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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Profiles of Quality of Life in a Homeless Population
Gentil, L., Grenier, G., Bamvita, J., Dorvil, H., & Fleury, M. (2019) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00010 · Cited by 60
“Substance use disorders (SUDs) Drug Abuse Screening Test-20 (48) Note 9 20 Yes/No Cronbach’s alpha = 0.”
Background
Validation of the Alcohol Use Disorders Identification Test and the Drug Abuse Screening Test in First Episode Psychosis
Cassidy, C., Schmitz, N., & MALLA, A. K. (2008) · The Canadian Journal of Psychiatry · doi:10.1177/070674370805300105 · Cited by 54
“This shortened version has demonstrated high internal consistency.(13) In the current study, the DAST was used to screen for a period covering the preceding 3 months.”
Method
Alcohol and Drug Abuse Among Sexual and Nonsexual Offenders: Relationship to Intimacy Deficits and Coping Strategy
Looman, J., Abracen, J., Fazio, R. D., & Maillet, G. (2004) · Sexual Abuse · doi:10.1177/107906320401600301 · Cited by 54
“The Drug Abuse Screening Test(DAST; Skinner, 1982 )”
Background
Alcohol abuse screening instruments: normative test data collected from a first DWI offender screening program.
Lapham, S. C., SKIPPER, B. J., Owen, J. P., Kleyboecker, K., Teaf, D., Thompson, B., & Simpson, G. (1995) · Journal of Studies on Alcohol · doi:10.15288/jsa.1995.56.51 · Cited by 54
Sexual Addiction in Incarcerated Sexual Offenders
Marshall, L. E., & Marshall, W. L. (2006) · Sexual Addiction & Compulsivity The Journal of Treatment and Prevention · doi:10.1080/10720160601011281 · Cited by 53
“In the present study we examined the relationship between sexual addiction, using the SAST, and other addictions with commonly used measures of drug addiction: The Drug Abuse Screening Test (DAST) (Skinner, 1982) and the Michigan Alcoholism Screening Test (MAST) (Selzer, 1971).”
Method
Association Between Substance Use Disorder Status and Pain-Related Function Following 12 Months of Treatment in Primary Care Patients With Musculoskeletal Pain
Morasco, B. J., Corson, K., Turk, D. C., & Dobscha, S. K. (2010) · Journal of Pain · doi:10.1016/j.jpain.2010.07.010 · Cited by 55
Alcohol, tobacco, and drug use among emergency department patients
Sanjuan, P. M., Rice, S. L., Witkiewitz, K. A., Mandler, R. N., Crandall, C. S., & Bogenschutz, M. P. (2014) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2014.01.025 · Cited by 53
“Among drug users, older age, more severe triage acuity, heavier smoking, and greater alcohol consumption were associated with higher DAST-10 scores.”
BackgroundInfluential
Common data elements for substance use disorders in electronic health records: the NIDA Clinical Trials Network experience
Ghitza, U. E., Gore‐Langton, R. E., Lindblad, R., Shide, D. J., Subramaniam, G., & Tai, B. (2012) · Addiction · doi:10.1111/j.1360-0443.2012.03876.x · Cited by 53
Addiction History Associates with the Propensity to Form Habits
McKim, T. H., Bauer, D. J., & Boettiger, C. A. (2016) · Journal of Cognitive Neuroscience · doi:10.1162/jocn_a_00953 · Cited by 53
“We quantified alcohol use behavior with the Alcohol Use and Disorders Identification Test (Saunders, Aasland, Babor, de la Fuente, & Grant, 1993) and substance use behavior with the Drug Use Screening Inventory, Domain I (Tarter, 1990) and the Drug Abuse Screening Test (Skinner, 1982).”
Alcohol impairs brain reactivity to explicit loss feedback
Nelson, L. D., Patrick, C. J., Collins, P. F., Lang, A. R., & Bernat, E. M. (2011) · Psychopharmacology · doi:10.1007/s00213-011-2323-3 · Cited by 57
“Measures During attachment of electroencephalogram (EEG) sensors, participants completed a demographic and health history questionnaire along with three additional questionnaires: a brief Drinking Behavior Questionnaire (DBQ), which inquired about average frequency of drinking occasions over the past year, mean drinks…”
Influential
The Prevalence of Substance Use and Substance Use Problems in Registered Nurses: Estimates From the Nurse Worklife and Wellness Study
Trinkoff, A. M., Selby, V. L., Han, K., Baek, H., Steele, J., Edwin, H. S., Yoon, J. M., & Storr, C. L. (2022) · Journal of Nursing Regulation · doi:10.1016/s2155-8256(22)00014-x · Cited by 53
Drug use during pregnancy: Validating the Drug Abuse Screening Test against physiological measures.
Grekin, E. R., Svikis, D. S., Lam, P. K., Connors, V., LeBreton, J. M., Streiner, D. L., Smith, C. E., & Ondersma, S. J. (2010) · Psychology of Addictive Behaviors · doi:10.1037/a0021741 · Cited by 53
“The DAST-10 is a shortened version of the original, 28-item DAST (DAST-28; Skinner, 1982).”
