, E., Lozhkina, O., & Fouts, A. (2007). A comprehensive review of the psychometric properties of the Drug Abuse Screening Test. Journal of Substance Abuse Treatment, 32, 189–198.
Zanis, D. A., McLellan, A. T., Cnaan, R. A., & Randall, M. (1994). Reliability and validity of the Addiction Severity Index with homeless sample. Journal of Substance Abuse Treatment, 11(6), 541–548. doi:10.1016/0740-5472(94)90005-1.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer Science+Business Media New York
About this chapter
Cite this chapter
Suarez-Morales, L., Beitra, D. (2013). Assessing Substance-Related Disorders in Hispanic Clients. In: Benuto, L. (eds) Guide to Psychological Assessment with Hispanics. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-4412-1_12
Download citation
DOI: https://doi.org/10.1007/978-1-4614-4412-1_12
Published:
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4614-4411-4
Online ISBN: 978-1-4614-4412-1
eBook Packages: Behavioral ScienceBehavioral Science and Psychology (R0)