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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BackgroundMethod
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Method
Reinforcing effects of methylphenidate: influence of dose and behavioral demands following drug administration
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Behavioral assessment and treatment planning with alcohol and drug abusers: A review with an emphasis on clinical application☆
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Method
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“81 ,10K British Pounds 4 (14) 13 (19) 10–40K British Pounds 17 (61) 40 (59) .”
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Increasing Adherence to Substance Abuse Aftercare Group Therapy
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“The Drug Abuse Screening Test (DAST-10) (Skinner, 1982) is designed to identify people engaging in problematic drug use.”
Background
Missed Opportunities: Intimate Partner Violence in Family Practice Settings
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“Measures included the Drug Abuse Screening Test [52] (DAST) (Cronbach’s alpha = 0.”
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Method
Electroencephalographic and Autonomic Predictors of Relapse in Alcohol‐Dependent Patients
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BackgroundMethod
Associations Between MMPI-2-RF Validity Scale Scores and Extra-Test Measures of Personality and Psychopathology
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Background
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“The DAST-10 has exhibited valid psychometric properties for use as a clinical or research tool in a variety of populations (55).”
Method
Resilience, hope and flourishing are inversely associated with burnout among members of the Society for Gynecologic Oncology
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“Substance and alcohol abuse were measured by the DAST-10 and CAGE questionnaires (Ewing, 1984; Skinner, 1982).”
Method
Executive Function and Personality in Adolescent and Adult Offenders vs. Non-Offenders
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“Ruminative** 0.32 1.11 0.62 0.67 0.47 1.01 0.1 0.88 Overt Hostility 0.53 0.74 0.18 0.84 0.27 1.07 0.09 1.21 MAST (P) *** 3.43 2.98 10.47 6.25 1.77 1.54 5.77 4.76 DAST (P) *** 1.93 2.02 6.6 6.81 1.08 1.5 10.38 5.58 CSEI (P) 79.29 16.11 64 20.06 76.62 23.71 64.33 22.14”
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Method
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Method
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Britton, P. C., Conner, K., & Maisto, S. (2012) · Journal of Clinical Psychology · doi:10.1002/jclp.21885 · Cited by 44
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“The objective of these various instruments is to distinguish between recreational and problem use: the ADIS (Adolescent Drug Involvement Scale; Moberg & Hahn, 1991), the DAP (Drug and Alcohol Problem Quick Screen; Schwartz & Wirth, 1990), the PESQ (Personal Experience Screening Questionnaire; Winters, 1992), the DAST…”
Background
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Association of childhood abuse with homeless women's social networks
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Integrating information on substance use disorders into electronic health record systems
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“3 yes ten questions from Drug Abuse Screening Test (DAST10)4–5 1 Saunders, Aasland et al. 1993; 2 Bush, et al. 1998; 3 Smith, 2010; 4 Skinner, 1982; 5 Yudko, 2007.”
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Method
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“The screening questionnaires included the Conner’s ADHD Rating Scales (Conners, Erhardt, and Sparrow 1999), the Drug Abuse Screening Test (DAST-10) (Skinner 1982), the Iowa Personality Disorder Screen (IOWA) (Langbehn et al.”
Method
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“Continuous variables were: age; arrests in the 12 months prior to intake; Drug Abuse Screening Test (DAST) ( Skinner, 1982 ); Michigan Alcohol Screening Test (MAST) (Storgaard, Nielsen, & Gluud, 1994); and Social Functioning-12 (physical and mental health scales) (Ware, Kosinksi, & Keller, 1996).”
MethodInfluential
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“…positive screens for alcohol abuse (alcohol use disorder identification test, AUDIT [16] score ≥16), drug abuse (drug abuse screening test, DAST-10 [17] score ≥6), suicidal ideation (patient health questionnaire-9 item, PHQ-9 [18] item 9 rating ≥1; Beck depression inventory, BDI-II [19] item 9…”
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“Substance abusewas derived from the short Michigan Alcoholism Screening Test (Selzer et al. 1975) and the Drug Abuse Screening Test (Skinner, 1983).”
Method
American Cohort to Study HIV Acquisition Among Transgender Women in High-Risk Areas (The LITE Study): Protocol for a Multisite Prospective Cohort Study in the Eastern and Southern United States
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“…by the Alcohol Use Identification Test Consumption Questions and the Drug Abuse Screening Test with additional measures for injecting drug use [81-83]; mental health symptoms including psychological distress (Kessler-6), posttraumatic stress disorder (PC-PTSD), and history of suicidal…”
Predictors of attrition from an outpatient marijuana-dependence counseling program
Roffman, R. A., Klepsch, R., Wertz, J. S., Simpson, E. E., & Stephens, R. S. (1993) · Addictive Behaviors · doi:10.1016/0306-4603(93)90071-g · Cited by 45
Emotional-Processing in Posttraumatic Stress Disorder II: Startle Reflex Modulation During Picture Processing.
