Cited by 3,134Substance Abuse Treatment and OutcomesPsychometric Methodologies and TestingAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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The drug abuse screening test

Skinner, Harvey A.·1982·Addictive Behaviors

DOI 10.1016/0306-4603(82)90005-3

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Abstract

The Drug Abuse Screening Test (DAST) was designed to provide a brief instrument for clinical screening and treatment evaluation research. The 28 self-report items tap various consequences that are combined in a total DAST score to yield a quantitative index of problems related to drug misuse. Measurement properties of the DAST were evaluated using a clinical sample of 256 drug/alcohol abuse clients. The internal consistency reliability estimate was substantial at .92, and a factor analysis of item intercorrelations suggested an unidimensional scale. With respect to response style biases, the DAST was only moderately correlated with social desirability and denial. Concurrent validity was examined by correlating the DAST with background variables, frequency of drug use during the past 12 months, and indices of psychopathology. Although these findings support the usefulness of the DAST for quantifying the extent of drug involvement within a help-seeking population, further validation work is needed in other populations and settings.

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Method
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Background
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“N IH -PA Author M anuscript N IH -PA Author M anuscript N IH -PA Author M anuscript other than alcohol (Skinner, 1982).”
Background
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Method
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Background
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Method
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Method
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Estimating Facets of Psychopathy From Normal Personality Traits
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“The Short Drug Abuse Screening Test (SDAST; Skinner, 1982) is a 20-item measure of problems experienced by the participant in connection with abuse of drugs and distinguishes those who have symptoms of drug use from those who do not (Gavin, Ross, & Skinner, 1989).”
Method
Co-Occurring Severe Mental Illness and Substance Use Disorders: A Review of Recent Research
RachBeisel, J. A., Scott, J. E., & Dixon, L. B. (1999) · Psychiatric Services · doi:10.1176/ps.50.11.1427 · Cited by 327
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Background
Psychiatric diagnosis in clinical practice: Is comorbidity being missed?
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Clinical Results for Patients With Major Depressive Disorder in theTexas Medication Algorithm Project
Trivedi, M. H., Rush, A. J., Crismon, M. L., Kashner, T. M., Toprac, M. G., Carmody, T. J., Key, T., Biggs, M. M., Shores‐Wilson, K., Witte, B. P., et al. (2004) · Archives of General Psychiatry · doi:10.1001/archpsyc.61.7.669 · Cited by 310
Trauma and substance abuse: Causes, consequences, and treatment of comorbid disorders.
(2003) · American Psychological Association eBooks · doi:10.1037/10460-000 · Cited by 312
Emotion Dysregulation and Negative Affect
Bradley, B., DeFife, J. A., Guarnaccia, C., Phifer, J. E., Fani, N., Ressler, K. J., & Westen, D. (2011) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.10m06409blu · Cited by 306
Prescription Opiate Abuse in Chronic Pain Patients: Clinical Criteria, Incidence, and Predictors
Chabal, C., Erjavec, M. K., Jacobson, L., Mariano, A., & Chaney, E. F. (1997) · Clinical Journal of Pain · doi:10.1097/00002508-199706000-00009 · Cited by 304
Use of the AUDIT and the DAST-10 to identify alcohol and drug use disorders among adults with a severe and persistent mental illness.
Maisto, S. A., Carey, M. P., Carey, K. B., Gordon, C. M., & Gleason, J. R. (2000) · Psychological Assessment · doi:10.1037//1040-3590.12.2.186 · Cited by 302
Simultaneous and Concurrent Polydrug Use of Alcohol and Prescription Drugs: Prevalence, Correlates, and Consequences
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Functional associations among trauma, ptsd, and substance-related disorders
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The acute effects of synthetic intravenous Δ9-tetrahydrocannabinol on psychosis, mood and cognitive functioning
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“Alcohol and drug dependence were excluded using the Michigan Alcohol Screening Test (MAST; Selzer, 1971) and the Drug Abuse Screening Test (DAST; Skinner, 1982).”
