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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“Seven participants scored at or above 6 on the DAST, indicating the presence of substance use problems.”
MethodInfluential
The influence of alcohol on the activation of outcome expectancies: the role of evaluative expectancy activation in drinking behavior.
Palfai, T. P., & Ostafin, B. D. (2003) · Journal of Studies on Alcohol · doi:10.15288/jsa.2003.64.111 · Cited by 34
AN OUTCOME EVALUATION OF PRISON-BASED TREATMENT PROGRAMMING FOR SUBSTANCE USERS
Porporino, F. J., Robinson, D., Millson, B., & Weekes, J. R. (2002) · Substance Use & Misuse · doi:10.1081/ja-120004165 · Cited by 34
Parent Training
McMahon, R. J. (1999) · Issues in clinical child psychology · doi:10.1007/978-1-4615-4755-6_9 · Cited by 34
Alcohol and drug consumption among sexual offenders
Baltieri, D. A., & de Andrade, A. G. (2008) · Forensic Science International · doi:10.1016/j.forsciint.2007.05.004 · Cited by 32
Acceptability of Mobile Phone-Based Nurse-Delivered Counseling Intervention to Improve HIV Treatment Adherence and Self-Care Behaviors Among HIV-Positive Women in India
Duggal, M., Chakrapani, V., Liberti, L., Satyanarayna, V., Varghese, M., Singh, P., Ranganathan, M., Chandra, P., & Reynolds, N. R. (2018) · AIDS Patient Care and STDs · doi:10.1089/apc.2017.0315 · Cited by 30
“Another potential limitation is social desirability bias in that participants might have provided certain responses that they thought could be the desired responses by the interviewers.(50,51) However, the interviewers did emphasize confidentiality and also explicitly probed for any unfavorable or alternative perspect…”
Background
Patterns and Usefulness of Safety Behaviors Among Community-Based Women Survivors of Intimate Partner Violence
Hanson, G. C., Messing, J. T., Anderson, J. C., Thaller, J., Perrin, N. A., & Glass, N. E. (2021) · Journal of Interpersonal Violence · doi:10.1177/0886260519853401 · Cited by 33
“A cutoff score of 3 was used to indicate a positive screen for drug abuse or dependence, sensitivity = .70 and specificity = .80 (Maisto, Carey, Carey, Gordon, & Gleason, 2000; Skinner, 1982).”
Method
Financial stress and debt in clinical psychology doctoral students
Szkody, E. M., Hobaica, S., Owens, S., Boland, J. K., Washburn, J. J., & Bell, D. J. (2022) · Journal of Clinical Psychology · doi:10.1002/jclp.23451 · Cited by 33
Clinical Accuracy of Serum Neurofilament Light to Differentiate Frontotemporal Dementia from Primary Psychiatric Disorders is Age-Dependent
Light, V., Jones, S. L., Rahme, E., Rousseau, K., de Boer, S., Vermunt, L., Soltaninejad, M., Teunissen, C. E., Pijnenburg, Y. A. L., & Ducharme, S. (2024) · American Journal of Geriatric Psychiatry · doi:10.1016/j.jagp.2024.03.008 · Cited by 33
Sniping and other high-risk smoking practices among homeless youth
Tucker, J. S., Shadel, W. G., Golinelli, D., Mullins, L., & Ewing, B. A. (2015) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2015.06.036 · Cited by 33
Medication adherence mediates the impact of sustained cannabis use on symptom levels in first-episode psychosis
Faridi, K., Joober, R., & MALLA, A. K. (2012) · Schizophrenia Research · doi:10.1016/j.schres.2012.07.023 · Cited by 33
“Additional measures of substance use severity came from the Drug Abuse Screening Test (DAST) (Skinner, 1982), a measure which has been validated for use in FEP patients (Cassidy et al., 2008).”