Miller, M. W., & Litz, B. T. (2004) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.113.3.451 · Cited by 45
Associations among types of impulsivity, substance use problems and Neurexin-3 polymorphisms
Stoltenberg, S. F., Lehmann, M. K., Christ, C. C., Hersrud, S. L., & Davies, G. E. (2011) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2011.05.025 · Cited by 48
“We assessed drug problems with the Drug Abuse Screening Test (DAST-20), which is a 20 item self-report questionnaire that measures an individual’s involvement with drugs (not alcohol or tobacco) over the preceding 12 months (Skinner, 1982).”
Method
Gender Differences in Violence Exposure and Violence Risk among Adolescent Inpatients
Fehon, D. C., Grilo, C. M., & Lipschitz, D. S. (2001) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-200108000-00006 · Cited by 45
“(Skinner, 1982) intended to help identify adolescents”
Background
Characteristics of drug abusers that discriminate needle-sharers.
Dolan, M. P., Black, J. L., DeFord, H. A., Skinner, J. R., & Robinowitz, R. (1987) · Europe PMC (PubMed Central) · Cited by 45
Depression partially mediates the association between binge eating disorder and health-related quality of life
Singleton, C., Kenny, T. E., Hallett, D., & Carter, J. C. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.00209 · Cited by 44
“…illness that might impact eating or weight (e.g., diabetes), acute suicidal ideation, and potential substance use issues (i.e., a score of five or greater on the Drug Abuse Screening Test [Skinner, 1982] or 16 or greater on the Alcohol Use Disorders Identification Test; [Saunders et al., 1993]).”
Background
Mindfulness-Based Interventions Applied to Addiction Treatments
Kechter, A., & Black, D. S. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.040 · Cited by 43
Multiple Memory Systems, Addiction, and Health Habits: New Routes for Translational Science
Stacy, A. W., Pike, J. R., & Lee, A. Y. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.017 · Cited by 43
Tanning as an Addiction: The State of the Research and Implications for Intervention
Miller, K. A., & Mays, D. M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.037 · Cited by 43
Food versus Eating Addictions
Schulte, E. M., Schiestl, E. T., & Gearhardt, A. N. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.035 · Cited by 43
Screening for substance misuse in the dental care setting: findings from a nationally representative survey of dentists
Parish, C. L., Pereyra, M. R., Pollack, H. A., Cardenas, G. A., Castellón, P. C., Abel, S. N., Singer, R. H., & Metsch, L. R. (2015) · Addiction · doi:10.1111/add.13004 · Cited by 44
Gender Differences Among Helpline Callers: Prospective Study of Gambling and Psychosocial Outcomes
Kim, H. S. A., Hodgins, D. C., Bellringer, M., & Abbott, M. (2015) · Journal of Gambling Studies · doi:10.1007/s10899-015-9572-8 · Cited by 45
Prediction of drug and alcohol abuse in hospitalized adolescents: Comparisons by gender and substance type
Becker, D. F., & Grilo, C. M. (2005) · Behaviour Research and Therapy · doi:10.1016/j.brat.2005.10.009 · Cited by 44
Within-prison drug injection among HIV-infected Ukrainian prisoners: Prevalence and correlates of an extremely high-risk behaviour
Izenberg, J. M., Bachireddy, C., Wickersham, J. A., Soule, M. C., Kiriazova, T. K., Дворяк, С., & Altice, F. L. (2014) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2014.02.010 · Cited by 44
“A cut-off of ≥3 was used on the DAST-10 because of its correlation with moderate to severe drug addiction (Skinner, 1982).”
Method
Women's Sexual Addiction and Family Dynamics, Depression and Substance Abuse
Opitz, D. M., Tsytsarev, S. V., & Froh, J. J. (2009) · Sexual Addiction & Compulsivity The Journal of Treatment and Prevention · doi:10.1080/10720160903375749 · Cited by 44
“The results showed that the BDI-II, DAST and FACES-II Adaptability scores significantly predicted the W-SAST; all other predictor variables were not significantly related to the W-SAST.”
