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Related Experiment Videos

Concurrent and predictive validity of the Substance Dependence Severity Scale (SDSS).

G M Miele1, K M Carpenter, M Smith Cockerham

  • 1Research Assessment Associates, Inc., 60 Haven Avenue, Suite 4D, New York, NY 10032, USA. gmm23@columbia.edu

Drug and Alcohol Dependence
|March 9, 2000
PubMed
Summary

The Substance Dependence Severity Scale (SDSS) accurately measures substance use severity and predicts relapse in treated individuals. This clinician-administered tool shows strong validity for alcohol, cocaine, and heroin dependence.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Addiction Medicine

Background:

  • Assessing substance dependence severity is crucial for effective treatment planning and outcome prediction.
  • Existing measures may not fully capture the complexity of dependence symptoms across various substances.
  • The Substance Dependence Severity Scale (SDSS) was developed to address these needs.

Purpose of the Study:

  • To evaluate the concurrent and predictive validity of the clinician-administered Substance Dependence Severity Scale (SDSS).
  • To assess the SDSS's ability to measure the severity and frequency of DSM-IV dependence symptoms for multiple substances.
  • To examine the relationship between SDSS scores and treatment outcomes, including relapse.

Main Methods:

  • A cohort of 172 treated substance users (107 males, 66 females) was recruited.

Related Experiment Videos

  • Participants underwent initial assessment and 89% received follow-up interviews within 1-6 months.
  • Concurrent validity was assessed using the Addiction Severity Index (ASI); predictive validity examined time to first post-treatment use.

    • Main Results:

    • The SDSS demonstrated significant relationships with other measures of substance use consequences, supporting convergent and discriminant validity for alcohol, cocaine, and heroin.
    • Changes in SDSS scores correlated significantly with changes in other consequence measures over time.
    • SDSS scores were associated with time to first post-treatment use, though the associations were complex.

    Conclusions:

    • The Substance Dependence Severity Scale (SDSS) is a valid and reliable instrument for assessing substance dependence severity.
    • The SDSS shows potential for both concurrent assessment and prediction of relapse in treated substance users.
    • Further research is warranted to explore the complex associations and refine scale applications.