The Addiction Severity Index as a screen for trauma and posttraumatic stress disorder. (alcoholism): An article from: Journal of Studies on Alcohol
Book Details
PublisherAlcohol Research Documentation, Inc.
ISBN / ASINB00097IVPU
ISBN-13978B00097IVP8
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Description
This digital document is an article from Journal of Studies on Alcohol, published by Alcohol Research Documentation, Inc. on January 1, 1998. The length of the article is 6333 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.
From the author: Objective: The Addiction Severity Index (ASI) includes items to assess patients' history of trauma (physical or sexual). The goal of this study was to assess the sensitivity and specificity of those questions in relation to the Trauma History Questionnaire (THQ), a more thorough measure of lifetime trauma and, in addition, to an actual post-traumatic stress disorder (PTSD) diagnosis. Method: At the start of treatment cocaine dependent outpatients (N = 110, 65.5% male) were assessed on the ASI, the THQ and a FITSD symptom checklist as part of a multisite clinical trial. Results: Specificity of the ASI questions was higher than sensitivity for both sexual trauma (specificity = .96, sensitivity = .46) and physical trauma (specificity = .71, sensitivity = .50), while for PTSD the sensitivity of the ASI (.91) was higher than its specificity (.43). Other findings indicated that patients were more likely to report trauma on the THQ than on the ASI (which may be due to the self-report format of the THQ); that the ASI was better at assessing sexual than assessing physical trauma; and that the higher the number of ASI trauma items endorsed, the more likely was the PTSD diagnosis. Finally, PTSD patients had greater severity than non-PTSD patients on other ASI items (e.g., psychological severity, need for treatment). Conclusions: The ASI trauma questions show stronger utility as a screen for PTSD than for trauma. Results of the study are discussed in light of ways to modify the ASI to screen more accurately for trauma, clinical implications, and limitations of the study method. (J. Stud. Alcohol 59: 56-62, 1998)
From the supplier: The aim of the Addiction Severity Index (ASI) was to assess patients' history of trauma such as physical or sexual. It was also developed to provide a standardized evaluation for patients beginning substance abuse treatment. It measures the severity of the problem in relation to family, social, legal, psychological, employment, and medical problems. The ASI was evaluated as a means of trauma assessment by comparison with the Trauma History Questionnaire and actual diagnosis of posttraumatic stress disorder.
Citation Details
Title: The Addiction Severity Index as a screen for trauma and posttraumatic stress disorder. (alcoholism)
Author: Lisa M. Najavits
Publication:Journal of Studies on Alcohol (Refereed)
Date: January 1, 1998
Publisher: Alcohol Research Documentation, Inc.
Volume: v59 Issue: n1 Page: p56(7)
Distributed by Thomson Gale
From the author: Objective: The Addiction Severity Index (ASI) includes items to assess patients' history of trauma (physical or sexual). The goal of this study was to assess the sensitivity and specificity of those questions in relation to the Trauma History Questionnaire (THQ), a more thorough measure of lifetime trauma and, in addition, to an actual post-traumatic stress disorder (PTSD) diagnosis. Method: At the start of treatment cocaine dependent outpatients (N = 110, 65.5% male) were assessed on the ASI, the THQ and a FITSD symptom checklist as part of a multisite clinical trial. Results: Specificity of the ASI questions was higher than sensitivity for both sexual trauma (specificity = .96, sensitivity = .46) and physical trauma (specificity = .71, sensitivity = .50), while for PTSD the sensitivity of the ASI (.91) was higher than its specificity (.43). Other findings indicated that patients were more likely to report trauma on the THQ than on the ASI (which may be due to the self-report format of the THQ); that the ASI was better at assessing sexual than assessing physical trauma; and that the higher the number of ASI trauma items endorsed, the more likely was the PTSD diagnosis. Finally, PTSD patients had greater severity than non-PTSD patients on other ASI items (e.g., psychological severity, need for treatment). Conclusions: The ASI trauma questions show stronger utility as a screen for PTSD than for trauma. Results of the study are discussed in light of ways to modify the ASI to screen more accurately for trauma, clinical implications, and limitations of the study method. (J. Stud. Alcohol 59: 56-62, 1998)
From the supplier: The aim of the Addiction Severity Index (ASI) was to assess patients' history of trauma such as physical or sexual. It was also developed to provide a standardized evaluation for patients beginning substance abuse treatment. It measures the severity of the problem in relation to family, social, legal, psychological, employment, and medical problems. The ASI was evaluated as a means of trauma assessment by comparison with the Trauma History Questionnaire and actual diagnosis of posttraumatic stress disorder.
Citation Details
Title: The Addiction Severity Index as a screen for trauma and posttraumatic stress disorder. (alcoholism)
Author: Lisa M. Najavits
Publication:Journal of Studies on Alcohol (Refereed)
Date: January 1, 1998
Publisher: Alcohol Research Documentation, Inc.
Volume: v59 Issue: n1 Page: p56(7)
Distributed by Thomson Gale
