Psychometric properties of the Drug Use Disorders Identification Test (DUDIT) with substance abusers in outpatient and residential treatment

Voluse, Andrew C.; Gioia, Christopher J.; Sobell, Linda C.; Dum, Mariam; Sobell, Mark B.; Simco, Edward R.

doi:10.1016/j.addbeh.2011.07.030

Cited by 111 publications

(103 citation statements)

References 27 publications

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“…The AUDIT cut-off score was not based on sensitivity or specificity research, as it is for adults in the general population (Berman et al, 2005). Although a cut-off score for the DUDIT has been recommended in studies assessing problematic use of prescribed drugs (Voluse et al, 2012), whether we appropriately captured users who had a problematic use remains unknown. Another argument is that our participants used psychotropic drugs which are socially acceptable (Johannessen et al, 2015), even if older people have a slower metabolism of medication.…”

Section: Limitationsmentioning

confidence: 99%

“…Total scores range from 0 to 44, with higher scores suggesting a more severe drug problem. In our study, which assessed psychotropic drugs in older people, we used the DUDIT to initially identify any use of prescribed psychotropic drugs and then determine the number of participants meeting a cut-off score of 6 for women and 8 for men (Voluse et al, 2012). Cognitive function was assessed by the Norwegian revised version of the Mini Mental State Examination (MMSE) (Engedal, Laake, Haugen, & Gilje, 1988;Folstein, Folstein, & McHugh, 1975;Strobel & Engedal, 2008).…”

Section: Assessment Of the Patientsmentioning

confidence: 99%

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Alcohol and prescribed psychotropic drug use among patients admitted to a department of old-age psychiatry in Norway

Johannesen

Engedal

Larsen

et al. 2017

Nordic Studies on Alcohol and Drugs

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Background: Although alcohol and prescribed psychotropic drug use has increased among older people, the usefulness of information provided about these substances in patients’ referrals to departments of old-age psychiatry (OAPsy) is unknown. Aims: To examine whether patients’ self-reported elevated use of alcohol and prescribed psychotropic drugs corresponds with information provided in the referrals to OAPsy departments and to explore the factors associated with elevated self-reported use of these substances. Methods: We recorded the information provided in referrals about the elevated use of alcohol and psychotropic drugs in a sample of 206 patients (69 men) from 12 OAPsy departments. The Alcohol Use Disorders Identification Test (AUDIT) and Drug Use Disorders Identification Test (DUDIT) helped to assess self-reported use. We also collected demographic data, as well as information about cognitive functioning and symptoms of anxiety and depression. Results: Seventy-three patients (35%) scored above the cut-off for alcohol use for women/men (AUDIT ≥ 3/4) or psychotropic drugs (DUDIT ≥ 6/8), if not both. Twenty patients (10%) reported an elevated use of both alcohol and psychotropic drugs, and the referrals for eight (40%) and ten (50%) of them, respectively, included information about this use. There was a significant association between self-reported use of alcohol above the cut-off and information about elevated use in the referrals. However, no such association was found between information in the referrals and self-reported use of prescribed psychotropic drugs. Elevated alcohol use was associated with more years of education, while elevated use of psychotropic drugs was associated with younger age and severe symptoms of anxiety and depression. Conclusion: The information reported in referrals about the elevated use of alcohol and psychotropic drugs demonstrated a trend in associations with self-reported use. However, the risk factors for elevated use of alcohol and psychotropic drugs in the elderly need to be examined further.

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Section: Limitationsmentioning

confidence: 99%

Section: Assessment Of the Patientsmentioning

confidence: 99%

Alcohol and prescribed psychotropic drug use among patients admitted to a department of old-age psychiatry in Norway

Johannesen

Engedal

Larsen

et al. 2017

Nordic Studies on Alcohol and Drugs

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“…The DUDIT was selected as a comparison measure for the DAST because it is frequently used in the drug abuse field and has demonstrated sound psychometric properties (10). DUDIT is an 11-item selfreport questionnaire that was developed to screen individuals for drug problems.…”

Section: Drug Use Disorders Identification Test (Dudit)mentioning

confidence: 99%

Psychometric properties of the Drug Abuse Screening Test (DAST-10) in heroin dependent adults and adolescents with drug use disorder

