Abstract
The Screener for Substance and Behavioural Addictions (SSBA) was recently developed to measure addiction risk across a wide range of substances and behaviours in adult populations. University students are also a high-risk population for developing substance and behavioural additions. This study assessed the reliability, validity, and predictive utility of the SSBA in a sample of 656 university students. Participants completed the SSBA and external screening instruments for the target substances and behaviours. The SSBA demonstrated good-to-excellent convergent validity and internal consistency across all substance and behaviours. Selected cut-points also showed good sensitivity and specificity. Overall, the SSBA provides an accurate and reliable measure of addiction risk across a range substances and behaviours in university students. It may be an effective tool for identifying university students at-risk for developing addiction problems, and who would benefit from further clinical assessment. Implications and future directions of the SSBA are discussed.
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Adamson, S. J., Kay-Lambkin, F. J., Baker, A. L., Lewin, T. J., Thornton, L., Kelly, B. J., et al. (2010). An improved brief measure of cannabis misuse: The Cannabis Use Disorders Identification Test-Revised (CUDIT-R). Drug and Alcohol Dependence, 110, 137–143.
Adlaf, E. M., Demers, A., & Gliksman, L. (Eds.). (2005). Canadian campus survey 2004. Centre for Addiction and Mental Health.
American Psychiatric Association. (2013). Diagnostic and Statistical manual of mental disorders ((5th) ed.). Author.
Andreassen, C. S., Griffiths, M. D., Hetland, J., & Pallesen, S. (2012). Development of a Work Addiction Scale. Scandinavian Journal of Psychology, 53(3), 265–272. https://doi.org/10.1111/j.1467-9450.2012.00947.x
Andreassen, C. S., Pallesen, S., Griffiths, M. D., Torsheim, T., & Sinha, R. (2018). The development and validation of the Bergen-Yale Sex Addiction Scale with a large national sample. Frontiers in Psychology, 9, 144. https://doi.org/10.3389/fpsyg.2018.00144
Atroszko, P. A., Andreassen, C. S., Griffiths, M. D., & Pallesen, S. (2015). Study addiction—A new area of psychological study: conceptualization, assessment, and preliminary empirical findings. Journal of Behavioral Addictions, 4(2), 75–84. https://doi.org/10.1556/2006.4.2015.007
Azevedo, W. F., & Mathias, L. (2017). Work addiction and quality of life: A study with physicians. Einstein (Sao Paulo, Brazil), 15(2), 130–135. https://doi.org/10.1590/S1679-45082017AO3960
Berczik, K., Szabó, A., Griffiths, M. D., Kurimay, T., Kun, B., Urbán, R., et al. (2012). Exercise addiction: Symptoms, diagnosis, epidemiology, and etiology. Substance Use & Misuse, 47(4), 403–417. https://doi.org/10.3109/10826084.2011.63912
Bush, K., Kivlahan, D. R., McDonell, M. B., Fihn, S. D., & Bradley, K. A. (1998). The AUDIT alcohol consumption questions (AUDIT-C): An effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test. Archives of Internal Medicine, 158, 1789–1795.
Caldeira, K. M., Kasperski, S. J., Sharma, E., Vincent, K. B., O'Grady, K. E., Wish, E. D., & Arria, A. M. (2009). College students rarely seek help despite serious substance use problems. Journal of Substance Abuse Treatment, 37(4), 368–378. https://doi.org/10.1016/j.jsat.2009.04.005
Campbell, D. T., & Fiske, D. W. (1959). Convergent and discriminant validation by the multitrait-multimethod matrix. Psychological Bulletin, 56(2), 81–105. https://doi.org/10.1037/h0046016
Caputi, T. L., Smith, L. R., Strathdee, S. A., & Ayers, J. W. (2018). Substance use among lesbian, gay, bisexual, and questioning adolescents in the United States, 2015. American Journal of Public Health, 108(8), 1031–1034. https://doi.org/10.2105/AJPH.2018.304446
Cunningham, J. A., & Breslin, F. C. (2004). Only one in three people with alcohol abuse or dependence ever seek treatment. Addictive Behaviors, 29(1), 221–223. https://doi.org/10.1016/s0306-4603(03)00077-7
Davison, C., Smith, G. D., & Frankel, S. (1991). Lay epidemiology and the prevention paradox: The implications of coronary candidacy for health education. Sociology of Health & Illness, 13(1), 1–19.
