Addictive Severity in Cocaine Addicts Measured with the EuropASI: Differences between Composite Scores and Severity Ratings

Autor:	Olaya García-Rodríguez, Roberto Secades-Villa, Francisco Zacarés Romaguera, Francisco José Santonja Gómez, Emilio Sánchez-Hervás
Rok vydání:	2009
Předmět:	Adult Male medicine.medical_specialty Addiction media_common.quotation_subject Reproducibility of Results Medicine (miscellaneous) Severity of Illness Index Social situation Cocaine-Related Disorders Psychiatry and Mental health Clinical Psychology Interview Psychological medicine Humans Female Psychiatry Psychology media_common Clinical psychology
Zdroj:	American Journal on Addictions. 18:375-378
ISSN:	1521-0391 1055-0496
DOI:	10.3109/10550490903077952
Popis:	In this study we present the addiction severity profile in a sample of 202 cocaine addicts, using the composite scores for each area of the EuropASI (European version of the ASI), which are compared with the severity ratings obtained through interviewers' subjective assessments. The results showed that the areas of the EuropASI which reflected the greatest severity according to the composite scores were, in the following order: employment/support, family/social situation, use of alcohol and psychiatric state. The results obtained with the composite scores show discrepancies with those obtained from the severity rating. Statistically significant differences were found in the areas of alcohol (Z = -6.205; p0.001), drugs (Z = -11.902; p0.001), family/social (Z = -6.915; p0.001) and psychiatric status (Z = -6.651; p0.001). The results call into question the reliability and validity of severity ratings obtained through interviewers' subjective assessments. For diagnosis and research, a more objective appraisal is recommended, using composite scores, since severity ratings depend totally on the interviewer's judgement, and do not appear to constitute a sound measure for estimating therapeutic change.
Databáze:	OpenAIRE
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