成瘾严重程度指数量表第五版的汉化和评价及其在成瘾状况调查中的应用

目的:评价《成瘾严重程度指数量表》第五版汉化版的信度和效度,并用该量表评价美沙酮维持治疗门诊病人的成瘾问题。方法:将英文版Addiction Severity Index(ASI)翻译成中文,并根据国情修订;使用ASI中文版量表在陕西省西安市五家美沙酮维持治疗门诊中选取526名治疗时间超过3个月的病人进行访谈,一周后随机抽取50名再次访谈;并对五家门诊中治疗时间不足1个月的317名病人进行访谈,评估其成瘾情况。结果:ASI中文版量表的克朗巴赫α系数为0.44-0.79,重测信度为0.68-0.84,评分者信度为0.87-0.98;"精神状况"子量表的CSs与"症状自评量表"的相关系数为0.50;"家庭社会关系"子量表与"家庭亲密度和适应性量表中文版"的相关系数为0.45。治疗时间不足1个月病人中除了"医疗状况"和"酒精滥用情况"子量表外,其余5个子量表均有较大比例的病人存在着不同程度的问题或需要咨询/治疗。结论:《成瘾严重程度指数量表》第五版汉化版具有良好的信度和效度;参加维持治疗的病人中很多具有较大的成瘾问题,需要门诊医生采取针对性的治疗措施。

ADAPTATION AND EVALUATION OF CHINESE VERSION OF ADDICTION SEVERITY INDEX- V AND ITS USAGE FOR ASSESSING ADDICTION OF PATIENTS IN METHADONE MAINTENANCE TREATMENT CLINICS

Objective:To validate a Chinese adaptation of the fifth version of the Addiction Severity Index (ASI-V) instrument,and addiction of patients in methadone maintenance treatment was assessed with the version. Methods:ASI was translated into a Chinese version and revised based on its fifth English version. Five hundred and twenty six methadone maintenance treatmant patients who had been in treatment for more than three months in five clinies in Xi’an City,Shanxi Province were interviewed face-to-face by three trained interviewers to evaluate the reliability and validity of ASI Chinese version, and 50 of the 526 patients were reinterviewed for the same purpose. Three hundred and seventeen patients who had been in treatment for less than one month were interviewed with the ASI Chinese version to assess their addiction problems. Results:Across seven domains of the ASI Chinese version, Cronbach’s α coefficients ranged from 0.44 to 0.79, test-retest correlation coefficients ranged from 0.68 to 0.84, inter-rater correlations ranged from 0.87 to 0.98. The correlation coefficient between psychiatric subscale and Symptom Checklist-90(SCL-90) was 0.50. The correlation coefficient between family subscale and Family Adaptability and Cohesion Evaluation Scale Ⅱ-Chinese version(FACES Ⅱ-CV) was 0.45. A large group of patients assessed with the ASI Chinese version had an indication for treatment/serious problems in the domain of Employment,Drug Use,Legal Status, Family or Social Functioning,and Psychological Functioning of the ASI. Conclusion:The ASI Chinese version presents acceptable reliability and validity in a sample of drug-dependent patients. Many of the patients on methadone maintenance treatment have addiction problems and need individual medical treatment.