Background
The Chemical Use, Abuse, and Dependence Scale (CUAD). Rationale, reliability, and validity.
McGovern, M. P., & Morrison, D. H. (1992) · Journal of Substance Abuse Treatment · doi:10.1016/0740-5472(92)90007-b · Cited by 44
Schizophrenia and Substance Abuse: Prevalence Issues
el-Guebaly, N., & Hodgins, D. (1992) · Canadian journal of psychiatry. Revue canadienne de psychiatrie · doi:10.1177/070674379203701006 · Cited by 59
“The Drug Abuse Screening Test (20 item DAST) yields a self-report quantitative index of problems related to both prescription and non prescription drug abuse (13).”
Background
Substance Use Disorder Among People With First-Episode Psychosis: A Systematic Review of Course and Treatment
Wisdom, J. P., Manuel, J. I., & Drake, R. E. (2011) · Psychiatric Services · doi:10.1176/appi.ps.62.9.1007 · Cited by 53
“A score of 8 or more on the Alcohol Use Disorders Identification Test (41) met criteria for hazardous alcohol use, and a score of 6 or more on the Drug Abuse Screening Test (42) met criteria for drug abuse.”
Method
Assessment of Substance Misuse
Grigsby, T., Sussman, S., Chou, C.-P., & Ames, S. L. (2017) · Springer eBooks · doi:10.1007/978-3-319-55980-3_11 · Cited by 51
Childhood adversity subtypes and young adulthood mental health problems: Unpacking effects of maltreatment, family dysfunction, and peer victimization
Sayyah, M. D., Merrick, J., Larson, M. D., & Narayan, A. J. (2022) · Children and Youth Services Review · doi:10.1016/j.childyouth.2022.106455 · Cited by 61
Psychometric Properties of the Brazilian Version of the Drug Use Screening Inventory
de MICHELI, D., & Formigoni, M. L. O. D. S. (2002) · Alcoholism Clinical and Experimental Research · doi:10.1111/j.1530-0277.2002.tb02451.x · Cited by 52
Predicting community violence from patients discharged from acute mental health units in England
Doyle, M., Carter, S. D., Shaw, J. J., & Dolan, M. (2011) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-011-0366-8 · Cited by 52
“The DAST was designed to provide a brief instrument for clinical screening of drug abuse and treatment evaluation research [26].”
Method
When social anxiety co-occurs with substance use: does an impulsive social anxiety subtype explain this unexpected relationship?
Nicholls, J., Staiger, P., Williams, J. S., Richardson, B., & Kambouropoulos, N. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2014.08.040 · Cited by 47
“dependence (Skinner, 1982; Maisto et al., 2000; French et al., 2001)”
Background
Impact of Collaborative Care for Underserved Patients with PTSD in Primary Care: a Randomized Controlled Trial
Meredith, L. S., Eisenman, D. P., Han, B., Green, B. L., Kaltman, S. I., Wong, E. C., Sorbero, M. E. S., Vaughan, C., Cassells, A. N., Zatzick, D., et al. (2016) · Journal of General Internal Medicine · doi:10.1007/s11606-016-3588-3 · Cited by 53
Domestic Violence and Post-Traumatic Stress Disorder Severity for Participants of a Domestic Violence Rehabilitation Program
Gerlock, A. A. (2004) · Military Medicine · doi:10.7205/milmed.169.6.470 · Cited by 52
An effectiveness-implementation hybrid trial study protocol targeting posttraumatic stress disorder and comorbidity
Zatzick, D., Russo, J. E., Darnell, D. A., Chambers, D., Palinkas, L. A., Eaton, E. G. V., Wang, J., Ingraham, L. M., Guiney, R., Heagerty, P. J., et al. (2015) · Implementation Science · doi:10.1186/s13012-016-0424-4 · Cited by 52
“Illegal and prescription drug use (DAST) [146] X X X X”
Background
An examination of the relationship between binge eating disorder and insomnia symptoms
Kenny, T. E., Wijk, M. V., Singleton, C., & Carter, J. C. (2018) · European Eating Disorders Review · doi:10.1002/erv.2587 · Cited by 55
“, type II diabetes); (d) current acute suicidal risk as measured by the BDI‐II; or (e) possible substance‐ or alcohol‐use disorder as indicated by scores above a cut‐off of 5 on the Drug Screening Abuse Test (Skinner, 1982) or 16 on the Alcohol Use Disorders Identification Test (Saunders, Aasland, Babor, de la Fuente,…”
Influential
Amygdala Nuclei Volume and Shape in Military Veterans With Posttraumatic Stress Disorder
Morey, R. A., Clarke‐Rubright, E. K., Haswell, C. C., Phillips, R., Clausen, A. N., Mufford, M. S., Saygin, Z. M., Brancu, M., Beckham, J. C., Calhoun, P. S., et al. (2019) · Biological Psychiatry Cognitive Neuroscience and Neuroimaging · doi:10.1016/j.bpsc.2019.11.016 · Cited by 53
“We obtained several measures that were not used as covariates in the main analysis because of collinearity with PTSD diagnosis (Table 1): Alcohol Use Disorders Identification Test (32), Combat Exposure Scale, Childhood Trauma Questionnaire (33), Beck Depression Inventory (34), psychotropic medication use based on self…”
Method
Isolating the Nexus of Substance Use, Violence and Sexual Risk for HIV Infection Among Young Adults in the United States
Collins, R. L., Ellickson, P. L., Orlando, M., & Klein, D. J. (2005) · AIDS and Behavior · doi:10.1007/s10461-005-1683-2 · Cited by 52
“The first used items from the Drug Abuse Screening Test (Skinner, 1982) and ranged from 0–5.”
