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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Method
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BackgroundMethod
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Method
Screen of Drug Use
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Method
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BackgroundInfluential
Legal Issues in Child Abuse and Neglect
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Method
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“[DAST]) (Skinner, 1982), and alcohol use (Alcohol Use Disorders Identification Test [AUDIT]) (Babor et al.”
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Milne, B. J., Moffitt, T. E., Crump, R., Poulton, R., Rutter, M. L., Sears, M. R., Taylor, A., & Caspi, A. (2008) · Psychological Medicine · doi:10.1017/s0033291708003115 · Cited by 71
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Method
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Hall, K. S. M., Morey, M. C., Bosworth, H. B., Beckham, J. C., Pebole, M. M., Sloane, R. J., & Pieper, C. F. (2019) · Journal of Behavioral Medicine · doi:10.1007/s10865-019-00073-w · Cited by 81
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Substance Abuse Among Sex Offenders
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Background
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Method
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BackgroundMethodInfluential
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BackgroundMethod
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Background
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Method
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MethodInfluential
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Method
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Influential
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Method
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BackgroundInfluential
Development of a skill training program for parents of substance-abusing adolescents
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Treatment satisfaction of home-based telehealth versus in-person delivery of prolonged exposure for combat-related PTSD in veterans
Grös, D. F., Lancaster, C. L., López, C. M., & Acierno, R. E. (2016) · Journal of Telemedicine and Telecare · doi:10.1177/1357633x16671096 · Cited by 70
“Alcohol dependence was assessed by chart review as well as by using the Alcohol Use Disorders Identification Test, and substance dependence was assessed using the Drug Abuse Screening Test.20,21 Suicidal ideation was assessed using question #9 (suicidal thoughts or wishes) on the Beck Depression Inventory-II and by di…”
Method
“I Don't Want to Turn Totally Invisible”: Mental Health, Stressors, and Supports among Bisexual Women during the Perinatal Period
Ross, L. E., Siegel, A. K., Dobinson, C., Epstein, R., & Steele, L. S. (2012) · Journal of GLBT Family Studies · doi:10.1080/1550428x.2012.660791 · Cited by 66
“Drug Abuse Screening Test (DAST-10) (Skinner, 1982).”
Are common measures of dietary restraint and disinhibited eating reliable and valid in obese persons?
Bohrer, B. K., Forbush, K. T., & Hunt, T. K. (2015) · Appetite · doi:10.1016/j.appet.2014.12.226 · Cited by 70
A primary care approach to substance misuse.
Shapiro, B. J., Coffa, D. A., & McCance‐Katz, E. F. (2013) · PubMed · Cited by 66
Assessing motivation for change: Preliminary development and evaluation of a scale measuring the costs and benefits of changing alcohol or drug use.
Cunningham, J. A., Sobell, L. C., Gavin, D. R., Sobell, M. B., & Breslin, F. C. (1997) · Psychology of Addictive Behaviors · doi:10.1037//0893-164x.11.2.107 · Cited by 66
Alcohol and Drug Abuse in Treated Alcoholics: A Comparison of Men and Women
Ross, H. E. (1989) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.1989.tb00428.x · Cited by 66
Acute physiological and behavioral effects of oral cocaine in humans: a dose-response analysis
Rush, C. R., Baker, R. W., & Wright, K. (1999) · Drug and Alcohol Dependence · doi:10.1016/s0376-8716(98)00164-1 · Cited by 65
Cognition and Incarceration: Cognitive Impairment and Its Associated Outcomes in Older Adults in Jail
Ahalt, C., Stijacic‐Cenzer, I., Miller, B. L., Rosen, H. J., Barnes, D. E., & Williams, B. A. (2018) · Journal of the American Geriatrics Society · doi:10.1111/jgs.15521 · Cited by 63
Life History theory and social deviance: The mediating role of Executive Function
WENNER, C., Bianchi, J., Figueredo, A. J., Rushton, J. P., & Jacobs, W. J. (2013) · Intelligence · doi:10.1016/j.intell.2012.11.004 · Cited by 76
“• Drug Abuse Screening Test (DAST; Skinner, 1982).”