Background
Identifying the substance abuse treatment needs of caregivers involved with child welfare
Chuang, E., Wells, R. S., Bellettiere, J., & Cross, T. P. (2013) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2013.01.007 · Cited by 44
“, 2002), withwomen and diverse racial/ ethnic groups (Reinert & Allen, 2007), and in settings where respondents may be motivated to conceal or distort their substance use behaviors (Skinner, 1982; Staley & El-Guebaly, 1990; Yudko et al., 2007), they have not been specifically tested with child welfare or minority popu…”
Background
A systematic review of coping among heterosexual female IPV survivors in the United States with a focus on the conceptualization and measurement of coping
Rizo, C. F., Givens, A., & Lombardi, B. M. (2017) · Aggression and Violent Behavior · doi:10.1016/j.avb.2017.03.006 · Cited by 46
Suicidal Behavior and Non-Suicidal Self-Injury in Emergency Departments Underestimated by Administrative Claims Data
Stanley, B., Currier, G. W., Chesin, M. S., Chaudhury, S. R., Jager‐Hyman, S., Gafalvy, H., & Brown, G. K. (2017) · Crisis · doi:10.1027/0227-5910/a000499 · Cited by 44
“The Alcohol Use Disorders Identification Test (Saunders, Aslant, Babor, de la Fuenta, & Grant, 1993) and the Drug Use Questionnaires (Skinner, 1982) were used to screen for substance use disorders.”
Method
Inpatient link to peer recovery coaching: Results from a pilot randomized control trial
Byrne, K. A., Roth, P., Merchant, K., Baginski, B. N., Robinson, K., Dumas, K., Collie, J., Ramsey, B., Cull, J., Cooper, L. J., et al. (2020) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2020.108234 · Cited by 44
Relationships among self-report assessments of craving in binge-drinking university students
Rosenberg, H., & Mazzola, J. J. (2007) · Addictive Behaviors · doi:10.1016/j.addbeh.2007.04.019 · Cited by 44
Stop Using Stuff: Trial of a Drug and Alcohol Intervention for Young People with Comorbid Mental Illness and Drug and Alcohol Problems
Kemp, R., Harris, A. W. F., Vurel, E., & Sitharthan, T. (2007) · Australasian Psychiatry · doi:10.1080/10398560701439665 · Cited by 54
Suicidal inpatients' experience of constant observation
Pitula, C. R., & Cardell, R. (1996) · Psychiatric Services · doi:10.1176/ps.47.6.649 · Cited by 44
HIV-risk behavior among outpatients at a state psychiatric hospital: Prevalence and risk modeling
Carey, M. P., Carey, K. B., Maisto, S. A., Gleason, J. R., Gordon, C. M., & Brewer, K. K. (1999) · Behavior Therapy · doi:10.1016/s0005-7894(99)80017-3 · Cited by 44
“Brief, psychometricallysound screening measures are now available for alcohol use (AUDIT; Saunders et al., 1993), drug use (Skinner, 1982a), and sexual behavior (HIV-risk screening instrument; Gerbert, Bronstone, McPhee, Pantilat, & Allerton, 1998).”
BackgroundMethodInfluential
Behavioral Economics and Addictive Disorders
Jarmolowicz, D. P., & Schneider, T. D. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.005 · Cited by 42
Prevention and Treatment of Compulsive Buying Disorder
Galimov, A., & Black, D. W. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.027 · Cited by 42
Precision Behavioral Management (PBM): A Novel Genetically Guided Therapy to Combat Reward Deficiency Syndrome (RDS) Relevant to the Opiate Crisis
Blum, K., Roy, A. K., Podesta, A., Modestino, E. J., Steinberg, B., Gondré-Lewis, M. C., Baron, D. A., Thanos, P. K., Lott, L., Badgaiyan, S., et al. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.031 · Cited by 42
Prevention and Treatment of “Food Addiction”
Davis, C., & Mason, A. E. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.023 · Cited by 42
Human Neurobiological Approaches to Hedonically Motivated Behaviors
Burger, K. S., Shearrer, G. E., & Sadler, J. R. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.009 · Cited by 42
Feedback Models for Gambling Control: The Use and Efficacy of Online Responsible Gambling Tools
Griffiths, M. D. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108632591.034 · Cited by 42
Posttraumatic stress disorder symptoms, work-related trauma exposure, and substance use in first responders
Bonumwezi, J., Tramutola, D., Lawrence, J. A., Kobezak, H. M., & Lowe, S. R. (2022) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2022.109439 · Cited by 43
No differences in ventral striatum responsivity between adolescents with a positive family history of alcoholism and controls
Müller, K. U., Gan, G., Banaschewski, T., Barker, G. J., Bokde, A. L. W., Büchel, C., Conrod, P., Fauth‐Bühler, M., Flor, H., Gallinat, J., et al. (2014) · Addiction Biology · doi:10.1111/adb.12136 · Cited by 43
“With a modified version of the Drug Abuse Screening Test (DAST; Skinner 1982), we © 2014 Society for the Study of Addiction Addiction Biology, 20, 534–545 assessed frequency of use and symptoms of abuse for a range of illicit drugs (including marijuana, inhalants, tranquillizers, amphetamines, lysergic acid diethylami…”
MethodInfluential
Predictors of substance abuse treatment need and receipt among homeless women
Tucker, J. S., Wenzel, S. L., Golinelli, D., Zhou, A., & Green, H. D. (2010) · Journal of Substance Abuse Treatment · doi:10.1016/j.jsat.2010.11.006 · Cited by 42
“The analytic sample for this study is restricted to 273 women who screened positive for past-year drug abuse (i.e., a score of 3 or higher on the 10-item Drug Abuse Screening Test; Skinner, 1982) or past-year alcohol abuse (i.”