Method
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Laudet, A. B., Morgen, K., & White, W. (2006) · Alcoholism Treatment Quarterly · doi:10.1300/j020v24n01_04 · Cited by 326
Validation of the World Health Organization Alcohol, Smoking and Substance Involvement Screening Test (ASSIST): report of results from the Australian site.
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“question 8 of the ASSIST [10]; the Drug Abuse Screening Test (DAST), a self report assessment consisting of 10 true – false statements describing medical, social and behavioural events common to the careers of drug users [11]; the Alcohol Uses Disorders Identification Test (AUDIT), which was”
Method
Brain Morphological Changes and Early Marijuana Use
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Problem gamblers share deficits in impulsive decision-making with alcohol-dependent individuals.
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Psychological assessment of adult posttraumatic states.
Briere, J. (1997) · American Psychological Association eBooks · doi:10.1037/10267-000 · Cited by 281
Externalizing Psychopathology and the Error-Related Negativity
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“…of adolescent and adult antisocial behaviors composed of items from several other published measures (Clark & Tifft, 1966; Hindelang, Hirschi, & Weis, 1981; Nye & Short, 1957); the Alcohol Dependence Scale (H.A. Skinner & Allen, 1982); and the Short Drug Abuse Screening Test (A. Skinner, 1982).”
Method
Trends in medical use, diversion, and nonmedical use of prescription medications among college students from 2003 to 2013: Connecting the dots
McCabe, S. E., West, B. T., Teter, C. J., & Boyd, C. J. (2014) · Addictive Behaviors · doi:10.1016/j.addbeh.2014.03.008 · Cited by 268
Social support reduces the impact of partner violence on health: application of structural equation models
Coker, A. L., Watkins, K. W., Smith, P. H., & Brandt, H. M. (2003) · Preventive Medicine · doi:10.1016/s0091-7435(03)00122-1 · Cited by 274
“Measures included the Drug Abuse Screening Test (DAST) [25] (Cronbach's α = 0.”
Influential
Mental Health Context of Food Insecurity: a Representative Cohort of Families With Young Children
Melchior, M., Caspi, A., Howard, L. M., Ambler, A. P., Bolton, H., Mountain, N., & Moffitt, T. E. (2009) · PEDIATRICS · doi:10.1542/peds.2009-0583 · Cited by 282
Adolescents' Motivations to Abuse Prescription Medications
Boyd, C., McCabe, S., Cranford, J., & Young, A. M. (2006) · Pediatrics · doi:10.1542/peds.2006-1644 · Cited by 288
A systematic review and meta-analysis of cognitive-behavioural interventions to reduce problem gambling: Hedging our bets?
Gooding, P., & Tarrier, N. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.04.002 · Cited by 267
“…1961); BDI II¼ Beck Depression Inventory II (Beck, Steer, & Brown, 1996); BSI¼ Brief Symptom Inventory (Derogatis, 1993); DAST¼ Drug Abuse screening test (Skinner, 1982); EPQ ¼ Eyesenck Personality Questionnaire (Eysenck & Eysenck, 1991); SCL-90 ¼ Symptom Checklist-90 (Derogatis, 1977); SCID-I…”
Method
Subtypes of nonmedical prescription drug misuse
McCabe, S. E., Boyd, C. J., & Teter, C. J. (2009) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2009.01.007 · Cited by 271
“Based on previous research, if a respondent indicated that they had experienced three or more drug related problems, this was considered a “positive” screening test result, denoting potential drug abuse (Cocco & Carey, 1998; French et al., 2001; Maisto et al., 2000; Skinner, 1982).”
Method
Trauma and substance cue reactivity in individuals with comorbid posttraumatic stress disorder and cocaine or alcohol dependence
Coffey, S. F., Saladin, M. E., Drobes, D. J., Brady, K. T., Dansky, B. S., & Kilpatrick, D. G. (2002) · Drug and Alcohol Dependence · doi:10.1016/s0376-8716(01)00157-0 · Cited by 270
“Tiffany and Drobes (1990) presented imagery scripts to smokers that were designed to elicit either negative, positive, or neutral affect and that contained either drug content (i.”
