| Further validation of the alcohol dependence scale as an index of severity.: An article from: Journal of Studies on Alcohol and Drugs | Digitalby Andrew J. Saxon (Author), Daniel R. Kivlahan (Author), Suzanne Doyle (Author), Dennis M. Donovan (Author)
| List Price: | $9.95 | | | Available: | Available for download now |
| | Binding: | Digital | | Publisher: | Thomson Gale | | Page Count: | 21 Pages | | Publication Date: | January 01, 2007 | | Sales Rank: | 6,691,914th |
|
EDITORIAL REVIEWS |
Product Description
This digital document is an article from Journal of Studies on Alcohol and Drugs, published by Thomson Gale on January 1, 2007. The length of the article is 6220 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.From the author: Objective: The Alcohol Dependence Scale (ADS) yields continuous scores purported to reflect the severity of the dependence syndrome. We evaluated the concurrent validity of the ADS as a general measure of severity and the screening accuracy of the total score and subscales to detect Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), physiological dependence. Method: Treatment-seeking, alcohol-dependent individuals entering the Combining Pharmacotherapies and Behavioral Interventions for Alcohol Dependence (COMBINE) Study (N = 1,372; 69% men) completed the ADS, diagnostic interviews, and other measures before randomization. Analyses of variance tested differences between ADS quartiles on alcohol-related measures. Areas under the receiver operating characteristic (AUROC) curve assessed screening accuracy for DSM-IV physiological dependence (tolerance or withdrawal) or withdrawal alone. Results: ADS quartiles differed on age, other demographics, and prior treatment episodes. Linear correlation showed moderate to large magnitude associations with alcohol-related self-report measures and most indices of consumption. ADS quartiles differed significantly on proportion with DSM-IV physiological dependence, but AUROC curves indicated that the ADS had limited accuracy as a continuous measure to detect DSMIV physiological dependence (AUROC = .75 [95% confidence interval {CI}: .70-.79] and .67 [95% CI: .60-.74] for men and women, respectively; p = .08) or withdrawal alone (AUROC = .77 [95% CI: .74-.80] and .74 [95% CI: .69-.79] for men and women, respectively; p = .30). Screening accuracy was comparably limited based on ADS subscales reflecting psychoperceptual or psychophysical withdrawal. Conclusions: The ADS reflected variation in symptom severity but did not adequately identify physiological dependence or withdrawal in treatment-seeking individuals with DSM-IV alcohol dependence.Citation DetailsTitle: Further validation of the alcohol dependence scale as an index of severity.Author: Andrew J. SaxonPublication: Journal of Studies on Alcohol and Drugs (Magazine/Journal)Date: January 1, 2007Publisher: Thomson GaleVolume: 68 Issue: 1 Page: 149(8)Distributed by Thomson Gale |
|
