Validity of the self-reported drug use section of the addiction severity index and associated factors used under naturalistic conditions
Substance Use & Misuse. 2012-01-04; 47(4): 356-363
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1. Subst Use Misuse. 2012 Mar;47(4):356-63. doi: 10.3109/10826084.2011.640732. Epub
2012 Jan 4.
Validity of the self-reported drug use section of the Addiction Severity Index
and associated factors used under naturalistic conditions.
Denis C(1), Fatséas M, Beltran V, Bonnet C, Picard S, Combourieu I, Daulouède JP,
(1)Laboratoire de Psychiatrie/CNRS USR 3413 Sanpsy, Université Bordeaux Segalen,
The study examined the validity of 1848 self-reported uses of drugs determined
within an Addiction Severity Index interview in comparison with urinalysis
results among drug-dependent subjects undergoing treatment in outpatient clinics
(Aquitaine area, southwest France, 1994-2005). Agreement and kappa statistics
were calculated for each substance. Factors associated with agreement were
defined using a multivariate analysis. The conditional kappa coefficients were
excellent for all substances assessed. The accuracy between self-reports and
urinalysis results was influenced by factors that only slightly affected
conditional kappa coefficients. Clients did not underreport their substance use
in naturalistic clinical assessment conditions.
PMID: 22216906 [Indexed for MEDLINE]