Method
Treatment of Marijuana Dependence: Preliminary Results
Roffman, R. A., Stephens, R. S., Simpson, E. E., & Whitaker, D. L. (1988) · Journal of Psychoactive Drugs · doi:10.1080/02791072.1988.10524382 · Cited by 52
Evaluating integrated MI and CBT for people with psychosis and substance misuse: recruitment, retention and sample characteristics of the MIDAS trial.
Barrowclough, C., Haddock, G., Beardmore, R., Conrod, P., Craig, T., Davies, L., Dunn, G., Lewis, S., Moring, J., Tarrier, N., et al. (2009) · Addictive Behaviors · doi:10.1016/j.addbeh.2009.03.007 · Cited by 51
What’s PrEP?: peer navigator acceptability among minority MSM in Washington
Pagkas-Bather, J., Jaramillo, J., Henry, J., Grandberry, V., Ramirez, L. F., Cervantes, L., Stekler, J. D., Andrasik, M. P., & Graham, S. M. (2020) · BMC Public Health · doi:10.1186/s12889-020-8325-5 · Cited by 51
“Nonalcohol substance use was measured using the Drug Abuse Screening Test 10 (DAST-10) [33].”
Method
Effect of COVID-19 disruptions on young adults’ affect and substance use in daily life.
Papp, L. M., & Kouros, C. D. (2021) · Psychology of Addictive Behaviors · doi:10.1037/adb0000748 · Cited by 49
Disinhibitory trait profile and its relation to Cluster B personality disorder features and substance use problems
Taylor, J. E., Reeves, M., James, L. M., & Bobadilla, L. (2006) · European Journal of Personality · doi:10.1002/per.585 · Cited by 51
“The Drug Abuse Screening Test (DAST; Skinner, 1982) consists of 28 yes/no questions assessing problematic drug use.”
Method
Sexual coercion and abuse among women with a severe mental illness in India: an exploratory investigation
Chandra, P. S., Carey, M. P., Carey, K. B., Shalinianant, A., & Thomas, T. S. (2003) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(03)00004-x · Cited by 51
The Dynamic Factors Identification and Analysis (DFIA) Component of the Offender Intake Assessment (OIA) Process: A Meta-Analytic, Psychometric and Consultative Review
Brown, S. L. (2005) · Cited by 51
Associations Between Expectancies of Alcohol and Drug Use, Severity of Partner Violence, and Posttraumatic Stress Among Women
Peters, E. N., Khondkaryan, E., & Sullivan, T. P. (2012) · Journal of Interpersonal Violence · doi:10.1177/0886260511432151 · Cited by 51
“Drug problems over the previous 6 months were assessed with the 10-item version of the Drug Abuse Screening Test (DAST; Skinner, 1982).”
Method
Adoption, Reach, Implementation, and Maintenance of a Behavioral and Mental Health Assessment in Primary Care
Krist, A. H., Phillips, S. M., Sabo, R. T., Balasubramanian, B. A., Heurtin‐Roberts, S., Ory, M. G., Johnson, S. B., Sheinfeld-Gorin, S. N., Estabrooks, P. A., Ritzwoller, D. P., et al. (2014) · The Annals of Family Medicine · doi:10.1370/afm.1710 · Cited by 51
Clinical Guidelines for the Physical Care of Mental Health Consumers : A Comprehensive Assessment and Monitoring Package for Mental Health and Primary Care Clinicians
Stanley, S. H., & Laugharne, J. D. E. (2011) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048674.2011.614591 · Cited by 51
Heterogeneity in emotion regulation difficulties among women victims of domestic violence: A latent profile analysis
Weiss, N. H., Darosh, A. G., Contractor, A. A., Forkus, S. R., Dixon–Gordon, K. L., & Sullivan, T. P. (2018) · Journal of Affective Disorders · doi:10.1016/j.jad.2018.07.009 · Cited by 52
Patterns of Young Adult Social Roles Transitions Across 24 Months and Subsequent Substance Use and Mental Health
Patrick, M. E., Rhew, I. C., Duckworth, J. C., Lewis, M. A., Abdallah, D. A., & Lee, C. M. (2019) · Journal of Youth and Adolescence · doi:10.1007/s10964-019-01134-8 · Cited by 51
Dissociative Comorbity in 100 Chemically Dependent Patients
Ross, C. A., Kronson, J., Koensgen, S., Barkman, K., Clark, P., & Rockman, G. E. (1992) · Psychiatric Services · doi:10.1176/ps.43.8.840 · Cited by 51

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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