Degenhardt, L., Stockings, E., Patton, G., Hall, W. D., & Lynskey, M. (2016). The increasing global health priority of substance use in young people. The Lancet Psychiatry, 3(3), 251–264. https://doi.org/10.1016/S2215-0366(15)00508-8
DeVellis, R. (2003). Scale development: Theory and applications, applied social research methods. Sage Publications. 1-216.
Etter, J. F., Le Houezec, J., & Perneger, T. V. (2003). A self-administered questionnaire to measure dependence on cigarettes: The cigarette dependence scale. Neuropsychopharmacology, 28(2), 359–370.
Ferris, J., & Wynne, H. (2001). The Canadian Problem Gambling Index. Canadian Centre on Substance Abuse.
Field, A. (2009). Discovering statistics using SPSS (3rd ed.). Sage Publications Ltd..
González-Saiz, F. (2018). Commentary on Schluter et al. (2018): Revisiting the core elements of addiction using a lay epidemiology approach. Addictions, 113(8), 1538–1538.
Holinka, C. (2015). Stress, emotional intelligence, and life satisfaction in college students. College Student Journal, 49(2), 300–311.
Kim, H. S., & Hodgins, D. C. (2018). Component model of addiction treatment: A pragmatic transdiagnostic treatment model of behavioral and substance addictions. Frontiers in Psychiatry, 9, 406.
Konkolÿ Thege, B., Colman, I., El-guebaly, N., Hodgins, D. C., Patten, S. B., Schopflocher, D., ..., Wild, T. C. (2015). Substance-related and behavioural addiction problems: Two surveys of Canadian adults. Addiction Research & Theory, 23(1), 34-42.
Konkolÿ Thege, B., Hodgins, D. C., & Wild, T. C. (2016). Co-occurring substance-related and behavioral addiction problems: A person-centered, lay epidemiology approach. Journal of Behavioral Addictions, 5(4), 614–622. https://doi.org/10.1556/2006.5.2016.079
Krieger, H., Young, C. M., Anthenien, A. M., & Neighbors, C. (2018). The epidemiology of binge drinking among college-age individuals in the United States. Alcohol Research: Current Reviews, 39(1), 23–30.
Mudry, T. E., Hodgins, D. C., & el-Guebaly N., Cameron W. T., Colman I., Patten S. B., Schopflocher D. (2011). Conceptualizing excessive behaviour syndromes: A systematic review. Current Psychiatry Reviews, 7(2), 138–151. https://doi.org/10.2174/157340011796391201
Pires, A. C., Flecck, M. P., Power, M., & da Rocha, N. S. (2018). Psychometric properties of the EUROHIS-QOL 8-item index (WHOQOL-8) in a Brazilian sample. Revista Brasileira de Psiquiatria, 40, 249–255.
Power, M. J., Bushnell, D., & Fleck, M. P. (2012). The EUROHIS-QOL 8-item index: Comparative psychometric properties to its parent WHOQOL-BREF. Value in Health, 15(2), 449–457.
Rakesh, D., Allen, N. B., & Whittle, S. (2020). Balancing act: Neural correlates of affect dysregulation in youth depression and substance use—A systematic review of functional neuroimaging studies. Developmental Cognitive Neuroscience, 42, 100775. https://doi.org/10.1016/j.dcn.2020.100775
Schluter, M. G., Hodgins, D. C., Konkolÿ Thege, B., & Wild, T. C. (2020). Predictive utility of the brief Screener for Substance and Behavioral Addictions for identifying self-attributed problems. Journal of Behavioral Addictions, 9(3), 709–722. https://doi.org/10.1556/2006.2020.00064
Schluter, M. G., Hodgins, D. C., Wolfe, J., & Wild, T. C. (2018). Can one simple questionnaire assess substance-related and behavioural addiction problems? Results of a proposed new screener for community epidemiology. Addiction, 113(8), 1528–1537. https://doi.org/10.1111/add.14166
Schmidt, S., Mühlan, H., & Power, M. (2006). The EUROHIS-QOL 8-item index: Psychometric results of a cross-cultural field study. European Journal of Public Health, 16(4), 420–428. https://doi.org/10.1093/eurpub/cki155
Schulenberg, J. E., Johnston, L. D., O’Malley, P. M., Bachman, J. G., Miech, R. A., Patrick, M. E. (2017). Monitoring the future national survey results on drug use, 1975–2016, Vol. II: College students and adults ages 19–55. Institute for Social Research, The University of Michigan
Schulte, E. M., & Gearhardt, A. N. (2017). Development of the Modified Yale Food Addiction Scale Version 2.0. In M. Erica, Schulte, & N. Ashley (Eds.), Gearhardt Department of Psychology. University of Michigan.
