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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The Paraphilic and Hypersexual Disorders: An Overview
Krueger, R. B., & Kaplan, M. S. (2001) · Journal of Psychiatric Practice · doi:10.1097/00131746-200111000-00005 · Cited by 81
The high prevalence of bipolar spectrum disorders in young adults with recurrent depression: toward an innovative diagnostic framework
Smıth, D. J., Harrison, N., Muir, W. J., & Blackwood, D. (2004) · Journal of Affective Disorders · doi:10.1016/j.jad.2004.02.005 · Cited by 81
“Drug and alcohol use during the preceding 12 months were assessed by the Drug Abuse Screening Test (DAST-20; Skinner, 1982) and Alcohol Use Disorders Identification Test (AUDIT; Saunders et al.”
Method
Discriminative-stimulus effects of modafinil in cocaine-trained humans
Rush, C. R., Kelly, T. H., Hays, L. R., & Wooten, A. F. (2002) · Drug and Alcohol Dependence · doi:10.1016/s0376-8716(02)00082-0 · Cited by 81
“In the month preceding admission to this protocol, these volunteers reported using cocaine on 15 /30 days (mean /23) and scored between 5 and 21 (mean /12) on the Drug Abuse Screening Test (DAST; Skinner, 1982).”
Method
Medical Misuse of Controlled Medications Among Adolescents
McCabe, S. E. (2011) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpediatrics.2011.114 · Cited by 80
“The Drug Abuse Screening Test, Short Form (DAST-10) was used to screen for probable drug abuse or dependence on a wide variety of substances other than alcohol.(26) Respondents who used drugs other than alcohol in the past 12 months were asked whether they had experienced any of 10 drug-related problems in the past 12…”
Method
Gender-affirming medical interventions and mental health in transgender adults.
Tomita, K. K., Testa, R. J., & Balsam, K. F. (2018) · Psychology of Sexual Orientation and Gender Diversity · doi:10.1037/sgd0000316 · Cited by 88
“Drug abuse was measured with the short-form 10-item Drug Abuse Screening Kit (DAST-10; Skinner, 1982).”
Method
Affect and craving: Positive and negative affect are differentially associated with approach and avoidance inclinations
Schlauch, R. C., Gwynn-Shapiro, D., Stasiewicz, P. R., Molnar, D. S., & Lang, A. R. (2012) · Addictive Behaviors · doi:10.1016/j.addbeh.2012.12.003 · Cited by 90
“The Drug Abuse Screening Test (DAST; Skinner, 1982) is a 28-item True/False self-report instrument designed to tap various consequences related to drug abuse.”
Method
Evaluation of methods for detecting substance use disorder in persons with severe mental illness.
Wolford, G., Rosenberg, S. D., Drake, R. E., Mueser, K. T., Oxman, T. E., Hoffman, D., Vidaver, R. M., Luckoor, R., & Carrieri, K. L. (1999) · Psychology of Addictive Behaviors · doi:10.1037/0893-164x.13.4.313 · Cited by 80
Screening and Interventions for Alcohol and Drug Problems in Medical Settings: What Works?
Babor, T. F., & Kadden, R. M. (2005) · The Journal of Trauma: Injury, Infection, and Critical Care · doi:10.1097/01.ta.0000174664.88603.21 · Cited by 78
The Cost-Effectiveness of Criminal Justice Diversion Programs for People with Serious Mental Illness Co-Occurring with Substance Abuse
Cowell, A. J., Broner, N., & Dupont, R. T. (2004) · Journal of Contemporary Criminal Justice · doi:10.1177/1043986204266892 · Cited by 80
“…the severity of alcohol and drug use (Michigan Alcohol Scoring Test [MAST]) (Storgaard, Nielsen, & Gluud, 1994) and Drug Abuse Scoring Test [DAST]) (Skinner, 1982), time at risk (measuring the number of days the participant is in the community at risk of committing an offense), CSI, MCS, and PCS.”