Evren¹,

Can²,

Yılmaz³

et al. 2013

Dusunen Adam

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Psychometric properties of the Drug Abuse Screening Test (DAST-10) in heroin dependent adults and adolescents with drug use disorderObjective: The psychometric properties of the Drug Abuse Screening Test (DAST-10), developed to screen individuals for drug problems, are evaluated in Turkish patients with drug use disorder.Method: Participants included 100 adolescents with drug use disorder in a substance abuse treatment program for adolescents, 123 heroin dependent adults in a residential substance abuse treatment program, and 35 alcohol dependents from the same clinic who did not report a drug abuse problem.Results: The DAST-10 was found to be a psychometrically sound drug abuse screening measure with high convergent validity (r=0.76) when correlation with the Drug Use Disorders Identification Test (DUDIT) was measured and to have a Cronbach's alpha of 0.92. In addition, a single component accounted for 59.35% of total variance, and the DAST-10 had sensitivity and specificity scores of 0.98 and 0.91, respectively, when using the optimal cut-off score of 4. Additionally, the DAST-10 showed good discriminant validity as it significantly differentiated patients with drug use disorder from alcohol dependents. Sonuç: Bu bulgular, DAST-10'un madde kullanım bozukluğu olan Türk hastalarda tek boyutlu yapıda ölçüm yapan geçerli ve güvenilir bir madde kötüye kullanımı tarama ölçeği olduğunu desteklemektedir. Ek klinik popülasyonlarda ve cezaevi ortamlarındaki gibi yüksek riskli popülasyonlarda daha ileri çalışmaların yapılması gerekmektedir.

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“…Voluse, Gioia, Sobell, Dum, Sobell, and Simco [68] suggested a cut-off score of 8, with adequate sensitivity and specificity scores (0.90 and 0.85 respectively). The DUDIT has been shown to be a reliable and valid instrument for measuring drug misuse [67][68][69]. In the current study, the DUDIT had a Cronbach's alpha coefficient of 0.95.…”

Section: The Drug Use Disorder Identification Test (Dudit) [67]mentioning

confidence: 99%

“…Based on the cut-off s for AUDIT scores [63], 58.4% of participants met the criteria for alcohol misuse, and 3.8% of participants met the criteria for alcohol dependence. Based on the cutoff for DUDIT scores [68], 49.8% of participants met the criteria for drug misuse. The most commonly used drug was marijuana or hashish (26.3%), and was followed by cigarettes, cigars, or pipe tobacco (17.7%).…”

Section: Descriptive Analysesmentioning

confidence: 99%

Coping Style as a Moderator of Chronic Loneliness and Substance Use in Emerging Adults

Neill¹,

Brunelle²

2016

J Depress Anxiety

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transition to university/college [20][21][22][23]. Past research on loneliness has revealed that a large portion of the young adult population is frequently lonely [24,25], and more recent prevalence rates for loneliness range from 20% to 30% [26,27]. Individuals manage feelings of loneliness in different ways, and these coping strategies can have a significant influence on behavioural outcomes.Coping is commonly defined as a process which includes cognitive and behavioural efforts to manage external or internal stimuli that are appraised as demanding or beyond the resources of the individual [28][29][30]. Researchers generally categorize coping strategies based on the function of coping efforts. Zuckerman and Gagne [31] proposed a 5-factor model of coping, where adaptive coping is represented by self-help, approach, and accommodation; while maladaptive coping is represented by avoidance and self-punishment [31]. Individuals develop characteristic coping strategies early in childhood and it is suggested that attachment patterns may help explain individual differences in coping strategies. Insecure attachment has been consistently related to maladaptive coping strategies such as withdrawal, avoidance, emotionminimizing, repression, and diversion [32,33]. Adaptive coping strategies have been linked to fewer externalizing problems in adults, while maladaptive coping efforts have been linked to both emotional and behavioural problems [34,35].Research has reported a significant increase in substance use in young adults during the 21 st century [36][37][38]. Alcohol is a particularly AbstractPrimary affective bonds are integral to forming successful close adult relationships and an inadequate sense of belongingness can lead to loneliness. Loneliness and insecure attachment have been consistently related to negative behavioural outcomes, such as substance use which is often used as a means to cope with negative emotions The goal of this study was to examine whether coping may moderate the relationship between attachment security, loneliness, and substance use. Two hundred and nine (209) young adults (18-30 years of age) completed self-report questionnaires measuring attachment security, loneliness, coping style, and level of substance use. In the current sample, 60.3% of participants met the criteria for alcohol misuse and 48.3% met the criteria for drug misuse. Results showed that higher levels of chronic social loneliness predicted higher levels of substance use (p =0. 029), but coping did not moderate this relationship. Higher attachment avoidance predicted higher levels of substance use (p<0.001), while adaptive coping moderated this relationship (p=0.001). Since adaptive coping skills may buffer avoidant individuals against substance misuse, it may be useful for substance use interventions to be tailored, such that avoidant individuals are taught coping skills that promote greater awareness of internal states and lessen feelings of interpersonal distress.Citation: MacNeill LP, DiTommaso E, Brunelle C (2016) [39...

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Psychometric properties of the Drug Use Disorders Identification Test (DUDIT) with substance abusers in outpatient and residential treatment

Cited by 111 publications

References 27 publications

Alcohol and prescribed psychotropic drug use among patients admitted to a department of old-age psychiatry in Norway

Alcohol and prescribed psychotropic drug use among patients admitted to a department of old-age psychiatry in Norway

Psychometric properties of the Drug Abuse Screening Test (DAST-10) in heroin dependent adults and adolescents with drug use disorder

Coping Style as a Moderator of Chronic Loneliness and Substance Use in Emerging Adults

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