Background
Predictors of marijuana treatment outcomes: The role of self-efficacy
Stephens, R. S., Wertz, J. S., & Roffman, R. A. (1993) · Journal of Substance Abuse · doi:10.1016/0899-3289(93)90003-t · Cited by 63
Differences in prevalence, socio-behavioral correlates, and psychosocial distress between club drug and hard drug use in Taiwan: Results from the 2014 National Survey of Substance Use
Chen, W. J., Wu, S., Tsay, W., Chen, Y., Hsiao, P., Yu, Y.-H., Ting, T.-T., Chen, C., Tu, Y., Huang, J., et al. (2017) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2017.07.003 · Cited by 65
“, 2005) – were used for the analysis; and (3) the 20-item Drug Abuse Screening Test (DAST) (Skinner, 1982; Skinner, 2001), on which a cutoff score of 6, – validated in psychiatric outpatients (Cocco & Carey, 1998; Yudko, Lozhkina, & Fouts, 2007) – was used for the analysis.”
Method
Intensive residential treatment for severe obsessive-compulsive disorder: Characterizing treatment course and predictors of response
Brennan, B. P., Lee, C., Elias, J. A., Crosby, J. M., Mathes, B. M., André, M., Gironda, C. M., Pope, H. G., Jenike, M. A., Fitzmaurice, G. M., et al. (2014) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2014.05.008 · Cited by 64
“…(AUDIT-C), and the Drug Abuse Screening Test (DAST-10) are brief screening questionnaires with demonstrated reliability and face validity (Bush et al., 1998; Skinner, 1982) assessing past-year alcohol and drug use, respectively, with higher scores indicating greater evidence of abuse or dependence.”
Background
Unravelling the web of addictions: A network analysis approach
Zarate, D., Ball, M., Montag, C., Prokofieva, M., & Stavropoulos, V. (2022) · Addictive Behaviors Reports · doi:10.1016/j.abrep.2022.100406 · Cited by 65
“…et al., 2015); the Exercise Addiction Inventory (EAI; Terry et al., 2004); the Alcohol Use Disorders Identification Test (AUDIT; Fleming et al., 1991); the Drug Abuse Screening Test (DAST-10; Cocco & Carey, 1998; Skinner, 1982); and the Cigarette Dependence Scale (CDS-5; Etter et al., 2003).”
Method
The Cambridge Handbook of Substance and Behavioral Addictions
Sussman, S. Y. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591 · Cited by 64
Integrated Hepatitis C–Opioid Use Disorder Care Through Facilitated Telemedicine
Talal, A. H., Markatou, M., Liu, A., Perumalswami, P., Dinani, A. M., Tobin, J. N., & Brown, L. S. (2024) · JAMA · doi:10.1001/jama.2024.2452 · Cited by 67
Electronic health records: essential tools in integrating substance abuse treatment with primary care
Tai, B. (2012) · Substance Abuse and Rehabilitation · doi:10.2147/sar.s22575 · Cited by 64
“48 For example, the DAST (10, 20, 28-item) has been used for assessing or screening severity of drug use problems, 49,50 but it may not be brief enough for widespread adoption in busy clinical practice.”
Predictors of Retention in an Alternative-To-Prison Substance Abuse Treatment Program
Brocato, J., & Wagner, E. F. (2007) · Criminal Justice and Behavior · doi:10.1177/0093854807309429 · Cited by 63
“The two instruments were significantly correlated (r = .66, p .001), but the DSM-IV Checklist captures past year substance problems whereas the DAST reflects lifetime substance problems.”