Monetary alternative reinforcers more effectively decrease intranasal cocaine choice than food alternative reinforcers
Stoops, W. W., Lile, J. A., & Rush, C. R. (2010) · Pharmacology Biochemistry and Behavior · doi:10.1016/j.pbb.2010.01.003 · Cited by 33
“Variable Money Food P Value Gender Distribution 6 Male 4 Male, 2 Female N/A Race 6 African American 5 African American, 1 White N/A Age 36.3 (1.5) 42.5 (2.5) 0.11 Weight 79.1 (6.2) 78.0 (4.8) 0.90 Number of Daily Cigarette Smokers 6 5 N/A Cigarettes Smoked Per Day 7 (1.1) 11 (4.3) 0.35 MAST Score 12.5 (5.5) 10.7 (3.7)…”
MethodInfluential
Psychosocial Outcomes of Adult Children of Mothers With Depression and Bipolar Disorder
Mowbray, C. T., & Mowbray, O. P. (2006) · Journal of Emotional and Behavioral Disorders · doi:10.1177/10634266060140030101 · Cited by 33
“Participants answering yes to 5 or more questions were categorized as having significant levels of past substance abuse problems (Skinner, 1982).”
Background
Vitamin and Mineral Intakes in Adults with Mood Disorders: Comparisons to Nutrition Standards and Associations with Sociodemographic and Clinical Variables
Davison, K., & Kaplan, B. J. (2011) · Journal of the American College of Nutrition · doi:10.1080/07315724.2011.10720001 · Cited by 33
“A trained clinical interviewer then administered the Structured Clinical Interview for DSM-IV Axis I Disorders [24], the Hamilton Depression Scale [25], the Young Mania Rating Scale [26], and the short (10-item) version of the Drug Abuse Screening Test [27].”
Method
Innovative service delivery for secondary prevention of PTSD in at-risk OIF–OEF service men and women
Grös, D. F., Strachan, M. K., Ruggiero, K. J., Knapp, R. G., Frueh, B. C., Egede, L. E., Lejuez, C. W., Tuerk, P. W., & Acierno, R. E. (2010) · Contemporary Clinical Trials · doi:10.1016/j.cct.2010.10.003 · Cited by 33
“The followingmeasures have beenwidely used in the clinical evaluation of adults with PTSD, and will be used in the present study, including both clinical interviews (CAPS [28] and Structured Clinical Interview for DSM-IV [34]) and self-reported measures (PTSD Checklist-Military (PCL-M) [35], Beck Depression Inventory-…”
Method
Improving control over the impulse for reward: Sensitivity of harmful alcohol drinkers to delayed reward but not immediate punishment
Rossiter, S., Thompson, J., & Hester, R. (2012) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2012.03.017 · Cited by 33
“…currently taking psychotropic medications, current or past dependence on nicotine (Fagerström Nicotine Dependence Test; Heatherton et al., 2006), abusing drugs other than alcohol (Drug Abuse Screening Test; Skinner, 1982), or with a current or past history of neurological or psychiatric illness.”
Background
Severity of Drug Use, Initiation of Prenatal Care, and Maternal‐Fetal Attachment in Pregnant Marijuana and Cocaine/Heroin Users
Shieh, C., & Kravitz, M. (2006) · Journal of Obstetric, Gynecologic & Neonatal Nursing · doi:10.1111/j.1552-6909.2006.00063.x · Cited by 33
Factors Associated With Prevalent HIV Infection Among Kenyan MSM: The Anza Mapema Study
Kunzweiler, C. P., Bailey, R. C., Okall, D. O., Graham, S. M., Mehta, S. D., & Otieno, F. (2017) · JAIDS Journal of Acquired Immune Deficiency Syndromes · doi:10.1097/qai.0000000000001512 · Cited by 33
Intimate Partner Violence and Health: The Roles of Social Support and Communal Mastery in Five American Indian Communities
Schultz, K., Walls, M. L., & Grana, S. J. (2019) · Journal of Interpersonal Violence · doi:10.1177/0886260518821463 · Cited by 33
“The last dependent variable, Drug abuse, was measured using the DAST-10 (Skinner, 1982) which includes 10 items assessing drug abuse/misuse and social, legal, or medical problems related to drug use during the past 6 months.”
