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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Housing Status as an Independent Predictor of Functional Capacity in Patients With Schizophrenia
Stergiopoulos, V., Burra, T. A., Rourke, S. B., & Hwang, S. W. (2011) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e3182349cfc · Cited by 34
“DAST indicates Drug Abuse Screening Test score; BPRS, Brief Psychiatric Rating Scale score; HVLT-R, Hopkins Verbal Learning Test, Recognition score; UPSA, UPSA indicates University of CaliforniaYSan Diego Performance Skills Assessment.”
Method
The Impact of Community Engagement on Health, Social, and Utilization Outcomes in Depressed, Impoverished Populations: Secondary Findings from a Randomized Trial
Lam, C. A., Sherbourne, C. D., Tang, L., Belin, T. R., Williams, P., Young‐Brinn, A., de Miranda, J. V. M., & Wells, K. B. (2016) · The Journal of the American Board of Family Medicine · doi:10.3122/jabfm.2016.03.150306 · Cited by 30
A review of screening, assessment and outcome measures for drug and alcohol settings.
Deady, M. (2009) · Cited by 30
Toxidrome recognition to improve efficiency of emergency urine drug screens
Nice, A., Leikin, J. B., Maturen, A., Madsen-Konczyk, L. J., Zell, M., & Hryhorczuk, D. O. (1988) · Annals of Emergency Medicine · doi:10.1016/s0196-0644(88)80608-5 · Cited by 30
Integrated Drug and Alcohol Intervention: Development of an Opportunistic Intervention Program to Reduce Alcohol and other Substance use among Psychiatric Patients
Sitharthan, T., Singh, S., Kranitis, P., Currie, J., Freeman, P., Murugesan, G., & Ludowici, J. (1999) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.1999.00621.x · Cited by 30
Evaluation of Adolescent Offenders with Substance Abuse
Rogers, R., Cashel, M. L., Johansen, J., Sewell, K. W., & GONZALEZ, C. (1997) · Criminal Justice and Behavior · doi:10.1177/0093854897024001007 · Cited by 30
Hypertension in Pregnancy
Coyne, L., & Stockdale, C. K. (2017) · Cambridge University Press eBooks · doi:10.1017/9781316662571.036 · Cited by 29
Evidence-Based Assessment of Substance Use Disorder
Boness, C. L., González, J. C., Sleep, C. E., Venner, K. L., & Witkiewitz, K. A. (2023) · Assessment · doi:10.1177/10731911231177252 · Cited by 30
“Other validated, freely available SUD screeners include the ASSIST (WHO ASSIST Working Group, 2002), 9 the Drug Abuse Screening Test (DAST-10; Skinner, 1982), Global Appraisal of Individual Needs-Short Screener (GAIN-SS; Dennis et al., 2008), and the Tobacco, Alcohol, Prescription medication, and…”
Method
Socioemotional Problems in Children Exposed to Intimate Partner Violence: Mediating Effects of Attachment and Family Supports
Fusco, R. A. (2015) · Journal of Interpersonal Violence · doi:10.1177/0886260515593545 · Cited by 28
“If they answered yes, questions from the brief Drug Abuse Screening Test (DAST-10; Skinner, 1982) were asked.”
Background
Evaluating a Brief, Video-Based Sexual Risk Reduction Intervention and Assessment Reactivity with STI Clinic Patients: Results from a Randomized Controlled Trial
Carey, M. P., Senn, T. E., Walsh, J. L., Coury-Doniger, P. A., Urban, M. A., Fortune, T., Vanable, P. A., & Carey, K. B. (2014) · AIDS and Behavior · doi:10.1007/s10461-014-0960-3 · Cited by 30
“[86, 87], drug use [88], smoking, social support [89], and neighborhood disorder and violence [90].”
Structural Hippocampal Anomalies in a Schizophrenia Population Correlate with Navigation Performance on a Wayfinding Task
Ledoux, A., Boyer, P., Phillips, J. L., Labelle, A., Smith, A., & Bohbot, V. D. (2014) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2014.00088 · Cited by 29
“Since familiarity with first-person videogames may have an impact in the virtual reality task performance, before the pre-scan training participants were asked about their video game habits [e.g., what type(s) of video game played].”