BackgroundMethodInfluential
American Society for Pain Management Nursing Position Statement: Pain Management in Patients with Substance Use Disorders
Oliver, J. E., Coggins, C., Compton, P. A., Hagan, S. J., Matteliano, D., Stanton, M., Marie, B. S., Strobbe, S., & TURNER, H. N. (2012) · Pain Management Nursing · doi:10.1016/j.pmn.2012.07.001 · Cited by 67
Outcomes of Mandated and Nonmandated New York City Jail Diversion for Offenders with Alcohol, Drug, and Mental Disorders
Broner, N., Mayrl, D., & Landsberg, G. (2005) · The Prison Journal · doi:10.1177/0032885504274289 · Cited by 69
“The Drug Abuse Screening Test (DAST; Skinner, 1982 ), based on the MAST, was also found to have sound psychometric properties in psychiatric and forensic populations (e.g., Saltstone et al., 1994; Staley & El Guebaly, 1990).”
Method
Issues in the treatment of sexual offenders
Abracen, J., & Looman, J. (2002) · Aggression and Violent Behavior · doi:10.1016/s1359-1789(01)00074-x · Cited by 64
Bromocriptine and cocaine cue reactivity in cocaine‐dependent patients
Kranzler, H. R., & Bauer, L. O. (1992) · British Journal of Addiction · doi:10.1111/j.1360-0443.1992.tb02661.x · Cited by 64
Executive Function Deficits in Daily Life Prospectively Predict Increases in Depressive Symptoms
Letkiewicz, A. M., Miller, G. A., Crocker, L. D., Warren, S. L., Infantolino, Z. P., Mimnaugh, K. J., & Heller, W. (2014) · Cognitive Therapy and Research · doi:10.1007/s10608-014-9629-5 · Cited by 63
“Participants also completed the 10-item Drug Abuse Screening Test (DAST-10) which asks about drug use within the past 12 months (Skinner 1982) and the 10-item alcohol use disorders identification test (AUDIT) which assesses average alcohol use (Saunders et al.”
Attitudes of College Students Toward Mental Illness Stigma and the Misuse of Psychiatric Medications
Stone, A. M., & Merlo, L. J. (2010) · The Journal of Clinical Psychiatry · doi:10.4088/jcp.09m05254ecr · Cited by 64
The association of benefit finding to psychosocial and health behavior adaptation among HIV+ men and women
Littlewood, R. A., Vanable, P. A., Carey, M. P., & Blair, D. C. (2007) · Journal of Behavioral Medicine · doi:10.1007/s10865-007-9142-3 · Cited by 64
“To assess for the presence of drug-related problems, the Drug Abuse Screening Test (DAST–10; Skinner 1982) was administered.”
Method
Nonmedical Use of Prescription Opioids: Motive and Ubiquity Issues
Zacny, J. P., & Lichtor, S. A. (2008) · Journal of Pain · doi:10.1016/j.jpain.2007.12.008 · Cited by 63
A Longitudinal Investigation of Intimate Partner Violence Among Mothers With Mental Illness
McPherson, M. D., Delva, J., & Cranford, J. A. (2007) · Psychiatric Services · doi:10.1176/ps.2007.58.5.675 · Cited by 64
Recovery from problem gambling without formal treatment
Toneatto, T., Cunningham, J. A., Hodgins, D. C., Adams, M., Turner, N. E., & Koski‐Jännes, A. (2008) · Addiction Research & Theory · doi:10.1080/16066350801923638 · Cited by 63
Early Intervention for Psychosis in Canada
Nolin, M., MALLA, A. K., Tibbo, P. G., Norman, R. M. G., & Abdel‐Baki, A. (2016) · The Canadian Journal of Psychiatry · doi:10.1177/0706743716632516 · Cited by 63
Psychosocial profiles of older adolescent MDMA users
Singer, L. T., Scott, T. J. L., Ntiri, S. O., Henry, R. K., & Minnes, S. (2004) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2003.12.015 · Cited by 63
“The DAST has only moderate correlations with social desirability.”
BackgroundInfluential
Implications of depression on outcome from alcohol dependence: a 3-year prospective follow-up.
Hodgins, D., el-Guebaly, N., Armstrong, S. J., & Dufour, M. (1999) · Alcoholism: Clinical and Experimental Research · doi:10.1111/j.1530-0277.1999.tb04037.x · Cited by 73
Morally injurious experiences and mental health: The moderating role of self-compassion.
