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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“%) t (192) 5 1.57, p 5 .12 Caucasian 162 (83.5) 6.16 (5.98) African American 17 (8.8) Hispanic American 14 (7.2) 4.38 (5.30) Asian American 1 (0.5) Attending school ( n ,”
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“[74,82-84].”
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“The CAS did not include current drug abuse based on the DAST. f Drug abuse within a 12-month period was based on DSM-IV criteria embedded in the SCID interview.”
Influential
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“High SDAST total scores indicate more severe drug-related problems.”
Background
High resolution examination of the role of sleep disturbance in predicting functioning and psychotic symptoms in schizophrenia: A novel experience sampling study
Mulligan, L. D., Haddock, G., Emsley, R., Neil, S. T., & Kyle, S. D. (2016) · Journal of Abnormal Psychology · doi:10.1037/abn0000180 · Cited by 101
“The reliability and validity of the DAST-10 has been demonstrated in samples experiencing psychosis (Cassidy, Schmitz, & Malla, 2008).”
MethodInfluential
Posttraumatic Stress Disorder Symptoms and Situation-Specific Drinking in Women Substance Abusers
Stewart, S. H., Conrod, P., Samoluk, S. B., Pihl, R. O., & Dongier, M. (2000) · Alcoholism Treatment Quarterly · doi:10.1300/j020v18n03_04 · Cited by 101
“Screening for alcohol and prescription drug abuse involved use of the Brief Michigan Alcoholism Screening Test (Brief MAST; Pokorny, Miller, & Kaplan, 1972), and two versions of the Drug Abuse Screening Test (DAST; Skinner, 1982) for anxiolytic and analgesic medication use, respectively.”
Method
Internet-Based Intervention for Mental Health and Substance Use Problems in Disaster-Affected Populations: A Pilot Feasibility Study
Ruggiero, K. J., Resnick, H. S., Acierno, R. E., Coffey, S. F., Carpenter, M. J., Ruscio, A. M., Stephens, R. S., Kilpatrick, D. G., Stasiewicz, P. R., Roffman, R. A., et al. (2006) · Behavior Therapy · doi:10.1016/j.beth.2005.12.001 · Cited by 102
“Other measures included a brief (5 item) DSM-IV-based assessment of generalized anxiety disorder symptoms within the Worry module; the Alcohol Use Disorders Identification Test (AUDIT; Babor, Biddle-Higgins, Saunders, & Monteiro, 2001) and Readiness to Change Questionnaire (RCQ; Rollnick, Heather, Gold, & Hall, 1992)…”
BackgroundMethodInfluential
Sexual Objectification and Substance Abuse in Young Adult Women
Carr, E. R., & Szymanski, D. M. (2010) · The Counseling Psychologist · doi:10.1177/0011000010378449 · Cited by 117
“The Drug Abuse Screening Test.”
A Comparison of Prebooking and Postbooking Diversion Programs for Mentally Ill Substance-Using Individuals With Justice Involvement
Lattimore, P. K., Broner, N., Sherman, R. K., Frisman, L. K., & Shafer, M. S. (2003) · Journal of Contemporary Criminal Justice · doi:10.1177/1043986202239741 · Cited by 100
“MAST and DAST scores were higher for postbooking subjects, who were more likely to report using illegal drugs and drinking heavily in the 2 calendar months preceding the month in which the police contact occurred, which resulted in inclusion in the study.”
MethodInfluential
Mechanism, assessment and management of pain in chronic pancreatitis: Recommendations of a multidisciplinary study group
Anderson, M. A., Akshintala, V. S., Albers, K. M., Amann, S. T., Belfer, I., Brand, R. E., Chari, S. T., Coté, G. A., Davis, B. M., Frulloni, L., et al. (2015) · Pancreatology · doi:10.1016/j.pan.2015.10.015 · Cited by 100
“The suggested instruments for this evaluation would include the Pain-Anxiety Scale (PASS) (89), the Pain Catastrophizing Scale (PCS) (90, 91), the Drug Abuse Screening Test (DAST) (92), the brief Michigan Alcohol Screening Test (bMAST) (88), and/or the Current Opioid Misuse Measure (COMM).”
A Systematic Review of International Affective Picture System (IAPS) around the World
Branco, D., Gonçalves, Ó. F., & Badia, S. B. I. (2023) · Sensors · doi:10.3390/s23083866 · Cited by 100
“D 20-item Center for Epidemiologic Studies—Depression Scale CV Computer Vision DAST-10 Drug Abuse Screening Test DSM Diagnostic and Statistical Manual of Mental Disorders EBIR Emotional based image retrieval EEG Electroencephalography EMG Electromyography ERP Event-Related Potentials FEDA Experienced Attention Deficit…”
Method
Does intravenous Δ9-tetrahydrocannabinol increase dopamine release? A SPET study
Barkus, E., Morrison, P. D., Vuletic, D., Dickson, J. C., Ell, P. J., Pilowsky, L. S., Brenneisen, R., Holt, D. W., Powell, J. F., Kapur, S., et al. (2010) · Journal of Psychopharmacology · doi:10.1177/0269881110382465 · Cited by 100
“Exclusion criteria were a history of mental illness or mental illness in a first degree family member, previous psychiatric treatment, ongoing or serious past physical illness and previous alcohol/drug (except nicotine) dependence as ascertained by the Michigan Alcohol Screening Test (MAST) (Selzer, 1971) and Drug Abu…”
Method
Are Outness and Community Involvement Risk or Protective Factors for Alcohol and Drug Abuse Among Sexual Minority Women?