Background
Relapse in pathological gamblers: A pilot study on the predictive value of different impulsivity measures
Wilde, B. D., Goudriaan, A. E., Sabbe, B., Hulstijn, W., & Dom, G. (2013) · Journal of Behavioral Addictions · doi:10.1556/jba.2.2013.1.4 · Cited by 29
“The DAST-10 (Skinner, 1982) is a self-report questionnaire that holds ten questions concerning information about patients’ potential involvement with”
BackgroundMethodInfluential
Study design to examine the potential role of assessment reactivity in the Screening, Motivational Assessment, Referral, and Treatment in Emergency Departments (SMART-ED) protocol
Donovan, D. M., Bogenschutz, M. P., Perl, H. I., Forcehimes, A. A., Adinoff, B. H., Mandler, R. N., Oden, N. L., & Walker, R. (2012) · Addiction Science & Clinical Practice · doi:10.1186/1940-0640-7-16 · Cited by 30
“The screen is considered positive if the DAST-10 score is ≥ 3 and the individual reports past 30- day use of the primary substance.”
MethodInfluential
Eating disorder psychopathology as a marker of psychosocial distress and suicide risk in female and male adolescent psychiatric inpatients
Zaitsoff, S. L., & Grilo, C. M. (2009) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2009.03.005 · Cited by 29
“The Drug Abuse Screening Test for Adolescents [41] is a 27-item screening measure for drug abuse, adapted from the adult version [42] for use in adolescent populations.”
Method
ADHD subtypes and neuropsychological performance in an adult sample
Dobson-Patterson, R., O’Gorman, J. G., Chan, R. C. K., & Shum, D. (2016) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2016.03.013 · Cited by 33
Prevalence of Substance Use, Housing Instability, and Self-Perceived Preparation for Independence Among Current and Former Foster Youth
Greeno, E. J., Lee, B. R., Tuten, M., & Harburger, D. S. (2018) · Child and Adolescent Social Work Journal · doi:10.1007/s10560-018-0568-y · Cited by 29
Lifestyle Changes for Disease Prevention
Petrides, J., Collins, P. B., Kowalski, A., Sepede, J. C., & Vermeulen, M. W. (2018) · Primary Care Clinics in Office Practice · doi:10.1016/j.pop.2018.10.003 · Cited by 31
Warrior Wellness: A Randomized Controlled Pilot Trial of the Effects of Exercise on Physical Function and Clinical Health Risk Factors in Older Military Veterans With PTSD
Hall, K. S. M., Morey, M. C., Beckham, J. C., Bosworth, H. B., Sloane, R. J., Pieper, C. F., & Pebole, M. M. (2019) · The Journals of Gerontology Series A · doi:10.1093/gerona/glz255 · Cited by 34
“The Drug Abuse Screening Test (DAST-10) (36) questionnaire was used to assess recreational drug use (excluding alcohol and tobacco).”
Method
Psychometric Properties of the Personality Inventory for DSM-5-Brief Form in a Community Sample with High Rates of Trauma Exposure
Hyatt, C. S., Maples‐Keller, J. L., Crowe, M. L., Sleep, C. E., Carter, S. T., Michopoulos, V., Stevens, J. S., Jovanović, T., Bradley, B., Miller, J. D., et al. (2020) · Journal of Personality Assessment · doi:10.1080/00223891.2020.1713138 · Cited by 31
Delay discounting and obesity in food insecure and food secure women.
Rodriguez, L. R., Rasmussen, E. B., Kyne-Rucker, D., Wong, M. Y.-Y., & Martin, K. S. (2021) · Health Psychology · doi:10.1037/hea0001042 · Cited by 29
“Given the extensive literature examining alcohol, substance use, and discounting, the Alcohol Use Disorders Identi ﬁ cation Test (AUDIT-C; a = .71; Bush et al., 1998) and the Drug Abuse Screening Test (DAST-10; a = .74; Skinner, 1982) were administered.”
