Journal of Substance Abuse Treatment
Volume 14, Issue 6 , Pages 585-591, November 1997

Screening for psychopathology in the clinical practice☆

  • Anne Eland-Goossensen, PhC

      Affiliations

    • Corresponding Author InformationRequests for reprints should be addressed to Anne Eland-Gossensen, Institute for Addiction Research Rotterdam, Heeraadssingel Igu, 3021 DM Rotterdam, The Netherlands
    • Institute for Addiction Research Rotterdam (IVO), Heemraadssingel Igu, 3021 DM Rotterdam, The Netherlands
    • ,
  • Ien Van De Goor, PhD

      Affiliations

    • Institute for Addiction Research Rotterdam (IVO), Heemraadssingel Igu, 3021 DM Rotterdam, The Netherlands
    • ,
  • Henk Garretsen, PhD

      Affiliations

    • Institute for Addiction Research Rotterdam (IVO), Heemraadssingel Igu, 3021 DM Rotterdam, The Netherlands
    • ,
  • Joost Schudel, MD, PhD

      Affiliations

    • Department of Psychiatry, University Hospital Rotterdam, Dr. Molewaterplein 40, 3015 GD Rotterdam, The Netherlands

Received 26 August 1996; received in revised form 21 April 1997; accepted 10 July 1997.

Abstract 

Different instruments are used in clinical practice to assess comorbid psychopathology in addicted individuals. This study is aimed at comparing two of those instruments. In total, 327 heroin- and methadone-addicted individuals were interviewed in three treatment settings and outside treatment. Instruments used are the Addiction Severity Index (ASI) and the Composite International Diagnostic Interview (CIDI). The former instrument results in a general measure of severity of psychopathology, while the latter results in categorical DSM-III-R diagnoses. A comparison of the results show, however, that the two types of data do not agree to a large extent. By using the DSM-III-R data as golden standard, it appeared that a part of the psychopathology cases was missed out by the ASI severity measures. The results, that are especially of interest for clinicians using the ASI, are presented for various disorders.

Keywords:  addiction, heroin, psychopathology, psychiatric interview, assessment

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☆ This study could be realized because of grants by the Nationaal Fonds voor de Geestelijke Volksgezondheid, the Municipality of The Hague and the Trustfonds of the Erasmus University. The authors wish to thank the respondents, Liesbeth Vollemans for her valuable help during the fieldwork and the participating treatment settings, Verslavingscircuit Bloemendaal and Centrum Verslavingzorg Zeestraat.

PII: S0740-5472(97)00186-4

Journal of Substance Abuse Treatment
Volume 14, Issue 6 , Pages 585-591, November 1997

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