Background
The Impact of Alcohol, Tobacco, and Other Drug Use and Abuse in the Emergency Department
D’Onofrio, G., Becker, B. M., & Woolard, R. H. (2006) · Emergency Medicine Clinics of North America · doi:10.1016/j.emc.2006.06.008 · Cited by 77
A modified version of the Drug Abuse Screening Test among undergraduate students
McCabe, S. E., Boyd, C. J., Cranford, J. A., Morales, M., & Slayden, J. (2006) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2006.04.010 · Cited by 80
Alcohol and Drug Abuse in Sexual and Nonsexual Violent Offenders
Abracen, J., Looman, J., & Anderson, D. (2000) · Sexual Abuse · doi:10.1177/107906320001200403 · Cited by 80
“PD program, all men were administered the MAST (Selzer, 1971) and the DAST (Skinner, 1982).”
Method
Psychometric Properties and Validity of the Obsessive‐Compulsive Drinking Scale
Bohn, M. J., Barton, B. A., & Barron, K. E. (1996) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.1996.tb05257.x · Cited by 80
Designing a valid randomized pragmatic primary care implementation trial: the my own health report (MOHR) project
The MOHR Study Group, Krist, A. H., Glenn, B. A., Glasgow, R. E., Balasubramanian, B. A., Chambers, D., Fernández, M. E., Heurtin‐Roberts, S., Kessler, R. S., Ory, M. G., et al. (2013) · Implementation Science · doi:10.1186/1748-5908-8-73 · Cited by 79
“Questionnaire (PHQ9) [23], the Generalized Anxiety Disorder (GAD) questionnaire [24,25], the Alcohol Use Disorders Identification Test (AUDIT-C) [26], and the Drug Abuse Screening Test (DAST-10) [27], respectively.”
Method
Cohort Profile: FAMILY Cohort
Leung, G. M., Ni, M. Y., Wong, P. T. K., Lee, P. H., Chan, B. H. Y., Stewart, S. M., Schooling, C. M., Johnston, J. M., Lam, W., Chan, S. S., et al. (2015) · International Journal of Epidemiology · doi:10.1093/ije/dyu257 · Cited by 79
Intact goal‐directed control in treatment‐seeking drug users indexed by outcome‐devaluation and Pavlovian to instrumental transfer: critique of habit theory
Hogarth, L., Lam‐Cassettari, C., Pacitti, H., Currah, T., Mahlberg, J., Hartley, L., & Moustafa, A. A. (2018) · European Journal of Neuroscience · doi:10.1111/ejn.13961 · Cited by 87
“They reported a mean Drug Abuse Screening Test (DAST – 28 item (Skinner, 1982) score of 16.”
BackgroundMethodInfluential
A hybrid AI approach for supporting clinical diagnosis of attention deficit hyperactivity disorder (ADHD) in adults
Tachmazidis, I., Chen, T.-H., Adamou, M., & Antoniou, G. (2020) · Health Information Science and Systems · doi:10.1007/s13755-020-00123-7 · Cited by 64
“The screening questionnaires included the Conner’s ADHD Rating Scales [21], the Drug Abuse Screening Test (DAST-10) [22], the Iowa Personality Disorder Screen (IOWA) [23], the Alcohol Use Disorders Identification Test (AUDIT) [24], the Mood Disorder Questionnaire (MDQ) [25], the GAD-7 measuring Generalized Anxiety [26…”
Method
CORRELATES OF SUBSTANCE USE DISORDER AMONG PSYCHIATRIC OUTPATIENTS: FOCUS ON COGNITION, SOCIAL ROLE FUNCTIONING, AND PSYCHIATRIC STATUS
Carey, K. B., Carey, M. P., & Simons, J. S. (2003) · The Journal of Nervous and Mental Disease · doi:10.1097/01.nmd.0000066152.87832.a9 · Cited by 79
“Second, the 20-item Drug Abuse Screening Test (DAST; Skinner, 1982) indicates severity of drug use consequences in the past year.”
