Cited by 247Substance Abuse Treatment and OutcomesOpioid Use Disorder TreatmentHistorical and Modern Theater Studies

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Concurrent Validity of the Addiction Severity Index

KOSTEN, THOMAS R., ROUNSAVILLE, BRUCE J., KLEBER, HERBERT D.·1983·The Journal of Nervous and Mental Disease

DOI 10.1097/00005053-198310000-00003

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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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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
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1983-10
Volume: 171
Issue: 10
Pages: 606-610
ISSN: 0022-3018 (ISSN-L)
DOI: 10.1097/00005053-198310000-00003
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

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Concurrent Validity of the Addiction Severity Index

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