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28 - Assessment of Substance Use Disorders

from Part III - Assessment and Diagnosis of Specific Mental Disorders

Published online by Cambridge University Press:  06 December 2019

Martin Sellbom
Affiliation:
University of Otago, New Zealand
Julie A. Suhr
Affiliation:
Ohio University
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Summary

Addressing important problems and processes in the assessment of substance use disorders (SUDs), this chapter reviews the types of information necessary for a formal diagnosis of a DSM-5 SUD. In addition, the chapter discusses seven assessment areas that must be examined if a given case is to be well evaluated. These include clinical history, strength of dependence syndrome, impaired volitional control, craving, neuroadaptation, negative consequences and pathological patterns, and stage of change. The origin and research background of each of these constructs are briefly outlined, a favored assessment tool for each is reviewed in detail, and alternative measures are also suggested. The assessment of SUDs is a multidimensional, complex process for which many excellent tools have been, and are still being, developed.

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Publisher: Cambridge University Press
Print publication year: 2019

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References

Allegre, B., Souville, M., Therme, P., & Griffiths, M. (2006). Definitions and measures of exercise dependence. Addiction Research and Theory, 14, 631646.CrossRefGoogle Scholar
Alterman, A. I., Mulvaney, F. D., Cacciola, J. S., Cnaan, A., McDermott, P. A., & Brown, L. S., Jr. (2001). The validity of the interviewer severity rating in groups of ASI interviewers with varying training. Addiction, 96 (9), 12971305.CrossRefGoogle ScholarPubMed
American Psychiatric Association. (1987). Diagnostic and statistical manual of mental disorders (rev. 3rd ed.). Washington, DC: American Psychiatric Association.Google Scholar
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.Google Scholar
American Psychiatric Association. (2004). Diagnostic and statistical manual of mental disorders (rev. 4th ed.). Washington, DC: American Psychiatric Association.Google Scholar
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.Google Scholar
Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., & Monteiro, M. G. (2001). The Alcohol Use Disorders Identification Test (AUDIT): Guidelines for use in primary care. Geneva: World Health Organization.Google Scholar
Balsa, A. I., Seiler, N., McGuire, T. G., & Bloche, M. G. (2003). Clinical uncertainty and healthcare disparities. American Journal of Law and Medicine, 29, 203219.Google Scholar
Bayard, M., McIntyre, J., Hill, K. R., & Woodside, J., Jr. (2004). Alcohol withdrawal syndrome. American Family Physician, 69 (6), 14431450.Google ScholarPubMed
Birley, J. L. T. (1975). The history of psychiatry as the history of an art. British Journal of Psychiatry, 127, 393400.CrossRefGoogle ScholarPubMed
Blume, S. B. (1997). Pathological gambling: Addiction without a drug. In Substance abuse: A comprehensive textbook (3rd ed., pp. 330337). Baltimore, MD: Williams and Wilkins.Google Scholar
Brown, R. I. F. (1988). Models of gambling and gambling addictions as perceptual filters. Journal of Gambling Studies, 3, 224236.Google Scholar
Cash, H., Rae, C. D., Steel, A. H., & Winkler, A. (2012). Internet addiction: A brief summary of research and practice. Current Psychiatry Review, 8 (4), 292298.Google Scholar
