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Methadone maintenance detoxification fear: a study of its components
1University of Alabama, Birmingham.
Journal of Clinical Psychology
|November 1, 1992
Summary
A new 27-item Detoxification Fear Survey Schedule (DFSS-27) effectively screens for fear during detoxification in methadone maintenance patients. This improved scale aids intervention planning and outcome measurement for addiction treatment.
Area of Science:
- Psychology
- Addiction Medicine
- Psychometrics
Background:
- Detoxification can induce fear, impacting treatment adherence.
- Existing measures may not adequately capture detoxification fear in methadone maintenance populations.
Purpose of the Study:
- To develop and validate an enhanced version of the Detoxification Fear Survey Schedule (DFSS-14).
- To create a more sensitive and specific tool for assessing detoxification fear.
Main Methods:
- Scale development using two methadone maintenance populations (N=226).
- Validation with a separate sample (N=159) and comparison with the original DFSS-14 in three patient groups.
Main Results:
- A 27-item scale (DFSS-27) emerged from development, with three distinct factors.
- The DFSS-27 demonstrated high classification accuracy for detoxification fear.
- The DFSS-27 showed significantly improved sensitivity compared to the DFSS-14.
Conclusions:
- The DFSS-27 is a valuable screening tool for detoxification fear in methadone maintenance.
- This scale can assist in planning interventions and measuring treatment outcomes.