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Problems assessment for substance using psychiatric patients: development and initial psychometric evaluation.

Kate B Carey¹, Lisa J Roberts, Daniel R Kivlahan

¹Syracuse University, Center for Health and Behavior, 430 Huntington Hall, Syracuse, NY 13244-2340, USA. kbcarey@psych.syr.edu

Drug and Alcohol Dependence

|July 1, 2004

Summary

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A new scale, the Problems Assessment for Substance Using Psychiatric Patients (PASUPP), effectively measures substance use problems in individuals with co-occurring mental and substance use disorders. This tool aids in assessment and outcome evaluation.

Area of Science:

Psychiatry
Psychometrics
Addiction Medicine

Background:

Individuals with co-occurring mental health and substance use disorders face significant challenges.
Existing measures do not adequately address the specific problems of this population.
The Problems Assessment for Substance Using Psychiatric Patients (PASUPP) was developed to fill this gap.

Purpose of the Study:

To describe the development and factor structure of the PASUPP.
To provide initial evidence of the PASUPP's reliability and validity.
To offer a specialized tool for assessing substance use problems in psychiatric patients.

Main Methods:

An initial pool of 54 items was created from existing measures and new items.
239 patients with documented psychiatric and substance use disorders participated.

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Participants rated the occurrence of problems and completed additional substance use measures.

Main Results:

Item analysis reduced the scale to 50 items.
The PASUPP demonstrated strong internal consistency (alpha = 0.97) and unidimensionality.
Moderate correlations with other measures supported the scale's validity for substance problem severity.

Conclusions:

The PASUPP shows promising psychometric properties for a population-specific measure.
This scale can be valuable for initial assessments of substance using psychiatric patients.
The PASUPP may also be useful for evaluating treatment outcomes in this population.