| Autor: |
Tsai AP; Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill., Youngstrom EA; Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill., Gadow KD; Department of Psychiatry, Stony Brook University., Horwitz SM; Department of Psychiatry, New York University Grossman School of Medicine., Fristad MA; Department of Psychiatry, Nationwide Children's Hospital., Daughters SB; Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill., Young AS; Department of Psychiatry, Johns Hopkins University., Arnold LE; Department of Psychology, Ohio State University., Birmaher B; Department of Psychiatry, University of Pittsburgh Medical Center., Salcedo S; Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill., The Lams Group, Findling RL; Department of Psychiatry, Virginia Commonwealth University. |
| Abstrakt: |
Identifying substance use disorders (SUDs) early and accurately improves case formulation and treatment. Previous studies have investigated validity and reliability of the Child and Adolescent Symptom Inventory (CASI) for anxiety, mood, and behavior problems. The present study's aim was to test if the embedded CASI Substance Use (SU) subscale can discriminate adolescents and young adults (AYA) with and without a SUD diagnosis accurately enough to justify clinical application within an evidence-based assessment framework. N = 479 outpatient AYA (age 14-21) and their caregivers completed K-SADS-PLW semistructured diagnostic interviews; caregivers completed the CASI and adolescents completed a parallel version, the Youth (self-report) Inventory (YI). K-SADS-PLW indicated that 33 youth met Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria for SUDs. Receiver Operating Characteristic (ROC) analyses found that both CASI and YI Substance Use subscale scores significantly identified K-SADS-diagnosed SUDs in AYA: Caregiver area under curve (AUC) = .91, p < .0005; YI(AUC) = .90, p < .0005. There was no significant difference in diagnostic accuracy between informants. Both subscales showed diagnostic and clinical utility in identifying AYA SUDs in outpatient mental health settings. Findings suggest that the CASI-4R subscale could be a helpful screening instrument for AYA SUDs. A case vignette illustrates the clinical application of study findings. Future research should examine rapport as a moderator of reporting accuracy, and replicate use of these measures under varying clinical scenarios. (PsycInfo Database Record (c) 2023 APA, all rights reserved). |
