Verification of the Addiction Severity Index Japanese Version (ASI-J) as a Treatment-Customization, Prediction, and Comparison Tool for Alcohol-Dependent Individuals
Autor: | Aro Ino, Kenji Yanbe, Satoru Saito, Yoshihiro Suzuki, Kazutaka Ikeda, Masanobu Murayama, Toru Ishikawa, Yasukazu Ogai, Aihide Yoshino, Ayako Haraguchi, Eiichi Senoo, Susumu Higuchi, Masaru Murakami, M. Hasegawa |
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Jazyk: | angličtina |
Rok vydání: | 2009 |
Předmět: |
Adult
Male medicine.medical_specialty Health Toxicology and Mutagenesis Drug abuser alcohol dependence lcsh:Medicine Severity of Illness Index Article Addiction severity index Personalization Young Adult Asian People Japan addiction severity index Severity of illness mental disorders medicine Humans In patient Young adult Psychiatry lcsh:R Alcohol dependence Public Health Environmental and Occupational Health japanese Middle Aged Prognosis medicine.disease Substance abuse Alcoholism Psychology Attitude to Health Clinical psychology |
Zdroj: | International Journal of Environmental Research and Public Health Volume 6 Issue 8 Pages 2205-2225 International Journal of Environmental Research and Public Health, Vol 6, Iss 8, Pp 2205-2225 (2009) |
ISSN: | 1660-4601 |
DOI: | 10.3390/ijerph6082205 |
Popis: | Objective: To demonstrate the usefulness of the Addiction Severity Index Japanese Version (ASI-J) in Japanese alcohol-dependent individuals. The ASI is a frequently used clinical and research instrument that measures severities in seven functional domains in people with substance abuse disorders. Methods: A total of 370 male inpatients with a history of alcohol dependence participated in the study. Forty-nine participants were excluded in the final analysis due to lack of reliability (i.e., patient misrepresentation or inability to understand). We used the ASI-J and a series of indexes that determined patient states during and post-treatment. Results: The correlations between ASI Composite Scores (CSs), which were calculated through a weighted formula and indicated the severity of each problem area, were significant but low in eight relations and not significant in 13 relations, indicating substantial independence of the problem areas. Significant differences were found in Family/Social CSs between abstinent and relapsed alcohol-dependent individuals. The questions of undesirable attitude were significantly related to the CSs of Employment, Drug use, Family/Social, and Psychiatric sections. Significant differences were observed in patient demographics, CS, and ASI Severity Rating (SR) and interviewer’s subjective scoring between alcohol-dependent individuals and drug abusers. CSs in Japanese alcohol-dependent individuals were generally similar to corresponding CSs in individuals from other countries, with the exception of The Netherlands. Conclusions: This study demonstrated that the ASI-J is useful for understanding individual profiles of problems for each patient and planning customized treatment. The ASI-J served as a predictive tool for relapse and compliance to treatment afterward and was shown to be useful as a comparison tool in clarifying similarities and differences between substance abuser groups. |
Databáze: | OpenAIRE |
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