Cottler, L. B., Robins, L. N., & Helzer, J. E. (1989). The reliability of the SIDI-SAM: A comprehensive substance abuse interview. British Journal of Addiction, 84 (7), 801814.Google Scholar
Cox, L. S., Tiffany, S. T., & Christen, A. G. (2001). Evaluation of the brief questionnaire of smoking urges (QSU-Brief) in laboratory and clinical settings. Nicotine and Tobacco Research, 3 (1), 716.Google Scholar
de Bruijn, C., van den Brink, W., de Graaf, R., & Vollebergh, W. A. (2005). The craving withdrawal model for alcoholism: Towards the DSM-V. Improving the discriminant validity of alcohol use disorder diagnosis. Alcohol and Alcoholism, 40, 314–22.CrossRefGoogle ScholarPubMed
DeJong, C. A. J., Willems, J. C. E. W., Schippers, G. M., & Hendricks, V. M. (1995). The Addiction Severity Index: Reliability and validity in a Dutch alcoholic population. International Journal of the Addictions, 30, 605616.Google Scholar
DiClemente, C. C., Prochaska, J. O., Fairhurst, S. K., Velicer, W. F., Velasquez, M. M., & Rossi, J. S. (1991). The process of smoking cessation: An analysis of precontemplation, contemplation, and preparation stages of change. Journal of Consulting and Clinical Psychology, 59, 295304.Google Scholar
Dom, G., D’haene, P., Hulstijn, W., & Sabbe, B. (2006). Inpulsivity in abstinent early- and late-onset alcoholics: Differences in self-report measures and a discounting task. Addiction, 101 (1), 5059.Google Scholar
Dougherty, D. M., Marsh, D. M., & Mathias, C. W. (2002). Immediate and delayed memory tasks: A computerized behavioral measure of memory, attention, and impulsivity. Behavioral Research Methods: Instruments and Computers, 34, 391398.Google Scholar
Doyle, S. R., & Donovan, D. M. (2009). A validation study of the Alcohol Dependence Scale. Journal of Studies on Alcohol and Drugs, 70 (5), 689699.Google Scholar
Drake, R. E., McHugo, G. J., & Biesanz, J. C. (1995). The test-retest reliability of standardized instruments among homeless persons with substance use disorders. Journal of Studies on Alcohol, 56, 161167.Google Scholar
Edwards, G., & Gross, M. M. (1976). Alcohol dependence: Provisional description of a clinical syndrome. British Medical Journal, 1, 10581061.Google Scholar
Edwards, S., & Koob, G. F. (2010). Neurobiology of dysregulated motivational systems in drug addiction. Future of Neurology, 5, 393401.Google Scholar
Eysenck, S. B. G, Pearson, P. R., Easting, G., & Allsopp, J. F. (1985). Age norms for impulsiveness, venturesomeness and empathy in adults. Personality and Individual Differences, 6, 613619.Google Scholar
Feingold, A., & Rounsaville, B. (1995). Construct validity of the dependence syndrome as measured by DSM-IV for different psychoactive substances. Addiction, 90, 16611669.CrossRefGoogle ScholarPubMed
Feragne, M., Longabaugh, R., & Stevenson, J. F. (1983). The Psychosocial Functioning Inventory. Evaluation and Health Professions, 6, 2548.Google Scholar
First, M. B., Williams, J. B. W., Karg, R. S., & Spitzer, R. S. (2016). Structured Clinical Interview for DSM-5 Disorders – Clinician version. Washington, DC: American Psychiatric Association.Google Scholar
First, M. B., Williams, J. B. W., Spitzer, R. L., & Gibbons, M. (2007). Structured Clinical Interview for DSM-IV-TR Axis I Disorders. New York: Biometrics Research, New York State Psychiatric Institute.Google Scholar
Gaume, J., Gmel, G., Faouzi, M., & Daeppen, J. B. (2009). Counselor skill influences outcomes of brief motivational interventions. Journal of Substance Abuse Treatment, 37, 151159.Google Scholar