Background
Self-change: A pathway to cannabis abuse resolution
Ellingstad, T. P., Sobell, L. C., Sobell, M. B., Eickleberry, L. G., & Golden, C. J. (2005) · Addictive Behaviors · doi:10.1016/j.addbeh.2005.05.033 · Cited by 79
“All respondents completed the following two self-report measures: (a) Drug Abuse Screening Test (DAST-10), an assessment of drug problem severity (Skinner, 1982); and (b) demographic and substance use history questionnaire (e.g., past and current drug use, cigarette smoking, health status, age,…”
BackgroundMethodInfluential
Cocaine Choice in Humans During d-Amphetamine Maintenance
Rush, C. R., Stoops, W. W., Sevak, R. J., & Hays, L. R. (2010) · Journal of Clinical Psychopharmacology · doi:10.1097/jcp.0b013e3181d21967 · Cited by 79
Internalized Homophobia and Drug Use in a National Cohort of Gay and Bisexual Men: Examining Depression, Sexual Anxiety, and Gay Community Attachment as Mediating Factors
Moody, R. L., Starks, T. J., Grov, C., & Parsons, J. T. (2017) · Archives of Sexual Behavior · doi:10.1007/s10508-017-1009-2 · Cited by 103
“Among those who reported recent use of any drug listed, the 10-item Drug Abuse Screening Test (DAST-10; Skinner, 1982) was administered to assess the degree of problems associated withrecreationaluseofanyillicitdrugsother thanalcohol,marijuana,andpoppers in thepast3 months.”
Method
Psychological Differences Between Court-Referred and Self-Referred Wife Assaulters
Dutton, D. G., & Starzomski, A. (1994) · Criminal Justice and Behavior · doi:10.1177/0093854894021002002 · Cited by 81
The Role of Data Type and Recipient in Individuals’ Perspectives on Sharing Passively Collected Smartphone Data for Mental Health: Cross-Sectional Questionnaire Study
Nicholas, J., Shilton, K., Schueller, S. M., Gray, E. L., Kwasny, M. J., & Mohr, D. C. (2019) · JMIR mHealth and uHealth · doi:10.2196/12578 · Cited by 77
Viewing Pornography Depicting Unprotected Anal Intercourse: Are There Implications for HIV Prevention Among Men Who Have Sex with Men?
Stein, D., Silvera, R. J., Hagerty, R., & Marmor, M. F. (2011) · Archives of Sexual Behavior · doi:10.1007/s10508-011-9789-2 · Cited by 78
“There were 31 items, all elements of the Drug Abuse Screening Test (DAST-20), all elements of the Alcohol Use Disorders Identification Test (AUDIT), and use of recreational drugs in the 3 months prior to interview (categorical) (Babor, 2007 ;B abor, de la Fuente, & Saunders, 1992; Skinner, 1982a, 1982b ).”
MethodInfluential
Neurobehavioral outcomes of infants exposed to MDMA (Ecstasy) and other recreational drugs during pregnancy
Singer, L. T., Moore, D. G., Fulton, S. E., Goodwin, J. E., Turner, J. J., Min, M. O., & Parrott, A. C. (2012) · Neurotoxicology and Teratology · doi:10.1016/j.ntt.2012.02.001 · Cited by 78
“Women who used MDMA during pregnancy had higher scores on the DAST, indicating greater severity of sequelae related to their drug use.”
MethodInfluential
Club Drugs: Reasons for and Consequences of Use
Parks, K. A., & Kennedy, C. L. (2004) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2004.10400030 · Cited by 78
“It has good internal consistency (a= .92; Skinner 1982) and diagnostic valid ity (Gavin, Ross & Skinner 1989) with clinical drug abusing samples.”
BackgroundMethodInfluential
Cannabis Use Disrupts Eyeblink Conditioning: Evidence for Cannabinoid Modulation of Cerebellar-Dependent Learning
Skosnik, P. D., Edwards, C. R., O’Donnell, B. F., Steffen, A., Steinmetz, J. E., & Hetrick, W. P. (2007) · Neuropsychopharmacology · doi:10.1038/sj.npp.1301506 · Cited by 78
“The following psychometric questionnaires and clinical interviews were administered to all participants: a substance-use questionnaire, The Drug Abuse Screening Test (DAST; Skinner, 1982), and The Short Michigan Alcoholism Screening Test (SMAST; Selzer et al, 1975).”