MethodInfluential
Mental health in medical and biomedical doctoral students during the 2020 COVID-19 pandemic and racial protests
Schad, A., Layton, R. L., Ragland, D. A., & Cook, J. G. (2022) · eLife · doi:10.7554/elife.69960 · Cited by 29
“…use was assessed using the Alcohol Use Disorder Identification Test (AUDIT; World Health Organization, 2001); problems with drug use was assessed by the Drug Abuse Screening Test (DAST- 10; Skinner, 1982; Yudko et al., 2007; see Table 1 for details of the categories and how they were created).”
Method
Prevalence of Unhealthy Substance Use on Teaching and Hospitalist Medical Services: Implications for Education
Holt, S. R., Ramos, J., Harma, M. A., Cabrera, F., Louis‐Ashby, C., Dinh, A., Tetrault, J. M., & Fiellin, D. A. (2012) · American Journal on Addictions · doi:10.1111/j.1521-0391.2011.00207.x · Cited by 29
Insecure attachment states: their relationship to borderline and narcissistic personality disorders and treatment process in cognitive analytic therapy
Jellema, A. (2000) · Clinical Psychology & Psychotherapy · doi:10.1002/(sici)1099-0879(200005)7:2 · Cited by 22
Empirical Correlates of the MMPI–2 Restructured Clinical (RC) Scales in a Nonclinical Setting
Forbey, J. D., & Ben‐Porath, Y. S. (2008) · Journal of Personality Assessment · doi:10.1080/00223890701845161 · Cited by 29
“RC4 (Antisocial Behavior) was hypothesized to be most highly related with the Drug Abuse Screening Test (Skinner, 1982), Michigan Alcohol Screening Test (MAST; Selzer, 1971), and the Barratt Impulsivity Scale (BIS; Barratt, 1985)–General.”
Method
Uncope: A Screen for Substance Dependence among State Prison Inmates
Campbell, T. C., Hoffmann, N. G., Hoffmann, T. D., & Gillaspy, J. A. (2005) · The Prison Journal · doi:10.1177/0032885504274287 · Cited by 29
“Screens, such as the Drug Abuse Screening Test (Skinner, 1982), may be used for identifying risk of drug dependence.”
Method
Strategies to Optimize Pain Management With Opioids While Minimizing Risk of Abuse
Brennan, M. J., & Stanos, S. P. (2010) · PM&R · doi:10.1016/j.pmrj.2010.03.011 · Cited by 29
Permanent Housing for Child Welfare‐Involved Families: Impact on Child Maltreatment Overview
Fowler, P. J., & Schoeny, M. E. (2017) · American Journal of Community Psychology · doi:10.1002/ajcp.12146 · Cited by 29
“Problematic usage of substances was assessed with the Drug Abuse Screening Test-10 (DAST-10; Skinner, 1982).”
The age of onset of substance use is related to the coping strategies to deal with treatment in men with substance use disorder
Capella, M. D. M., & Adán, A. (2017) · PeerJ · doi:10.7717/peerj.3660 · Cited by 33
Usefulness of hair analysis and psychological tests for identification of alcohol and drugs of abuse consumption in driving license regranting
Lendoiro, E., de Castro, A., Jiménez‐Morigosa, C., Fraguela, J. A. G., López‐Rivadulla, M., & Cruz, A. (2018) · Forensic Science International · doi:10.1016/j.forsciint.2018.03.023 · Cited by 29
The role of psychometric data in predicting inpatient mental health service utilization
Averill, P. M., Hopko, D. R., Small, D. R., Greenlee, H. B., & Varner, R. V. (2001) · Psychiatric Quarterly · doi:10.1023/a:1010396831037 · Cited by 29
“Concurrent and construct validity, as well as internal consistency reliability has been well documented for this measure (49,50,51).”
Background
Substance use disorder in Asperger syndrome: An investigation into the development and maintenance of substance use disorder by individuals with a diagnosis of Asperger syndrome
Clarke, T., Tickle, A., & Gillott, A. (2015) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2015.06.003 · Cited by 32
“The drug abuse screening test (DAST) is able to screen for SUD based on substances used other than alcohol use (Skinner, 1982).”
Background
Predictors of participation and attrition in a health promotion study involving psychiatric outpatients.