Grant, B. F. (1997). Prevalence and correlates of alcohol use and DSM-IV alcohol dependence in the United States: Results of the National Longitudinal Alcohol Epidemiologic Survey. Journal of Studies on Alcohol, 58, 464473.Google Scholar
Grant, B. F., Goldstein, R. B., Smith, S. M., Jung, J., Zhang, H., Chou, S. P. et al. (2015). The Alcohol Use Disorders and Associated Disabilities Interview Schedule – 5 (AUDADIS-5): Reliability of substance use and psychiatric disorder modules in a general population sample. Drug and Alcohol Dependence, 148, 2733.Google Scholar
Hasin, D. S., Samet, S., Nunes, E., Meydan, J., Matseoane, K., & Waxman, R. (2006). Diagnosis of comorbid disorders in substance users: Psychiatric Research Interview for Substance and Mental Disorders (PRISM-IV): Reliability for substance abusers. American Journal of Psychiatry, 163 (4), 689696.Google Scholar
Heather, N., Gold, R., & Rollnick, S. (1991). Readiness to Change Questionnaire: User’s manual. Sydney: National Drug and Alcohol Research Center and University of New South WalesGoogle Scholar
Helzer, J. E., Bucholz, K. K., & Gossop, M. (2007). A dimensional option for the diagnosis of substance dependence in DSM-V. International Journal of Methods in Psychiatric Research, 16 , Suppl 1, S24S33.CrossRefGoogle ScholarPubMed
Hoffmann, N. G. (2000). CAAPE (Comprehensive Addictions and Psychological Evaluation) manual. Smithfield, RI: Evince Clinical AssessmentsGoogle Scholar
Horn, J., Wanberg, K. W., & Foster, F. M. (1990). Alcohol Use Inventory. San Antonio, TX: PsychCorp.Google Scholar
Jellinek, E. M. (1943). The alcohol problem: Formulations and attitudes. Quarterly Journal of Studies on Alcohol, 4, 446461.Google Scholar
Jellinek, E. M. (1952). Phases of alcohol addiction. Quarterly Journal of Studies on Alcohol, 13, 673684.Google Scholar
Jellinek, E. M. (1960). The disease concept of alcoholism. Highland Park, NJ: Hillhouse Press.CrossRefGoogle Scholar
Joyner, L. M., Wright, J. D., & Devine, J. A. (1996). Reliability and validity of the Addiction Severity Index among homeless substance misusers. Substance Use and Misuse, 31, 729751.Google Scholar
Keyes, K. M., Krueger, R. F., Grant, B. F., & Hasin, D,S. (2011). Alcohol craving and the dimensionality of alcohol disorders. Psychological Medicine, 41, 629640.Google Scholar
Koob, G., & Kreek, M. J. (2007). Stress, dysregulation of drug reward pathways, and the transition to drug dependence. American Journal of Psychiatry, 164, 11491159.Google Scholar
Kosten, T. R., Rounsaville, B. J., Babor, T. F., Spitzer, R. L., & Williams, J. B. (1987). Substance-use disorders in DSM-III-R: Evidence for the dependence syndrome across different psychoactive substances. British Journal of Psychiatry, 151, 834843.Google Scholar
Langenbucher, J., Labouvie, E., Sanjuan, P., Kirisci, L., Bavly, L., Martin, C., & Chung, T. (2004). An application of Item Response Theory analysis to alcohol, cannabis and cocaine criteria in DSM-IV. Journal of Abnormal Psychology, 113 (1), 7280.Google Scholar
Lubman, D. I., Yucel, M., & Pantelis, C. (2004). Addiction, a condition of compulsive behavior? Neuroimaging and neuropsychological evidence of inhibitory dysregulation. Addiction, 99, 14911502.CrossRefGoogle ScholarPubMed
Ludwig, A. M., Wikler, A., & Stark, L. H. (1974). The first drink: Psychobiological aspects of craving. Archives of General Psychiatry, 30, 539547.Google Scholar
Makela, K. (2004). Studies of the reliability and validity of the Addiction Severity Index. Addiction, 99, 398410.Google Scholar
