酒精,吸烟和物质参与查测试在双相情感和精神病障碍中的有效性
Rosalind J Adlard1, Tessa Roos1, Henk Temmingh1
1Department of Psychiatry and Mental Health, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa.
概括
酒精,吸烟和物质参与查测试 (ASSIST) 准确地查双相情感和精神病患者的物质使用障碍. 这项验证证实了ASSIST是早期干预这一脆弱群体的可靠工具.
科学领域:
- 精神病学和心理健康 精神病学和心理健康
- 成 药物 药物 药物 药物
- 临床心理学 临床心理学
背景情况:
- 患有多重情节双极性和精神病障碍的患者经常经历同时发生的物质使用障碍 (SUD),导致不良健康结果.
- 在这个群体中,有效的SUD早期识别对于及时干预至关重要,但缺乏验证的查工具.
- 酒精,吸烟和物质参与查测试 (ASSIST) 是SUDs的一个潜在的简短查工具.
研究的目的:
- 确定ASSIST的有效性和可靠性,用于检测多发症双极性和精神病障碍患者的物质使用障碍.
- 为了在这个特定的患者群体中建立ASSIST的最佳切断分数.
主要方法:
- 该研究使用了DSM-IV轴I障碍 (SCID-I) 的结构化临床访谈作为SUD诊断的黄金标准.
- 通过使用Cronbach的alpha评估ASSIST的内部一致性.
- 使用接收器操作特征 (ROC) 分析评估选属性,确定最佳切断分数以最大限度地提高灵敏度和特异性.
主要成果:
- 总ASSIST物质参与终身得分≥13显示最佳灵敏度和特异性超过74%.
- 确定最佳切断分数为酒精≥4和大麻,甲基胺和其他毒品≥3.
- 接收器运行特征分析表明,在总和特定物质参与得分方面,曲线下的面积为0.7或更高,这意味着良好的区分能力.
结论:
- 酒精,吸烟和物质参与查测试 (ASSIST) 是一种在心理测量上健全和可靠的仪器,用于查多情节双极和精神病障碍患者的物质使用障碍.
- 这项研究提供了ASSIST在该临床群体中的首次验证,支持其用于早期检测和干预.
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