Vanable, P. A., Carey, M. P., Carey, K. B., & Maisto, S. A. (2002) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.70.2.362 · Cited by 29
Screening and prevention of alcohol and drug use disorders in women
Svikis, D. S., & Reid-Quiñones, K. (2003) · Obstetrics and Gynecology Clinics of North America · doi:10.1016/s0889-8545(03)00082-2 · Cited by 29
“The two best-known screening tools for drug use in medical care settings are the CAGE-AID (CAGE Adapted to Include Drugs) [69] and the Drug Abuse Screening Test (DAST) [70].”
Method
Deception in prison assessment of substance abuse
Richards, H. J., & Pai, S. M. (2003) · Journal of Substance Abuse Treatment · doi:10.1016/s0740-5472(02)00356-2 · Cited by 29
“, Drug Abuse Screening Test (DAST; Skinner, 1982) do not address the issue of deception.”
Background
Substance Use Problems, Treatment Engagement, and Outcomes in Partner Violent Men
Ting, L. A., Jordan-Green, L., Murphy, C. M., & Pitts, S. C. (2009) · Research on Social Work Practice · doi:10.1177/1049731508329418 · Cited by 29
Psychometric Evaluation of the Children of Alcoholics Screening Test (CAST) in a Psychiatric Sample
Staley, D., & el‐Guebaly, N. (1991) · International Journal of the Addictions · doi:10.3109/10826089109058911 · Cited by 29
Impact of serotonergic medication on interoception in major depressive disorder
Burrows, K., DeVille, D. C., Cosgrove, K. T., Kuplicki, R. T., Paulus, M. P., Aupperle, R., Khalsa, S. S., Stewart, J. L., Bodurka, J., Guinjoan, S., et al. (2022) · Biological Psychology · doi:10.1016/j.biopsycho.2022.108286 · Cited by 24
“For demographics (age, BMI, education, IPAQ minutes per week) and clinical characteristics (OASIS, PHQ, SCOFF, DAST, PROMIS, STAI, ASI, MAIA, TAS, RRS and CDDR lifetime alcohol use), one-way analysis of variance (ANOVA) was used to test differences between MDD-SSRI, MDD-UnMed and HC groups.”
BackgroundMethodInfluential
Motivational interviewing to address suicidal ideation: A randomized controlled trial in veterans
Britton, P. C., Conner, K. R., Chapman, B. P., & Maisto, S. A. (2020) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12581 · Cited by 28
Individual, Housing, and Neighborhood Predictors of Psychological Integration Among Vulnerably Housed and Homeless Individuals
Ecker, J., & Aubry, T. (2016) · American Journal of Community Psychology · doi:10.1002/ajcp.12066 · Cited by 28
“The Drug Abuse Screening Tool-10 (DAST-10) is a self-report scale that is intended to identify problematic drug use based upon the participant’s use in the past 12 months (Skinner, 1982).”
BackgroundMethodInfluential
Laboratory analysis of risky driving at 0.05% and 0.08% blood alcohol concentration
Dyke, N. A. V., & Fillmore, M. T. (2017) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2017.02.005 · Cited by 28
“A score of six or more has been suggested as indicative of a drug use disorder (Skinner, 1982).”
Influential
Risk factors for concurrent suicidal ideation and violent impulses in military veterans.
Elbogen, E. B., Workgroup, V. M.-A. M., Wagner, H. R., Kimbrel, N. A., Brancu, M., Naylor, J. C., Graziano, R. C., & Crawford, E. (2017) · Psychological Assessment · doi:10.1037/pas0000490 · Cited by 28
Comparison of health-related quality of life among men with different co-existing severe mental disorders in treatment for substance use
Adán, A., Marquez-Arrico, J. E., & Gilchrist, G. (2017) · Health and Quality of Life Outcomes · doi:10.1186/s12955-017-0781-y · Cited by 28
“The DAST-20 is composed of 20 questions and provides a total severity score from 0 to 20 (1–5 low, 6–10 intermediate, 11–15 substantial, 16–20 severe).”
MethodInfluential
Adverse childhood experiences in NSCAW
Stambaugh, L. F., Ringeisen, H. L., Casanueva, C. E., Tueller, S., Smith, K., & Dolan, M. (2013) · Cited by 28

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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