Feinstein, B. A., Dyar, C., & London, B. E. (2016) · Archives of Sexual Behavior · doi:10.1007/s10508-016-0790-7 · Cited by 108
Polydrug abusers display impaired discrimination-reversal learning in a model of behavioural control
Fillmore, M. T., & Rush, C. R. (2005) · Journal of Psychopharmacology · doi:10.1177/0269881105057000 · Cited by 100
Cognitive behaviour therapy for violent men with antisocial personality disorder in the community: an exploratory randomized controlled trial
Davidson, K., Tyrer, P. J., Tata, P. R., Cooke, D., Gumley, A. I., Ford, I., Walker, A., Bezlyak, V., Seivewright, H., Robertson, H., et al. (2008) · Psychological Medicine · doi:10.1017/s0033291708004066 · Cited by 107
“We used the Drug Abuse Screening Test (DAST; Skinner, 1982) (at baseline only) and the Alcohol Use Disorders Identification Test (AUDIT; Saunders et al.”
MethodInfluential
Typologies of Intimate Partner Violence: Evaluation of a Screening Instrument for Differentiation
Friend, D. J., Bradley, R. P. C., Thatcher, R., & Gottman, J. M. (2011) · Journal of Family Violence · doi:10.1007/s10896-011-9392-2 · Cited by 98
“1992), (3) DAST-10 to assess drug use (Skinner, 1982), and (4) Antisocial Personality Disorder (Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II; First et al.”
Background
Psychological and behavioral correlates of the SATAQ-3 with males
Karazsia, B. T., & Crowther, J. H. (2008) · Body Image · doi:10.1016/j.bodyim.2007.08.004 · Cited by 107
Acute behavioral effects and abuse potential of trazodone, zolpidem and triazolam in humans
Rush, C. R., Baker, R. W., & Wright, K. (1999) · Psychopharmacology · doi:10.1007/s002130050997 · Cited by 98
“Subjects reported lifetime experience with a wide range of commonly abused drugs including amphetamines, barbiturates, benzodiazepines, cocaine, marijuana and opiates, and scored between 5 and 24 (mean = 15) on the Drug Abuse Screening Test (DAST) (Skinner 1982).”
Background
Identification and management of prisoners with severe psychiatric illness by specialist mental health services
Senior, J., Birmingham, L., Harty, M. A., Hassan, L., Hayes, A. J., Kendall, K., King, C., Lathlean, J., Lowthian, C., Mills, A., et al. (2012) · Psychological Medicine · doi:10.1017/s0033291712002073 · Cited by 97
“1975) ; and the Drug Abuse Screening Test (DAST; Skinner, 1982).”
BackgroundInfluential
Randomized Controlled Trial of Daily Text Messages to Support Adherence to Preexposure Prophylaxis in Individuals at Risk for Human Immunodeficiency Virus: The TAPIR Study
Moore, D. J., Jain, S., Dubé, M. P., Daar, E. S., Sun, X., Young, J., Corado, K., Ellorin, E. E., Milam, J. E., Collins, D. O., et al. (2017) · Clinical Infectious Diseases · doi:10.1093/cid/cix1055 · Cited by 100
Grafting of 3D Bioprinting to In Vitro Drug Screening: A Review
Nie, J., Gao, Q., Fu, J., & He, Y. (2020) · Advanced Healthcare Materials · doi:10.1002/adhm.201901773 · Cited by 100
A Randomized Trial of Controlled-Release Oxycodone During Inpatient Rehabilitation Following Unilateral Total Knee Arthroplasty
Cheville, A. L., Chen, A. P., Oster, G., McGarry, L. J., & Narcessian, E. J. (2001) · Journal of Bone and Joint Surgery · doi:10.2106/00004623-200104000-00013 · Cited by 97
Forensic and correctional applications of the personality assessment inventory.
Edens, J., Cruise, K., & Buffington-Vollum, J. K. (2001) · Behavioral sciences & the law · doi:10.1002/bsl.457 · Cited by 105
Misuse of Prescribed Stimulant Medication for ADHD and Associated Patterns of Substance Use: Preliminary Analysis Among College Students
Sepúlveda, D. R., Thomas, L. M., McCabe, S. E., Cranford, J. A., Boyd, C. J., & Teter, C. J. (2011) · Journal of Pharmacy Practice · doi:10.1177/0897190011426558 · Cited by 96
“Drug abuse-related problems were evaluated using the Drug Abuse Screening Test, Short Form (DAST-10), which screens for potential abuse of and dependence on multiple substances other than alcohol.(40) An affirmative response to 3 or more of the DAST-10 criteria indicated potential drug abuse problems.”