Method
Meaning-Centered Men’s Groups: Initial Findings of an Intervention to Enhance Resiliency and Reduce Suicide Risk in Men Facing Retirement
Heisel, M. J., Moore, S. L., Flett, G. L., Norman, R. M. G., Links, P. S., Eynan, R., O’Rourke, N., Sarma, S., Fairlie, P. C., Wilson, K., et al. (2019) · Clinical Gerontologist · doi:10.1080/07317115.2019.1666443 · Cited by 35
“Drug misuse was assessed with the 10-item Drug Abuse Screening Test (DAST-10; Skinner, 1982), a 10-item, Yes/No-scored measure assessing use and/or symptoms of having misused prescription or non-prescription drugs or substances other than alcohol over the past 12 months.”
Method
COVID‐19 and mental health among at‐risk university students: A prospective study into risk and protective factors
Koelen, J. A., Mansueto, A. C., Finnemann, A., de Koning, L., der Heijde, C. M. V., Vonk, P., Wolters, N. E., Klein, A. M., Epskamp, S., & Wiers, R. W. H. J. (2021) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.1901 · Cited by 35
An RCT of Virtual Reality Job Interview Training for Individuals With Serious Mental Illness in IPS Supported Employment
Smith, M. J., Smith, J. D., Blajeski, S. M., Ross, B., Jordan, N., Bell, M. D., McGurk, S. R., Mueser, K. T., Burke-Miller, J. K., Oulvey, E. A., et al. (2022) · Psychiatric Services · doi:10.1176/appi.ps.202100516 · Cited by 33
Substance abuse and quality of life among severely mentally ill consumers
Urbanoski, K. A., Cairney, J., Adlaf, E. M., & Rush, B. R. (2007) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-007-0236-6 · Cited by 33
“Research staff at the Ottawa site additionally administered the 10-item Alcohol Use Disorder Identification Test (AUDIT) [31] and the 20-item Drug Abuse Screening Test (DAST-20) [ 33 ].”
Method
African American Women’s Readiness to Change Abusive Relationships
Bliss, M. J., Ogley‐Oliver, E., Jackson, E., Harp, S. E., & Kaslow, N. J. (2007) · Journal of Family Violence · doi:10.1007/s10896-007-9138-3 · Cited by 36
“The 20-item Brief Drug Abuse Screening Test (Brief DAST; Skinner 1983) assessed problems related to illegal drug use and misuse of medication.”
Depression as a Mediator of the Association between Substance Abuse and Negative Parenting of Fathers
Stover, C. S., Urdahl, A., & Easton, C. J. (2012) · The American Journal of Drug and Alcohol Abuse · doi:10.3109/00952990.2011.649221 · Cited by 33
“The Drug-Abuse Screening Test (DAST; Skinner (24)) is a self-report questionnaire used to assess drug-use problems.”
Background
A comparative study of subgroup identification methods for differential treatment effect: Performance metrics and recommendations
Alemayehu, D., Chen, Y., & Markatou, M. (2017) · Statistical Methods in Medical Research · doi:10.1177/0962280217710570 · Cited by 33
Retrograde facilitation of memory by triazolam: effects on automatic processes
Fillmore, M. T., Kelly, T. H., Rush, C. R., & Hays, L. R. (2001) · Psychopharmacology · doi:10.1007/s002130100873 · Cited by 33
Discriminative Stimulus and Self-Reported Effects of Methylphenidate, d-Amphetamine, and Triazolam in Methylphenidate-Trained Humans.
Stoops, W. W., Lile, J. A., Glaser, P. E. A., & Rush, C. R. (2005) · Experimental and Clinical Psychopharmacology · doi:10.1037/1064-1297.13.1.56 · Cited by 33
Maladaptive Coping Strategies and Injury-Related Distress Following Traumatic Physical Injury.
