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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
Article

Abstract

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.

Keywords

Validity SCID-I SCID-II Substance use disorders Assessment 

Notes

Acknowledgments

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 josephine.demarce@va.gov.

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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

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