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Related Experiment Videos

The validity of self-reported heroin use

R N Bale, W W van Stone, T M Engelsing

    The International Journal of the Addictions
    |December 1, 1981
    PubMed
    Summary

    This study found that self-reported heroin use among male veterans was often accurate, especially when corroborated by urine tests. Longer treatment, particularly therapeutic communities, improved truthful reporting of drug use.

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    Area of Science:

    • Addiction Research
    • Clinical Psychology
    • Public Health

    Background:

    • Heroin addiction remains a significant public health concern, particularly among veteran populations.
    • Accurate self-reporting of substance use is crucial for effective treatment and research.
    • Assessing the reliability of self-reported heroin use is vital for understanding addiction patterns.

    Purpose of the Study:

    • To evaluate the accuracy of self-reported heroin use in male veterans.
    • To determine the correlation between self-reported use and objective measures (urine tests).
    • To identify factors influencing the veracity of self-reported drug use.

    Main Methods:

    • A 2-year follow-up study involving 272 male veteran heroin addicts.
    • Interviews assessing recent heroin use.
    • Urine sample analysis for opiate detection.
    • Assessment of interviewer's subjective impressions regarding report veracity.

    Main Results:

    • 84% of veterans reporting no heroin use in 3 months had negative opiate urine tests.
    • 78% reporting no use in the prior week also had negative urine tests.
    • Interviewer impressions were valuable in predicting self-report accuracy.

    Conclusions:

    • Self-reported heroin use in male veterans demonstrates a notable degree of accuracy when validated by objective testing.
    • Factors such as longer-term treatment engagement, especially within therapeutic communities, are associated with more truthful self-reporting of heroin use.

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