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Severity of Dependence Scale as a Diagnostic Tool for Heroin and Cocaine Dependence

Authors: Gregorio Barrio; Francisco González-Saiz; Jordi Alonso; M. Teresa Brugal; Antònia Domingo-Salvany; Luis de la Fuente; Albert Sanchez-Niubo;

Severity of Dependence Scale as a Diagnostic Tool for Heroin and Cocaine Dependence

Abstract

<i>Aims:</i> Our aim was to further assess the Severity of Dependence Scale (SDS) validity and to identify the cut-off score for a DSM-IV diagnosis of heroin and cocaine dependence through a cross-sectional survey in Barcelona, Spain. <i>Methods:</i> The Psychiatric Research Interview for Substance and Mental Disorders (PRISM) was used as the gold standard. 146 young (18–30 years old) heroin users were recruited from outside the healthcare context, 135 of whom were also current cocaine users. SDS scores were correlated to quantity, frequency and length of drug use. <i>Results:</i> The SDS cut-off point at which there was optimal discrimination of a DSM-IV diagnosis presence was found to be 3 (i.e., a score of 3 or more) for heroin dependence and 4 for cocaine dependence. <i>Conclusions:</i> The study gives further support to SDS dimensional properties and to its validity for rapid assessment of current heroin and cocaine dependence.

Keywords

Questionnaires, Male, validity, Psychometrics, Severity of Illness Index, Cocaine-Related Disorders, Young Adult, male, Surveys and Questionnaires, Interview, Psychological, Humans, heroin dependence, human, Demography, Heroin Dependence, adult, article, major clinical study, Diagnostic and Statistical Manual of Mental Disorders, cocaine dependence, female, psychiatric research interview for substance and mental disorders, priority journal, Spain, Severity of Dependence Scale, diagnostic and statistical manual of mental disorders, psychologic assessment, rating scale

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    48
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Top 10%
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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
48
Top 10%
Top 10%
Top 10%
Green