Method
Alcohol and drug abusers' reasons for seeking treatment
Cunningham, J. A., Sobell, L. C., Sobell, M. B., & Gaskin, J. (1994) · Addictive Behaviors · doi:10.1016/0306-4603(94)90023-x · Cited by 96
Psychological and Behavioral Functioning in Adolescent Psychiatric Inpatients Who Report Histories of Childhood Abuse
Grilo, C. M., Sanislow, C. A., Fehon, D. C., Martino, S., & McGlashan, T. H. (1999) · American Journal of Psychiatry · doi:10.1176/ajp.156.4.538 · Cited by 95
“The Drug Abuse Screening Test—Adolescents (39) is a 27-item, self-report screening measure for substance abuse relevant for adolescent populations that has been adapted from the adult version (40).”
Screening and Brief Intervention for Unhealthy Drug Use in Primary Care Settings: Randomized Clinical Trials Are Needed
Saitz, R., Alford, D. P., Bernstein, J., Cheng, D. M., Samet, J., & Palfai, T. (2010) · Journal of Addiction Medicine · doi:10.1097/adm.0b013e3181db6b67 · Cited by 95
“For example, the Drug Abuse Screening Test (DAST) detects drug use problems and has been widely used in federal SBI programs, but it was not validated in primary care until recently ( Skinner, 1982; Smith et al., 2010).”
Method
Onset of dieting vs binge eating in outpatients with binge eating disorder
Grilo, C., & Masheb, R. (2000) · International Journal of Obesity · doi:10.1038/sj.ijo.0801171 · Cited by 95
Tobacco smoking in marijuana-dependent outpatients
Moore, B. A., & Budney, A. J. (2001) · Journal of Substance Abuse · doi:10.1016/s0899-3289(01)00093-1 · Cited by 95
Trauma and Post-Traumatic Stress Disorder Among Homeless Adults in Sydney
Taylor, K. M., & Sharpe, L. (2008) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/00048670701827218 · Cited by 95
“Test [41], which has sound psychometric properties [42].”
Background
Bipolar spectrum–substance use co-occurrence: Behavioral approach system (BAS) sensitivity and impulsiveness as shared personality vulnerabilities.
Alloy, L. B., Bender, R. E., Wagner, C. A., Whitehouse, W. G., Abramson, L. Y., Hogan, M. E., Sylvia, L. G., & Harmon‐Jones, E. (2009) · Journal of Personality and Social Psychology · doi:10.1037/a0016061 · Cited by 100
“The DAST is a self-report questionnaire designed to assess drug use problems.”
Influential
Predicting Prognosis for the Conduct-Problem Boy: Can Family History Help?
Odgers, C. L., Milne, B. J., Caspi, A., Crump, R., Poulton, R., & Moffitt, T. E. (2007) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/chi.0b013e31813c6c8d · Cited by 99
“To broaden the coverage of the Family History Screen, we added items from the Diagnostic Interview Schedule (Robins et al., 1995), the Short Michigan Alcoholism Screening Test (Selzer et al., 1975), and the Drug Abuse Screening Test (Skinner, 1983).”
Method
Validity of psychiatric diagnoses in patients with substance use disorders: Is the interview more important than the interviewer?
Kranzler, H. R., Kadden, R. M., Burleson, J. A., Babor, T. F., Apter, A., & Rounsaville, B. J. (1995) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(95)90073-x · Cited by 95
Screening for Drug Abuse Among Medical and Nonmedical Users of Prescription Drugs in a Probability Sample of College Students
McCabe, S. E. (2008) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpediatrics.2007.41 · Cited by 95
“Screening for probable drug abuse was assessed using the Drug Abuse Screening Test, Short Form (DAST-10), which is a self-report instrument that can be used in clinical and nonclinical settings to screen for probable drug abuse or dependence on a wide variety of substances other than alcohol.(30) Respondents who used…”
Method
The Post‐Deployment Mental Health (PDMH) study and repository: A multi‐site study of US Afghanistan and Iraq era veterans
Brancu, M., Wagner, H. R., Morey, R. A., Beckham, J. C., Calhoun, P. S., Tupler, L. A., Marx, C. E., Taber, K. H., Hurley, R. A., Rowland, J. A., et al. (2017) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.1570 · Cited by 94
The Evaluation of Parental Fitness in Termination of Parental Rights Cases: A Functional-Contextual Perspective
Azar, S. T., Lauretti, A. F., & Loding, B. V. (1998) · Clinical Child and Family Psychology Review · doi:10.1023/a:1021883611965 · Cited by 96
Physical Partner Violence and Medicaid Utilization and Expenditures
Coker, A. L., Reeder, C. E., Fadden, M. K., & Smith, P. H. (2004) · Public Health Reports · doi:10.1016/j.phr.2004.09.005 · Cited by 94

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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