Validity of the Structured Clinical Interview for DSM-IV Among Veterans Seeking Treatment for Substance Use Disorders

  • Josephine M. DeMarceEmail author
  • Steven J. Lash
  • Jefferson D. Parker
  • Randy S. Burke
  • Steven C. Grambow


This paper examines the validity of the Structured Clinic Interview for DSM-IV (SCID) I and II in a sample of Veterans seeking treatment for substance use disorders (SUDs). Participants (N = 183) initially receiving residential or outpatient treatment for SUDs completed the SCID I and II. More than one-third of participants met criteria for an Axis I disorder, and almost one-half met criteria for an Axis II disorder. Concurrent, discriminant, and predictive validity were examined for diagnoses of SUDs and antisocial personality disorder (APD), as well as symptoms of depression, anxiety, and thought disorder. Results generally provided strong support for the concurrent, discriminant, and predictive validity of the SCID I diagnoses of alcohol use disorders (AUDs) and strong support for the concurrent and discriminant validity of drug use disorders (DUDs). There was mixed support for the concurrent validity of APD. Predictive validity for DUDs or APD was not supported.


Validity SCID-I SCID-II Substance use disorders Assessment 



Preparation of this manuscript was supported in part by a grant from the Department of Veterans Affairs, Veterans Health Administration, Health Services Research and Development Service (03-267-3). This material is the result of work supported with resources and the use of facilities at the Salem VA Medical Center and the G. V. (Sonny) Montgomery VA Medical Center. The welfare of human subjects was protected and the IRB approved all research involving human subjects. The views expressed in this manuscript are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs or the United States Government. Correspondence concerning this article should be addressed to Josephine M. DeMarce, Salem VAMC, 1970 Roanoke Blvd. (116A), Salem, Virginia 24153. Electronic mail may be send via Internet to


  1. Center for Substance Abuse Treatment. (2005). Substance abuse treatment for persons with co-occurring disorders (Treatment Improvement Protocol TIP Series 42, DHHS Publication No. SMA 05-3992). Rockville: Substance Abuse and Mental Health Services Administration.Google Scholar
  2. Chen, K. W., Banducci, A. N., Guller, L., Macatee, R. J., Lavelle, A., Daughters, S. B., et al. (2011). An examination of psychiatric comorbidities as a function of gender and substance type within an inpatient substance use treatment program. Drug and Alcohol Dependence, 118, 82–99.CrossRefGoogle Scholar
  3. DeMarce, J. M., Burden, J. L., Lash, S. J., Stephens, R. S., & Grambow, S. C. (2007). Validity of the timeline followback for persons with comorbid psychiatric disorders seeking residential substance use treatment. Addictive Behaviors, 8, 1582–1592.CrossRefGoogle Scholar
  4. First, M. B., Gibbon, M., Spitzer, R. L., Williams, J. B. W., & Benjamin, L. S. (1997). Structured clinical interview for DSM-IV Axis II personality disorders, (SCID-II). Washington: American Psychiatric Press.Google Scholar
  5. First, M. B., Spitzer, R. L., Gibbon, M., & Williams, J. B. W. (2002). Structured clinical interview for DSM-IV-TR Axis I disorders, research version, patient edition. (SCID-I/P). New York: Biometrics Research, New York State Psychiatric Institute.Google Scholar
  6. Fridell, M., & Hesse, M. (2006). Clinical diagnosis and SCID-II assessment of DSM-III-R personality disorders. European Journal of Psychological Assessment, 22, 104–108.CrossRefGoogle Scholar
  7. Kranzler, H. R., Kadden, R. M., Babor, T. F., Tennen, H., & Rounsaville, B. J. (1996). Validity of the SCID in substance abuse patients. Addiction, 91, 859–868.PubMedCrossRefGoogle Scholar
  8. Kranzler, H. R., Kadden, R. M., Burleson, J. A., Babor, T. F., Apter, A., & Rounsaville, B. J. (1995). Validity of psychiatric diagnoses in patients with substance use disorders: is the interview more important than the interviewer? Comprehensive Psychiatry, 36, 278–288.PubMedCrossRefGoogle Scholar
  9. Lash, S. J., Burden, J. L., Parker, J. D., Stephens, R. S., Budney, A. J., Horner, R. D., et al. (2013). Contracting, prompting and reinforcing substance use disorder continuing care. Journal of Substance Abuse Treatment, 44, 449–456.PubMedCrossRefGoogle Scholar
  10. Lobbestael, J., Leurgans, M., & Arntz, A. (2011). Inter-rater reliability of the structured clinical interview for DSM-IV Axis I (SCID I) and Axis II disorders (SCID II). Clinical Psychology & Psychotherapy, 18, 75–79.CrossRefGoogle Scholar
  11. Maffei, C., Fossati, A., Barraco, A., Bagnato, M., Deborah, D., Namia, C., et al. (1997). Interrater reliability and internal consistency of the structured clinical interview for DSM-IV Axis II personality disorders. Journal of Personality Disorders, 11, 279–284.PubMedCrossRefGoogle Scholar
  12. McLellan, A. T., Kushner, H., Metzger, D., Peters, R., Smith, I., Grisson, G., et al. (1992). The fifth edition of the Addiction Severity Index. Journal of Substance Abuse Treatment, 9, 199–213.PubMedCrossRefGoogle Scholar
  13. 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, 412–423.PubMedCrossRefGoogle Scholar
  14. Miller, W. R. (1996). Form 90: A structured assessment interview for drinking and related behaviors. (NIH Publication No. 96-4004). Bethesda: National Institute on Alcohol Abuse and Alcoholism.Google Scholar
  15. North, C. S., Pollio, D. E., Thompson, S. J., Ricci, D. A., Smith, E. M., & Spitznagel, E. L. (1997). A comparison of clinical and structured interview diagnoses in a homeless mental health clinic. Community Mental Health Journal, 33, 531–543.PubMedCrossRefGoogle Scholar
  16. Nurco, D. N. (1998). A long-term program of research on drug use and crime. Substance Use & Misuse, 33, 1817–1837.CrossRefGoogle Scholar
  17. Sobell, L. C., & Sobell, M. B. (1992). Timeline follow-back: A technique for assessing self reported alcohol consumption. In R. Z. Litten & J. Allen (Eds.), Measuring alcohol consumption: Psychosocial and biological methods (pp. 41–72). Totowa: Humana Press.CrossRefGoogle Scholar
  18. Spitzer, R. L., Williams, J. B., Gibbon, M., & First, M. B. (1992). The Structured Clinical Interview for DSM-III-R: I. History, rationale and description. Archives of General Psychiatry, 49, 624–629.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York (outside the USA) 2013

Authors and Affiliations

  • Josephine M. DeMarce
    • 1
    Email author
  • Steven J. Lash
    • 1
  • Jefferson D. Parker
    • 2
  • Randy S. Burke
    • 2
  • Steven C. Grambow
    • 3
  1. 1.Veterans Affairs Medical Center & University of VirginiaSalemUSA
  2. 2.G. V. (Sonny) Montgomery Veterans Affairs Medical Center, Addictive Disorders Treatment Program (116A4) & University of Mississippi Medical Center & South Central Mental Illness Research, Education, and Clinical CenterJacksonUSA
  3. 3.Center for Health Services Research in Primary Care, Durham VA Medical Center & Duke University Medical CenterDurhamUSA

Personalised recommendations