BackgroundMethod
Treating adult marijuana dependence: A test of the relapse prevention model.
Stephens, R. S., Roffman, R. A., & Simpson, E. E. (1994) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.62.1.92 · Cited by 270
Suicide risk in trans populations: An application of minority stress theory.
Tebbe, E. A., & Moradi, B. (2016) · Journal of Counseling Psychology · doi:10.1037/cou0000152 · Cited by 307
The assessment of psychopathy in male and female noncriminals: Reliability and validity
Forth, A. E., Brown, S. L., Hart, S. D., & Hare, R. D. (1996) · Personality and Individual Differences · doi:10.1016/0191-8869(95)00221-9 · Cited by 267
How do prolonged wakefulness and alcohol compare in the decrements they produce on a simulated driving task?
Arnedt, J. T., Wilde, G. J. S., Munt, P. W., & MacLean, A. (2001) · Accident Analysis & Prevention · doi:10.1016/s0001-4575(00)00047-6 · Cited by 259
“Inclusion criteria were, good health; non-smoking; a valid driver’s license; a regular sleep schedule; moderate to good sleeper (Monroe, 1967); neither extreme morning nor evening type (Circadian Rhythm Questionnaire; Horne and O8 stberg, 1976); no evidence of alcohol abuse, indicated by a score of less than nine on t…”
Background
Diffusion Tensor Imaging of Mild to Moderate Blast-Related Traumatic Brain Injury and Its Sequelae
Levin, H. S., Wilde, E. A., Troyanskaya, M., Petersen, N. J., Scheibel, R. S., Newsome, M. R., Radaideh, M., Wu, T. C., Yallampalli, R., Chu, Z. D., et al. (2010) · Journal of Neurotrauma · doi:10.1089/neu.2009.1073 · Cited by 263
“All participants were screened for previous and current substance abuse (Maisto et al., 2000; Saunders et al., 1993; Skinner, 1982).”
A Therapeutic Relational Agent for Reducing Problematic Substance Use (Woebot): Development and Usability Study
Prochaska, J. J., Vogel, E. A., Chieng, A., Kendra, M., Baiocchi, M., Pajarito, S., & Robinson, A. (2021) · Journal of Medical Internet Research · doi:10.2196/24850 · Cited by 257
“The DAST-10 has moderate test-retest reliability, sensitivity, and specificity [40].”
BackgroundMethodInfluential
A Systematic Review of the Relationship between Familism and Mental Health Outcomes in Latino Population
Mora, E. V., Peet, C., Garnier‐Villarreal, M., Villanea, M. S., & Johnson, D. K. (2016) · Frontiers in Psychology · doi:10.3389/fpsyg.2016.01632 · Cited by 255
“…(Venegas et al., 2012), Alcohol Use Disorders Identification Test AUDIT (Cherpitel and Bazargan, 2003), the Core Alcohol and Drug Survey CADS (Presley et al., 1998), the Drug Abuse Screening Test DAST-20 (Skinner, 1982), and a self-generated report of substance abuse in the last 30 days.”
MethodInfluential
Race/Ethnicity and Gender Differences in Drug Use and Abuse Among College Students
McCabe, S. E., Morales, M., Cranford, J. A., Delva, J., McPherson, M. D., & Boyd, C. J. (2007) · Journal of Ethnicity in Substance Abuse · doi:10.1300/j233v06n02_06 · Cited by 253
“Based on previous research, a cutpoint score of 3 or more DAST-10 items was used to indicate a moderate level of problems related to drug abuse (e.g., Bernstein et al.; French et al., 2001;Skinner, 1982).”
BackgroundMethodInfluential
Adding voucher-based incentives to coping skills and motivational enhancement improves outcomes during treatment for marijuana dependence.
Budney, A. J., Higgins, S. T., Radonovich, K. J., & Novy, P. L. (2000) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.68.6.1051 · Cited by 318
Integrated motivational interviewing and cognitive behavioural therapy for people with psychosis and comorbid substance misuse: randomised controlled trial
Barrowclough, C., Haddock, G., Wykes, T., Beardmore, R., Conrod, P., Craig, T., Davies, L. M., Dunn, G., Eisner, E., Lewis, S. W., et al. (2010) · BMJ · doi:10.1136/bmj.c6325 · Cited by 245
A two-item conjoint screen for alcohol and other drug problems.