Skevington, S. M., Lotfy, M., & O’Connell, K. A. (2004). The World Health Organization’s WHOQOL-BREF quality of life assessment: Psychometric properties and results of the international field trial. Quality of Life Research, 13, 299-310.
Statistics Canada. (2017) Census of Canada Census Profiles Highest level of educational attainment (general) by selected age groups 25 to 64, both sexes, % distribution 2017, 98-402-X2016010Canada, provinces and territories, 2016 Census—25% sample data, 2016 Census. Catalogue number 98-402-X2016010 in Statistics Canada [database online]. Ottawa, Ont., 2017 [accessed August 18 2019]. Available from:https://www12.statcan.gc.ca/census-recensement/2016/dp-pd/hlt-fst/edu-sco/index-eng.cfm
Streiner, D. L. (2003). Diagnosing tests: Using and misusing diagnostic and screening tests. Journal of Personality Assessment, 81(3), 209–219.
Sussman, S., Lisha, N., & Griffiths, M. (2011). Prevalence of the addictions: A problem of the majority or the minority? Evaluation & the Health Professions, 34(1), 3–56. https://doi.org/10.1177/0163278710380124
Terry, A., Szabo, A., & Griffiths, M. (2004). The Exercise Addiction Inventory: A new brief screening tool. Addiction Research and Theory, 12, 489–499. https://doi.org/10.1080/16066350310001637363
Valence, G., d’Astous, A., & Fortier, L. (1988). (1988). Compulsive buying: Concept and measurement. Journal of Consumer Policy, 11(4), 419–433.
WHOQOL Group. (1995). The World Health Organization Quality of Life assessment (WHOQOL): Position paper from the World Health Organization. Social Science & Medicine, 41, 403–1409.
Wickersham, J. A., Azar, M. M., Cannon, C. M., Altice, F. L., & Springer, S. A. (2015). Validation of a brief measure of opioid dependence: The Rapid Opioid Dependence Screen (RODS). Journal of Correctional Health Care, 21(1), 12–26.
Widyanto, L., Griffiths, M. D., & Brunsden, V. A. (2011). Psychometric comparison of the Internet Addiction Test, the Internet-Related Problem Scale, and self-diagnosis. Cyberpsychology, Behavior and Social Networking, 14, 141–149. https://doi.org/10.1089/cyber.2010.0151
Wild, T. C., Hodgins, D., Konkolÿ Thege, B., Wolfe, J., Patten, S., Colman, I., ..., Schopflocher, D. (2015). Measuring addictions and mental health problems in Alberta. Technical Report of Phase II Activities. University of Alberta.
Wong, U., & Hodgins, D. C. (2013). Development of the Game Addiction Inventory for Adults (GAIA). Addiction Research & Theory, 22(3), 195–209.
World Health Organization. (2019). International statistical classification of diseases and related health problems (11th ed.). https://icd.who.int/. Accessed 14 Jan 2022.
World Health Organization (WHO) Group. (2002). The alcohol, smoking and substance involvement screening test (ASSIST): Development, reliability and feasibility. Addiction, 97, 1183–1194.
Youden, W. J. (1950). Index for rating diagnostic tests. Cancer, 3(1), 32–35.
Youngstrom, E. A. (2014). A primer on receiver operating characteristic analysis and diagnostic efficiency statistics for pediatric psychology: We are ready to ROC. Journal of Pediatric Psychology, 39(2), 204–221.
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Hodgins, D.C., Wilson, K.E. & Schluter, M.G. Validation and Performance of the Brief Screener for Substance and Behavioural Addiction (SSBA) Amongst University Students. Int J Ment Health Addiction 21, 2718–2736 (2023). https://doi.org/10.1007/s11469-021-00748-z
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DOI: https://doi.org/10.1007/s11469-021-00748-z