Method
A Cluster-Analytic Study of Substance Problems and Mental Health Among Street Youths
Adlaf, E. M., & Zdanowicz, Y. M. (1999) · The American Journal of Drug and Alcohol Abuse · doi:10.1081/ada-100101884 · Cited by 78
Combining text messaging and telephone counseling to increase varenicline adherence and smoking abstinence among cigarette smokers living with HIV: a randomized controlled study
Tseng, T.-Y., Krebs, P., Schoenthaler, A., Wong, S., Sherman, S., Gonzalez, M., Urbina, A., Cleland, C. M., & Shelley, D. (2017) · AIDS and Behavior · doi:10.1007/s10461-016-1538-z · Cited by 69
“Heaviness of Smoking Index 3.0 ± 1.2 3.2 ± 1.3 2.8 ± 1.2 3.1 ± 1.1 DUDIT 4.3 ± 6.5 4.4 ± 7.1 5.1 ± 7.2 3.2 ± 4.9 AUDIT-C 1.8 ± 1.8 1.9 ± 1.9 1.8 ± 1.9 1.7 ± 1.7 Beliefs and attitudes about vareniclinea 4.3 ± .6 4.4 ± .5 4.3 ± .7 4.2 ± .6 Varenicline information scaleb 34.9 ± 4.4 34.9 ± 4.1 34.9 ± 4.7 34.9 ± 4.4 Adhere…”
Influential
Confirmatory validation of the factor structure and psychometric properties of the Difficulties in Emotion Regulation Scale‐Positive
Weiss, N. H., Darosh, A. G., Contractor, A. A., Schick, M. M., & Dixon‐Gordon, K. L. (2019) · Journal of Clinical Psychology · doi:10.1002/jclp.22768 · Cited by 78
“The Drug Abuse Screening Test (DAST; Skinner, 1982) is a 10-item self-report measure used to assess drug misuse, including occupational or relational problems, illegal activities, or regret in the past 30 days.”
Method
RESPECT-PTSD: Re-Engineering Systems for the Primary Care Treatment of PTSD, A Randomized Controlled Trial
Schnurr, P. P., Friedman, M. J., Oxman, T. E., Dietrich, A. J., Smith, M. W., Shiner, B. R., Forshay, E., Gui, J., & Thurston, V. (2012) · Journal of General Internal Medicine · doi:10.1007/s11606-012-2166-6 · Cited by 77
Feasibility and early experience of a novel multidisciplinary alcohol-associated liver disease clinic
Mellinger, J. L., Winder, G. S., Fernandez, A. C., Klevering, K., Johnson, A. K., Asefah, H., Figueroa, M., Buchanan, J., Blow, F. C., & Lok, A. S.-F. (2021) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2021.108396 · Cited by 77
The Role of Sexual Orientation in the Victimization and Recovery of Sexual Assault Survivors
Sigurvinsdóttir, R., & Ullman, S. E. (2015) · Violence and Victims · doi:10.1891/0886-6708.vv-d-13-00066 · Cited by 82
Personality, Executive Control, and Neurobiological Characteristics Associated with Different Forms of Risky Driving
Brown, T. G., Ouimet, M. C., Eldeb, M., Tremblay, J., Vingilis, E. R., Nadeau, L., Pruessner, J. C., & Bechara, A. (2016) · PLoS ONE · doi:10.1371/journal.pone.0150227 · Cited by 84
“The Drug Abuse Screening Test (DAST) [58] is a 20-item questionnaire that provided an index of lifetime drug problem severity [59].”
BackgroundInfluential
Childhood trauma, PTSD, and problematic alcohol and substance use in low-income, African-American men and women
Cross, D., Crow, T., Powers, A., & Bradley, B. (2015) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2015.01.007 · Cited by 76
“The Drug Abuse Screening Test-10 (DAST-10; Skinner, 1982) is a 10-item self-report screening measure for substanceabuse problems occurring in the last year.”
Examining the incremental and interactive effects of boldness with meanness and disinhibition within the triarchic model of psychopathy.
Gatner, D. T., Douglas, K. S., & Hart, S. D. (2016) · Personality Disorders Theory Research and Treatment · doi:10.1037/per0000182 · Cited by 76
“The Drug Abuse Screening Test (DAST; Skinner, 1982) is a self-report measure consisting of 28 binary yes/no items covering substance use problems such as social, legal, and medical problems.”
Method
A randomized controlled trial of a single session motivational intervention for concerned gamblers
Diskin, K. M., & Hodgins, D. C. (2009) · Behaviour Research and Therapy · doi:10.1016/j.brat.2009.01.018 · Cited by 76
“The Drug Abuse Screening Test (DAST; Skinner, 1982) is a 20-item true–false scale that correlates strongly with a number of drug use measures (14).”
Background

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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