Victorson, D. E., Farmer, L. S., Burnett, K. F., Ouellette, A. E., & Barocas, J. A. (2005) · Rehabilitation Psychology · doi:10.1037/0090-5550.50.4.408 · Cited by 33
Multidimensional assessment of anger in Vietnam veterans with posttraumatic stress disorder
McFall, M., Wright, P. W., Donovan, D. M., & Raskind, M. A. (1999) · Comprehensive Psychiatry · doi:10.1016/s0010-440x(99)90006-8 · Cited by 33
Effects of oxazepam and lorazepam on implicit and explicit memory: evidence for possible influences of time course
Stewart, S. H., Rioux, G. F., Connolly, J. F., Dunphy, S. C., & Teehan, M. D. (1996) · Psychopharmacology · doi:10.1007/s002130050119 · Cited by 32
“1972); DAST Drug Abuse Screening Test (Skinner 1982)”
BackgroundMethodInfluential
Substance Misuse and Psychiatric Comorbidity: towards improved service provision
CROME, I. B. (1999) · Drugs Education Prevention and Policy · doi:10.1080/09687639997115 · Cited by 33
Alcohol and drug use patterns of prisoners in perth
Indermaur, D., & Upton, K. (1988) · Australian & New Zealand Journal of Criminology · doi:10.1177/000486588802100302 · Cited by 33
Use of technology for delivery of mental health and substance use services to youth living with HIV: a mixed-methods perspective
Saberi, P., Dawson Rose, C., Wootton, A. R., Ming, K., Legnitto, D., Jeske, M., Pollack, L. M., Johnson, M. O., Gruber, V. A., & Neilands, T. B. (2020) · AIDS Care · doi:10.1080/09540121.2019.1622637 · Cited by 32
“SU was examined based the Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST) (Humeniuk, Henry-Edwards, Ali, Poznyak, & Monteiro, 2010) which assesses the use of tobacco, marijuana, cocaine, stimulants, sedatives, opioids, inhalants, and hallucinogens and has a score of 0–39 (except tobacco which range…”
MethodInfluential
Treating Pain in Addicted Patients: Recommendations from an Expert Panel
Cheatle, M. D., Comer, D., Wunsch, M. J., Skoufalos, A., & Reddy, Y. (2013) · Population Health Management · doi:10.1089/pop.2013.0041 · Cited by 31
“Examples of prescreening tools include the Opioid Risk Tool,25 Screener and Opioid Assessment for Patients with Pain,26 Diagnosis, Intractability, Risk, Efficacy,27 and Drug Abuse Screening Test.28 Tools used for monitoring patients currently receiving prescription opioids include Pain Assessment and Documentation Too…”
The Relationship Between Forgiveness, Spirituality, Traumatic Guilt and Posttraumatic Stress Disorder (PTSD) Among People with Addiction
Langman, L., & Chung, M. C. (2013) · Psychiatric Quarterly · doi:10.1007/s11126-012-9223-5 · Cited by 32
Screening and Brief Intervention Practice Model for Social Workers in Non-Substance-Abuse Practice Settings
Bliss, D. L., & Pecukonis, E. V. (2009) · Journal of Social Work Practice in the Addictions · doi:10.1080/15332560802646604 · Cited by 32
“Among the more frequently used measures that social workers might consider in screening their clients are the Michigan Alcoholism Screening Test (MAST; Selzer, 1971); the Drug Abuse Screening Test (DAST; Skinner, 1982); the CRAFFT (Knight et al.”
BackgroundMethod
Inequalities in Determinants of Health Among Aboriginal and Caucasian Persons Living With HIV/AIDS in Ontario: Results From the Positive Spaces, Healthy Places Study
Positive Spaces, H. P. T., Monette, L., Rourke, S. B., Gibson, K., Bekele, T., Tucker, R., Greene, S., Sobota, M., Koornstra, J. J., Byers, S., et al. (2011) · Canadian Journal of Public Health · doi:10.1007/bf03404900 · Cited by 32
Validation of the Drug Abuse Screening Test (DAST-10): A study on illicit drug use among Chinese pregnant women
Lam, L. P., Leung, W. C., Ip, P., Chow, C. B., Chan, M. F., Ng, J. W. Y., Sing, C., Lam, Y. H., Mak, W. L. T., Chow, K. M., et al. (2015) · Scientific Reports · doi:10.1038/srep11420 · Cited by 32
Co-Occurring Substance Use, PTSD, and IPV Victimization: Implications for Female Offender Services
McKee, S. A., & Hilton, N. Z. (2017) · Trauma Violence & Abuse · doi:10.1177/1524838017708782 · Cited by 32

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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