Malloy-Diniz, L. F., de Paula, J. J., Vasconcelos, A. G., Almondes, K. M., Pessoa, R., Faria, L. et al. (2015). Normative data of the Barratt Impulsiveness Scale 11 (BIS-11) for Brazilian adults. Brazilian Journal of Psychiatry, 37 (3), 245248.Google Scholar
Mamelli, M., & Luscher, C. (2011). Synaptic plasticity and addiction: Learning mechanisms gone awry. Neuropsychopharmacology, 61 (7), 10521059.Google Scholar
Marsh, J. C., Angell, B., Andrews, C. M., & Curry, A. (2012). Client-provider relationship and treatment outcome: A systematic review of substance abuse, child welfare, and mental health services research. Journal of the Society of Social Work and Research, 3 (4), 233267.Google Scholar
McConnaughy, E. A., Prochaska, J. O., & Velicer, W. F. (1983). Stages of change in psychotherapy: Measurement and sample profiles. Psychotherapy, 20, 368375.Google Scholar
McLellan, A. T., Cacciola, J. C., Alterman, A. I., Rikoon, S. H., & Carise, D. (2006). The Addiction Severity Index at 25: Origins, contributions and transitions. American Journal on Addictions, 15(2), 113124.Google Scholar
McLellan, A. T., Kushner, H., Metzger, D., Peters, R., Smith, I., Grissom, G., Pettinati, H., & Argeriou, M. (1992). The fifth edition of the Addiction Severity Index. Journal of Substance Abuse Treatment, 9, 199213.Google Scholar
McLellan, A. T., Luborsky, L, Woody, G. E., & O’Brien, C. P. (1980). An improved diagnostic evaluation instrument for substance abuse patients: The Addiction Severity Index. Journal of Nervous and Mental Disease, 168(1), 2633.CrossRefGoogle Scholar
Meier, P. S., Barrowclough, C., & Donmallo, M. C. (2015). The role of the therapeutic alliance in the treatment of substance misuse: A critical review of the literature. Addiction, 100 (3), 304316.Google Scholar
Miller, W. R., & Tonigan, J. S. (1996). Assessing drinkers’ motivation for change: The Stages of Change Readiness and Treatment Eagerness Scale (SOCRATES). Psychology of Addictive Behaviors, 10, 8189.CrossRefGoogle Scholar
Miller, W. R., Tonigan, J. S. & Longabaugh, R. (1995). The Drinker Inventory of Consequences (DrInC): An instrument for assessing adverse consequences of alcohol abuse (Project MATCH Monograph Series, Vol. 4. DHHS Publication No. 95–3911.) Rockville, MD: National Institute on Alcohol Abuse and Alcoholism.Google Scholar
Mitchell, A. J., Meader, N., Bird, V., & Rizzo, M. (2012). Clinical recognition and recording of alcohol disorders by clinicians in primary and secondary care: Meta-analysis. British Journal of Psychiatry, 201 (2), 93100.Google Scholar
Mitchell, D., & Angelone, D. J. (2006). Assessing the validity of the Stages of Change Readiness and Treatment Eagerness Scale with treatment-seeking military service member. Military Medicine, 171, 900904.Google Scholar
Nathan, P. E., Skinstad, A. H., & Langenbucher, J. W. (1999). Substance abuse: Diagnosis, comorbidity, and psychopathology. In Millon, T., Blaney, P. H., & Davis, R. D. (Eds.), Oxford textbook of psychopathology (pp. 227248). New York: Oxford University Press.Google Scholar
Norcross, J. C., Krebs, P. M., & Prochaska, J. O. (2011). Stages of change. Journal of Clinical Psychology, 67, 143154.CrossRefGoogle ScholarPubMed
O’Connor, P. G., Nyquist, J. G., & McLellan, A. T. (2011). Integrating addiction medicine into graduate medical education in primary care: The time has come. Annals of Internal Medicine, 154, 56–9.Google Scholar
O’Malley, S. S., & Maisto, S. A. (1984). Factors affecting the perception of intoxication: Dose, tolerance, and setting. Addictive Behaviors, 2, 111120.CrossRefGoogle Scholar
