Usefulness and validity of the modified Addiction Severity Index: A focus on alcohol, drugs, tobacco, and gambling

Subst Abus. 2016;37(1):168-75. doi: 10.1080/08897077.2015.1036334. Epub 2015 Jun 25.

Abstract

Background: Individuals who seek treatment for an addictive disorder often exhibit comorbid substance use disorders and/or gambling disorder. The lack of a unique severity assessment instrument might be an obstacle for individuals to access integrated and comprehensive treatment. This paper aimed to examine the usefulness and validity of a modified version of the Addiction Severity Index (mASI) to assess all substance use disorders (including tobacco) and gambling.

Methods: Participants (N = 833) were interviewed with the mASI and completed a validity battery questionnaire. The validity and the reliability of the mASI were examined.

Results: The mASI was reliable, and its 9 assessed domains showed a relative independence, supporting its multidimensionality.

Conclusions: The standardized properties of the mASI permit a comprehensive and systematic assessment of all addictive disorders independent of individuals' perceived problems and treatment settings, hence facilitating personalized treatment planning.

Keywords: Addiction Severity Index; modification; reliability; usefulness; validity.

Publication types

  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Adult
  • Aged
  • Alcoholism / complications
  • Alcoholism / diagnosis*
  • Behavior, Addictive / complications
  • Behavior, Addictive / diagnosis*
  • Female
  • Gambling / complications
  • Gambling / diagnosis*
  • Humans
  • Male
  • Middle Aged
  • Psychometrics
  • Reproducibility of Results
  • Severity of Illness Index*
  • Substance-Related Disorders / complications
  • Substance-Related Disorders / diagnosis*
  • Tobacco Use Disorder / complications
  • Tobacco Use Disorder / diagnosis*
  • Young Adult