Brown, R. L., Leonard, T., Saunders, L. A., & Papasouliotis, O. (2001) · PubMed · Cited by 237
Supportive parenting mediates neighborhood socioeconomic disparities in children's antisocial behavior from ages 5 to 12
Odgers, C. L., Caspi, A., Russell, M. A., Sampson, R. J., Arseneault, L., & Moffitt, T. E. (2012) · Development and Psychopathology · doi:10.1017/s0954579412000326 · Cited by 233
“…of substance use derived from the short Michigan Alcoholism Screening Test (Selzer, Vinokur, & Vanrooijen, 1975) and the Drug Abuse Screening Test (Skinner, 1982) and one each on problems with drinking and drugs derived from the Family History Screen (FHS; Weissman et al., 2000); five items on…”
Method
Facilitated Psychiatric Advance Directives: A Randomized Trial of an Intervention to Foster Advance Treatment Planning Among Persons with Severe Mental Illness
Swanson, J. W., Swartz, M. S., Elbogen, E. B., Dorn, R. A. V., Ferron, J., Wagner, H. R., McCauley, B. J., & Kim, M. (2006) · American Journal of Psychiatry · doi:10.1176/appi.ajp.163.11.1943 · Cited by 225
Validation of a system of classifying female substance abusers on the basis of personality and motivational risk factors for substance abuse.
Conrod, P., Pihl, R. O., Stewart, S. H., & Dongier, M. (2000) · Psychology of Addictive Behaviors · doi:10.1037//0893-164x.14.3.243 · Cited by 243
Impulsivity in abstinent early- and late-onset alcoholics: differences in self-report measures and a discounting task
Dom, G., D’haene, P., Hulstijn, W., & Sabbe, B. (2006) · Addiction · doi:10.1111/j.1360-0443.2005.01270.x · Cited by 225
Validity of the SCID in substance abuse patients
Kranzler, H. R., Kadden, R. M., Babor, T. F., Tennen, H. A., & Rounsaville, B. J. (1996) · Addiction · doi:10.1111/j.1360-0443.1996.tb03580.x · Cited by 226
Intergenerational Trauma: Convergence of Multiple Processes among First Nations peoples in Canada
Bombay, A., Matheson, K., & Anisman, H. (2009) · International Journal of Indigenous Health · doi:10.18357/ijih53200912337 · Cited by 219
“Assessments can be conducted using any of several substance abuse self-report measures, such as the Michigan Alcoholism Screening Test (Selzer, 1971) or the Drug Abuse Screening Test (Skinner, 1982).”
Do subtypes of maritally violent men continue to differ over time?
Holtzworth‐Munroe, A., Meehan, J. C., Herron, K., Rehman, U. S., & Stuart, G. L. (2003) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.71.4.728 · Cited by 216
Use of Leverage to Improve Adherence to Psychiatric Treatment in the Community
Monahan, J. T., Redlich, A. D., Swanson, J. W., Robbins, P. C., Appelbaum, P. S., Petrila, J. P., Steadman, H. J., Swartz, M. S., Angell, B., & McNiel, D. E. (2005) · Psychiatric Services · doi:10.1176/appi.ps.56.1.37 · Cited by 213
“If participants had taken any alcohol, nonprescribed drugs, or street drugs, follow-up questions were asked that had been adapted from the Michigan Alcoholism Screening Test and the Drug Abuse Screening Test (18,19).”
Method
Video game addiction in emerging adulthood: Cross-sectional evidence of pathology in video game addicts as compared to matched healthy controls
Stockdale, L., & Coyne, S. M. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2017.08.045 · Cited by 214
The impact of a brief motivational intervention with opiate users attending a methadone programme
Saunders, B., Wilkinson, C., & PHILLIPS, M. (2003) · Addiction · doi:10.1046/j.1360-0443.1995.90341510.x · Cited by 212
Factors that mediate and moderate the link between partner abuse and suicidal behavior in African American women.
