The Stimulant Selective Severity Assessment: A replication and exploratory extension of the Cocaine Selective Severity Assessment
Open accessAbstract
BACKGROUND: Cocaine and methamphetamine have similar withdrawal symptoms and many individuals concurrently use both substances; however, no measures concurrently assess withdrawal from multiple stimulants. OBJECTIVES: This study's aim was to explore the Stimulant Selective Severity Assessment (SSSA), a modified version of the Cocaine Selective Severity Assessment (CSSA), in a sample of stimulant users to determine if it can assess withdrawal symptoms in users of one or more stimulants. METHODS: Baseline data were analyzed from the STimulant Reduction Intervention using Dosed Exercise trial, a multisite randomized clinical trial that evaluated exercise versus health education on drug use outcomes in individuals with stimulant use disorders. Data were analyzed for internal consistency, construct validity, and scale dimensionality. RESULTS: Internal consistency for the full sample was good (α = 0.81; N = 302), with similar alphas in Cocaine (0.81; n = 177) and Cocaine/Other Stimulant (0.82; n = 92) groups, but with much lower alpha for the group without cocaine use (Other Stimulant, i.e., primarily methamphetamine, α = 0.66; n = 32). Support for construct validity was evidenced by significant positive correlations (r = 0.17 to 0.67) with measures of stimulant craving, depressive symptoms, and pain. Four factors were revealed. Conclusions/Importance: The Stimulant Selective Severity Assessment is a new measure that can be used to assess withdrawal symptoms in users of cocaine or cocaine plus methamphetamine, but it should not be administered to users of methamphetamine only.
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The standard of care for adolescent and young adult SUD treatment is to use interventions specifically tailored or designed for their unique developmental stage.
“the standard of care for adolescent-and young adult SUD treatment is to use interventions that are specifically tailored or designed for their unique developmental stage.177,178,179”
From The ASAM/AAAP Clinical Practice Guideline on the Management of Stimulant Use Disorder (2024) · cites this paper as [177]
The Introduction describes an evaluation of a stimulant-withdrawal assessment, while Methods > Procedures describes a trial of exercise versus health education as additions to usual care. Searches for adolescent and young adult treatment and developmentally appropriate interventions found no passage stating that developmentally tailored interventions are the standard of care. (LLM, conf=0.72)
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- Authors
- Walker, R., Northrup, T. F., Tillitski, J., Bernstein, I., Greer, T. L., & Trivedi, M. H.
- Affiliations
- The University of Texas Southwestern Medical Center (US)
- The University of Texas Health Science Center at Houston (US)
- Corresponding author
- Walker, Robrina
- Venue
- Substance Use & Misuse
- Publisher
- Informa UK Limited
- Published
- 2019-01-18
- Volume
- 54
- Issue
- 3
- Pages
- 351-361
- ISSN
- 1082-6084 (ISSN-L)
- 1532-2491
- PMC
- PMC6438747
- OpenAlex
- W2910733112
- Cited by
- 5
- References
- 29
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 1 · 2022: 2
- FWCI
- 0.38
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Substance Use & Misuse (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Drug Abuse (U10DA020024,UG1DA020024)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Health Sciences › Medicine › Physiology › Smoking Behavior and Cessation
- Keywords
- cocaine dependence, methamphetamine dependence, depressive symptoms, pain, scale validation
- MeSH terms
- Adult, Central Nervous System Stimulants, Cocaine, Female, Humans, Male, Methamphetamine, Middle Aged, Severity of Illness Index, Substance Withdrawal Syndrome, Young Adult, Craving
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