BackgroundInfluential
Finding Their Way: Conditions for Successful Reintegration Among Women Offenders
Doherty, S., Forrester, P., Brazil, A., & Matheson, F. I. (2014) · Journal of Offender Rehabilitation · doi:10.1080/10509674.2014.944740 · Cited by 43
“…(the Women Offenders Substance Abuse Program); had a moderate to severe substance abuse problem as assessed using the Drug Abuse Screening Test (Skinner, 1982), the Alcohol Dependence Scale (Skinner & Horn, 1984), and the Problems Related to Drinking Scale; and had been released from prison…”
Method
Development of a translational model to screen medications for cocaine use disorder II: Choice between intravenous cocaine and money in humans
Lile, J. A., Stoops, W. W., Rush, C. R., Negus, S. S., Glaser, P. E. A., Hatton, K. W., & Hays, L. R. (2016) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2016.05.022 · Cited by 43
“rug Abuse Screening Test (Skinner, 1982) scores ranged from 4 o 17 (median = 8).”
BackgroundInfluential
Evaluating the Clinical Feasibility of an Artificial Intelligence–Powered, Web-Based Clinical Decision Support System for the Treatment of Depression in Adults: Longitudinal Feasibility Study
Popescu, C., Golden, G. M., Benrimoh, D. A., Tanguay-Sela, M., Slowey, D., Lundrigan, E., Williams, J. D., Desormeau, B., Kardani, D., Pérez, T., et al. (2021) · JMIR Formative Research · doi:10.2196/31862 · Cited by 44
“Upon account creation, patients were asked to complete the following questionnaires on the tool: Patient Health Questionnaire-9 (PHQ-9) to screen and track for depressive symptoms and their severity over time [20], General Anxiety Disorder-7 (GAD-7) to screen and track for anxiety symptoms and their severity over time…”
Method
Development and preliminary validation of an indirect screener for drug use in the perinatal period
Ondersma, S. J., Svikis, D. S., LeBreton, J. M., Streiner, D. L., Grekin, E. R., Lam, P. K., & Connors‐Burge, V. (2012) · Addiction · doi:10.1111/j.1360-0443.2012.03982.x · Cited by 43
“Despite demonstration of good sensitivity and specificity in some studies [9], direct screeners such as the Drug Abuse Screening Test (DAST [10]) have been validated primarily against structured diagnostic interviews in treatment settings.”
Method
Predictors of the psychosocial adjustment of children living in households of parents in which fathers abuse drugs
Fals-Stewart, W. S., Kelley, M. L., Cooke, C. G., & Golden, J. (2002) · Addictive Behaviors · doi:10.1016/s0306-4603(02)00235-6 · Cited by 43
Clinically useful assessments: substance use and comorbid psychiatric disorders
Carey, K. B. (2002) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(02)00039-6 · Cited by 43
Patterns of Resource Utilization and Mental Health Symptoms Among Women Exposed to Multiple Types of Victimization
Young‐Wolff, K. C., Hellmuth, J. C., Jaquier, V., Swan, S. C., Connell, C. M., & Sullivan, T. P. (2013) · Journal of Interpersonal Violence · doi:10.1177/0886260513488692 · Cited by 43
“Drug problems were assessed using the 20-item Drug Abuse Screening Test (Skinner, 1982).”
Method

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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