Psychometric properties of the sixth version of the Addiction Severity Index (ASI-6) in Brazil / Propriedades psicométricas da sexta versão da Escala de Gravidade de Dependência (ASI-6) no Brasil
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
; 34(1): 24-33, Mar. 2012. tab
Article
in English
| LILACS
| ID: lil-617125
Responsible library:
BR1.1
ABSTRACT
BACKGROUND:
There are few research tools in Brazil to assess more broadly the alcohol and other drug related problems.OBJECTIVE:
To test the psychometric properties of ASI in its sixth version (ASI-6).METHODS:
A multicenter cross-sectional study was conducted in four Brazilian state capitals. Four research centers interviewed 150 adult inpatients or outpatients, and one research center interviewed 140 patients. A total of 740 substance abusers were selected. Training and supervision of interviewers were performed to assure the quality of dada collected.RESULTS:
Most areas of the ASI showed good reliability between the instrument and the interviewers, with no statistically significant differences between the ASI-6 Summary Scores for Recent Functioning (SS-Rs) of both interviews. Cronbach's alpha for ASI-6 subscales ranged from 0.64 to 0.95. Correlations between the ASI-6 Alcohol and Drug scores and the concurrent instrument (ASSIST) were high (0.72 and 0.89, respectively). There was a significant negative correlation between the scores in psychiatric, medical and drug areas and the scores of WHOQOL.CONCLUSION:
Analysis of the psychometric properties of ASI-6 both in outpatients and inpatients in Brazil indicate a good reliability and validity of this instrument for the Brazilian culture. The development of this instrument in Brazil is an important advancement, which will certainly have implications for the prevention, clinical research, and social rehabilitation fields.RESUMO
INTRODUÇÃO:
Existem poucos instrumentos de pesquisa no Brasil que avaliam de forma mais ampla os problemas relacionados ao álcool e a outras drogas.OBJETIVO:
Testar as propriedades psicométricas da ASI, em sua sexta versão (ASI-6).MÉTODOS:
Um estudo transversal e multicêntrico foi conduzido em quatro capitais de estados brasileiros. Quatro centros de pesquisa entrevistaram 150 pacientes adultos internados ou em tratamento ambulatorial. Foram selecionados um total de 740 abusadores de substâncias. A qualidade dos dados coletados foi assegurada pelo treinamento e supervisão aos entrevistadores.RESULTADOS:
A maioria das áreas da ASI mostraram boa confiabilidade entre o instrumento e os entrevistadores, sem diferenças estatisticamente significativas entre os Escores Sumários de Funcionamento Recente da ASI-6. O alfa de Cronbach para as subescalas da ASI-6 variou de 0,64 a 0,95. Correlações entre os escores da área Álcool e Drogas da ASI-6 e o instrumento concorrente (ASSIST) foram altas (0,72 e 0,89, respectivamente). Existiu uma correlação negativa estatisticamente significativa entre os escores nas áreas psiquiátrica, médica e drogas, e os escores da WHOQOL.CONCLUSÃO:
A análise das propriedades psicométricas da ASI-6 tanto em sujeitos internados quanto em tratamento ambulatorial no Brasil apontam para uma boa confiabilidade e validade deste instrumento para a cultura brasileira.
Full text:
Available
Collection:
International databases
Health context:
SDG3 - Health and Well-Being
/
SDG3 -Target 3.5 Prevention and treatment of consumption of psychoactive substances
Health problem:
Target 3.5: Prevention and treatment of consumption of psychoactive substances
/
Alcohol
Database:
LILACS
Main subject:
Psychiatric Status Rating Scales
/
Severity of Illness Index
/
Behavior, Addictive
/
Substance-Related Disorders
/
Alcoholism
Type of study:
Controlled clinical trial
/
Observational study
/
Prevalence study
/
Risk factors
Limits:
Adult
/
Female
/
Humans
/
Male
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
Braz. J. Psychiatry (São Paulo, 1999, Impr.)
Journal subject:
Psychiatry
Year:
2012
Document type:
Article
Affiliation country:
Brazil
/
United States
Institution/Affiliation country:
Universidade Federal de São Paulo/BR
/
Universidade Federal do Rio Grande do Sul/BR
/
Universidade Federal do Rio de Janeiro/BR
/
University of Pennsylvania/US