Journal of Substance Abuse Treatment
Volume 31, Issue 1 , Pages 17-24, July 2006

Predicting DSM-IV dependence diagnoses from Addiction Severity Index composite scores

Portions of the results presented in this article were presented at the 2003 and 2004 annual meetings of the College on Problems of Drug Dependence.

  • Samuel H. Rikoon, B.A.

      Affiliations

    • Treatment Research Institute, Philadelphia, PA, USA
    • ,
  • John S. Cacciola, Ph.D.

      Affiliations

    • Treatment Research Institute, Philadelphia, PA, USA
    • University of Pennsylvania Center for Studies of Addiction, Philadelphia, PA, USA
    • Corresponding Author InformationCorresponding author. Treatment Research Institute, Philadelphia, PA 19106, USA. Tel.: +1 215 399 0980x183; fax: +1 215 399 0987.
    • ,
  • Deni Carise, Ph.D.

      Affiliations

    • Treatment Research Institute, Philadelphia, PA, USA
    • ,
  • Arthur I. Alterman, Ph.D.

      Affiliations

    • University of Pennsylvania Center for Studies of Addiction, Philadelphia, PA, USA
    • ,
  • A. Thomas McLellan, Ph.D.

      Affiliations

    • Treatment Research Institute, Philadelphia, PA, USA
    • University of Pennsylvania Center for Studies of Addiction, Philadelphia, PA, USA

Received 3 February 2006; accepted 17 March 2006.

Abstract 

This study, using data from the Drug Evaluation Network System and a study conducted through the Center for Studies on Addiction of the University of Pennsylvania/Philadelphia Veterans Administration Medical Center, sought to determine the potential of the Addiction Severity Index (ASI) to serve as a screening instrument for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) substance dependence. A significant positive correlation was found between ASI composite scores (CSs) and DSM-IV diagnoses of dependence in both the alcohol (r > .7) and drug (r > .5) domains (p < .01). Receiver operating characteristic analyses were run to predict DSM-IV alcohol and drug dependence diagnoses from the respective ASI CSs. Results showed good to strong prediction; ASI CSs identified dependent clients with approximately 85% sensitivity and 80% specificity. We recommend strategies for using ASI CSs as a diagnostic screening instrument in both research and treatment delivery environments.

Keywords: ASI, Drug dependence, Alochol dependence, DSM-IV

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PII: S0740-5472(06)00083-3

doi:10.1016/j.jsat.2006.03.003

Journal of Substance Abuse Treatment
Volume 31, Issue 1 , Pages 17-24, July 2006

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