Sixth version of the Addiction Severity Index: Assessing sensitivity to therapeutic change and retention predictors

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2011

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International Journal of Clinical and Health Psychology




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María José Casares-López et al., « Sixth version of the Addiction Severity Index: Assessing sensitivity to therapeutic change and retention predictors », International Journal of Clinical and Health Psychology, ID : 10670/1.igj148


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"The main purpose of this multicenter ex post facto prospective study is to examine the psychometric properties of the Addiction Severity Index version 6.0 (ASI-6) in Spanish outpatients and determine the predictor variables of treatment adherence. A total of 186 outpatients with a substance dependence diagnosis (mean age 40 years; 80% male) were assessed with the ASI-6 and Clinical Global Impression (CGI). Results revealed a moderate decrease in ASI-6 recent summary scores (RSSs) in the Alcohol (t = 4.77; p < .001), Drug (t = 2.01; p = .035), Psychiatric Status (t = 5.47; p < .001) and Family/Social Relationships areas (t = 3.55; p < .001) from baseline to six months. The adjusted odds ratio (OR) related to an increased probability of adherence was 1.23 for the CGI-S score (95% CI 1.10-1.38). On the contrary, lower adherence was predicted by Severity in the Drug Scale with an OR of .95 (95% CI .92-.98). The Spanish ASI-6 appears to be a valid instrument that is sensitive totherapeutic change, providing relevant and reliable information not only about severity of addiction but also about substance abuse treatment adherence prediction."

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