Forkus, S. R., Breines, J. G., & Weiss, N. H. (2019) · Psychological Trauma Theory Research Practice and Policy · doi:10.1037/tra0000446 · Cited by 64
“The Drug Abuse Screening Test (Skinner, 1982) is a 10-item self-report assessment used to screen for potential abuse on a wide variety of substances other than alcohol.”
Background
Boredom and meaningful activity in adults experiencing homelessness: A mixed-methods study
Marshall, C. A., Davidson, L., Li, A., Gewurtz, R. E., Roy, L., Barbic, S. P., Kirsh, B. H., & Lysaght, R. M. (2019) · Canadian Journal of Occupational Therapy · doi:10.1177/0008417419833402 · Cited by 62
PTSD and complex PTSD in sentenced male prisoners in the UK: prevalence, trauma antecedents, and psychiatric comorbidities
Facer-Irwin, E., Karatzias, T., Bird, A., Blackwood, N., & MacManus, D. (2021) · Psychological Medicine · doi:10.1017/s0033291720004936 · Cited by 86
“Probable substance abuse was measured using the Drug Abuse Screening Test (DAST) with a recommended cut off score of ⩾6 (Skinner, 1982).”
Method
Internet Gamblers: A Latent Class Analysis of Their Behaviours and Health Experiences
Lloyd, J., Doll, H., Hawton, K., Dutton, W. H., Geddes, J. R., Goodwin, G. M., & Rogers, R. D. (2010) · Journal of Gambling Studies · doi:10.1007/s10899-010-9188-y · Cited by 67
“These included the 10-item criteria for DSM-IV problem gambling (American Psychiatric Association 2000), General Health Questionnaire (GHQ-12) (Goldberg et al. 1997), Patient Health Questionnaire PHQ-9 (Spitzer et al. 1994) to screen for possible depression and panic disorder, Mood Disturbance Questionnaire (MDQ) (Hir…”
BackgroundMethodInfluential
Structural Brain Alterations Associated With Schizophrenia Preceded by Conduct Disorder: A Common and Distinct Subtype of Schizophrenia?
Schiffer, B., Leygraf, N., Müller, B. W., Scherbaum, N., Forsting, M., Wiltfang, J., Gizewski, E. R., & Hodgins, S. (2012) · Schizophrenia Bulletin · doi:10.1093/schbul/sbs115 · Cited by 62
The relation of alcohol use to HIV-risk sexual behavior among adults with a severe and persistent mental illness.
Weinhardt, L. S., Carey, M. P., Carey, K. B., Maisto, S. A., & Gordon, C. M. (2001) · Journal of Consulting and Clinical Psychology · doi:10.1037//0022-006x.69.1.77 · Cited by 62
“Drug Abuse Screening Test (short form, DAST-10)—”
Background
A retrospective study of the concept of spirituality as understood by recovering individuals
Mathew, R. J., Georgi, J. M., Wilson, W. H., & Mathew, V. G. (1996) · Journal of Substance Abuse Treatment · doi:10.1016/0740-5472(95)02022-5 · Cited by 62
The Marijuana Screening Inventory (MSI‐X): Reliability, Factor Structure, and Scoring Criteria with a Clinical Sample
Alexander, D. E., & Leung, P. (2004) · The American Journal of Drug and Alcohol Abuse · doi:10.1081/ada-120037381 · Cited by 61
Coping Skills Training and 12-Step Facilitation for Women Whose Partner Has Alcoholism: Effects on Depression, the Partner's Drinking, and Partner Physical Violence.
Rychtarik, R. G., & McGillicuddy, N. B. (2005) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.73.2.249 · Cited by 64
“…Use Disorders Identification Test (AUDIT; Babor, De la Fuente, Saunders, & Grant, 1989) and less than 4 on the Drug Abuse Screening Test (DAST; Skinner, 1982); (d) inactive in Al-Anon or another treatment program related to their partner’s drinking in the last 3 months; and (e) willing to…”
Background
Child custody loss among women with persistent severe mental illness
Hollingsworth, L. D. (2004) · Social Work Research · doi:10.1093/swr/28.4.199 · Cited by 61

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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