Concurrent Validity of the Addiction Severity Index
Abstract
The concurrent validity of the Addiction Severity Index (ASI), a new scale for assessing a range of clinical dimensions in drug and alcohol abusers, was evaluated in 204 opiate addicts applying for treatment. This study is the first independent validation study of this measure. The ASI subscales were found to have good concurrent validity with self-report measures in the areas of psychological problems, social adjustment problems, legal problems, and employment problems (r = .55 to .39). Drug abuse problems showed limited concurrent validity and medical problems were not concurrently assessed in our study. Addicts with psychiatric diagnoses beyond opiate abuse were effectively identified by the ASI, and depressed addicts were particularly well screened with a sensitivity of 89 per cent and a specificity of 67 per cent. A cluster analysis demonstrated that the six ASI scales could be used to discriminate depressed addicts, antisocial addicts, and addicts without psychiatric disorders. Thus, the ASI was demonstrated to be a potentially important evaluation instrument for opiate addicts.
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The Addiction Severity Index has demonstrated reliability and validity, including in pathological gamblers.
“The ASI has demonstrated reliability and validity (Kosten, Rounsaville & Kleber, 1983; McLellan et al., 1985), including in PGs (Petry, 2007).”
From Subtyping Pathological Gamblers Based on Impulsivity, Depression, and Anxiety (2010) · cites this paper as Kosten, Rounsaville & Kleber, 1983
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- Authors
- KOSTEN, T. R., ROUNSAVILLE, B. J., & KLEBER, H. D.
- Affiliations
- Yale University (US)
- ORCID
- KOSTEN, THOMAS R.
- Venue
- The Journal of Nervous and Mental Disease
- Published
- 1983-10
- Volume
- 171
- Issue
- 10
- Pages
- 606-610
- ISSN
- 0022-3018 (ISSN-L)
- OpenAlex
- W2078592480
- Cited by
- 247
- References
- 0
- Citations by year
- 2026: 2 · 2025: 2 · 2023: 1 · 2021: 8 · 2020: 5 · 2019: 1 · 2018: 5 · 2017: 5 · 2016: 2 · 2015: 3 · 2014: 8 · 2013: 6 · 2012: 7
- FWCI
- 2.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Nervous and Mental Disease (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5k02da000089-04)
- Topics
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Opioid Use Disorder Treatment
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Keywords
- Addiction Severity Index, concurrent validity, opioid use disorder, psychiatric comorbidity, depression screening, antisocial behavior, social adaptation, legal issues, employment problems, self-report measures
- MeSH terms
- Alcoholism, Antisocial Personality Disorder, Mental Disorders, Depressive Disorder, Diagnosis, Differential, Female, Humans, Male, Opioid-Related Disorders, Personality Inventory, Psychiatric Status Rating Scales, Psychometrics, Social Adjustment, Substance-Related Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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