Kaslow, N. J., Thompson, M. P., Meadows, L. A., Jacobs, D., Chance, S. E., Gibb, B. E., Bornstein, H., Hollins, L., Rashid, A., & Phillips, K. (1998) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.66.3.533 · Cited by 207
“Brief Drug Abuse Screening Test (DAST," Skinner, 1983 ).”
Background
Combat-related posttraumatic stress disorder and severity of substance abuse in Vietnam veterans.
McFall, M., Mackay, P. W., & Donovan, D. M. (1992) · Journal of Studies on Alcohol · doi:10.15288/jsa.1992.53.357 · Cited by 207
Internalized Homophobia: A Factor in Depression, Anxiety, and Suicide in the Gay and Lesbian Population
Igartua, K. J., Gill, K. J., & Montoro, R. (2003) · Canadian Journal of Community Mental Health · doi:10.7870/cjcmh-2003-0011 · Cited by 207
Substance Use in Pregnancy: Identifying Stigma and Improving Care
Weber, A. N., Miskle, B., Lynch, A., Arndt, S. V., & Ación, L. (2021) · Substance Abuse and Rehabilitation · doi:10.2147/sar.s319180 · Cited by 201
Differences Between Clinical and Research Practices in Diagnosing Borderline Personality Disorder
Zimmerman, M., & Mattia, J. I. (1999) · American Journal of Psychiatry · doi:10.1176/ajp.156.10.1570 · Cited by 199
“, unpublished]), cognitions common in generalized anxiety (the Penn State Worry Questionnaire [16]), anxiety symptoms common in panic attacks (the Beck Anxiety Inventory [17]), alcohol use (the Michigan Alcohol Screening Test [18]), drug use (the Drug Abuse Screening Test [19]), hypochondriasis (the Whitely Index [20]…”
Method
In vivo evidence for greater amphetamine-induced dopamine release in pathological gambling: a positron emission tomography study with [11C]-(+)-PHNO
Boileau, I., Payer, D., Chugani, B., Lobo, D. S. S., Houle, S., Wilson, A. A., Warsh, J., Kish, S. J., & Zack, M. (2014) · Molecular Psychiatry · doi:10.1038/mp.2013.163 · Cited by 198
Diagnostic validity of the MAST and the alcohol dependence scale in the assessment of DSM-III alcohol disorders.
Ross, H. E., Gavin, D. R., & Skinner, H. A. (1990) · Journal of Studies on Alcohol · doi:10.15288/jsa.1990.51.506 · Cited by 198
Self-citation

Authors: Skinner, H. A.
Affiliations: University of Toronto (CA)
Corresponding author: Skinner, Harvey A.
ORCID: Skinner, Harvey A.
Venue: Addictive Behaviors
Publisher: Elsevier BV
Published: 1982-01
Volume: 7
Issue: 4
Pages: 363-371
ISSN: 0306-4603 (ISSN-L)
DOI: 10.1016/0306-4603(82)90005-3
OpenAlex: W2141225113
Cited by: 3,134
References: 17
Citations by year: 2026: 116 · 2025: 122 · 2024: 130 · 2023: 154 · 2022: 185 · 2021: 168 · 2020: 214 · 2019: 140 · 2018: 159 · 2017: 186 · 2016: 143 · 2015: 126 · 2014: 128 · 2013: 102 · 2012: 118
FWCI: 0.89
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Addictive Behaviors (publishedVersion)
PubMed (publishedVersion)
Open Scholarship Institutional Repository (Washington University in St. Louis) (submittedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: Drug Abuse Screening Test, self-report screening instruments, internal consistency, response style bias, social desirability, denial, concurrent validity, drug use frequency, psychopathology, treatment evaluation
MeSH terms: Adolescent, Adult, Age Factors, Alcoholism, Child, Factor Analysis, Statistical, Female, Humans, Male, Mass Screening, Middle Aged, Psychological Tests, Sex Factors, Substance-Related Disorders

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