Patton, J. H., Stanford, M. S., & Barratt, E. S. (1995). Factor structure of the Barratt Impulsiveness Scale. Journal of Clinical Psychology, 51, 768774.Google Scholar
Pomerleau, O. F., Fertig, J. B., & Shanahan, S. O. (1983). Nicotine dependence in cigarette smoking: An empirically-based, multivariate model. Pharmacology, Biochemistry and Behavior, 19, 291299.CrossRefGoogle ScholarPubMed
Prochaska, J. O., & DiClemente, C. C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Consulting and Clinical Psychology, 51, 390395.Google Scholar
Rinn, W., Desai, N., Rosenblatt, H., & Gastfriend, D. R. (2002). Addiction denial and cognitive dysfunction: A preliminary investigation. Journal of Neuropsychiatry and Clinical Neuroscience, 14, 52–7.Google Scholar
Robinson, T. E., & Berridge, K. C. (2008) Review. The incentive sensitization theory of addiction: Some current issues. Philosophical Transactions of the Royal Society, London: B Biological Sciences, 363, 31373146.Google Scholar
Rogers, R. (2018). Handbook of Diagnostic and Structured Interviewing (Amazon ePub RK–41182).Google Scholar
Selzer, M. I. (1971). The Michigan Alcoholism Screening Test (MAST): The quest for a new diagnostic instrument. American Journal of Psychiatry, 127, 16531658.CrossRefGoogle Scholar
Shaw, J. M., Kolesar, G. S., Sellers, E. M., Kaplan, H. L., & Sandor, P. (1981). Development of optimal treatment tactics for alcohol withdrawal. I. Assessment and effectiveness of supportive care. Journal of Clinical Psychopharmacology, 1, 382387.Google Scholar
Skinner, H. A. (1982). The Drug Abuse Screening Test. Addictive Behaviors, 7, 363371.Google Scholar
Skinner, H. A., & Horn, J. L. (1984). Alcohol Dependence Scale: User’s guide. Toronto: Addiction Research Foundation.Google Scholar
Spinella, M. (2007). Normative data and a short form of the Barratt Impulsiveness Scale. International Journal of Neuroscience, 177, 359368.Google Scholar
Stanford, M. S., Mathias, C. W., Dougherty, D. M., Lake, S.L, Anderson, N.E., & Patton, J.H. (2009). Fifty years of the Barratt Impulsiveness Scale: An update and review. Personality and Individual Differences, 47, 385395.CrossRefGoogle Scholar
Stockwell, T., Murphy, D., & Hodgson, R. (1983). The severity of alcohol dependence questionnaire: Its use, reliability and validity. British Journal of Addiction, 78 (2), 145156.Google Scholar
Sullivan, J. T., Sykora, K., Schneiderman, J., Naranjo, C. A., & Sellers, E. M. (1989). Assessment of alcohol withdrawal: The revised Clinical Institute Withdrawal Assessment for Alcohol scale (CIWA-Ar). British Journal of Addiction, 84 (11), 11531157.Google Scholar
Szmukler, G. I. (1987). Some comments on the link between anorexia nervosa and affective disorder. International Journal of Eating Disorders, 6, 181189.Google Scholar
Tiffany, S. T., & Drobes, D. J. (1991). The development and initial validation of a questionnaire on smoking urges. British Journal of Addiction, 86, 14671476.Google Scholar
Tiffany, S. T., & Wray, J. M. (2012). The clinical significance of drug craving. Annals of the New York Academy of Sciences, 1248, 117.Google Scholar
Verbruggen, F., & Logan, G. D. (2008). Response inhibition in the stop-signal paradigm. Trends in Cognitive Science, 12 (11), 418424.Google Scholar
Weisner, C., McLellan, A. T., & Hunkeler, M. A. (2000). Addiction Severity Index data from general membership and treatment samples of HMO members: One case of norming the ASI. Journal of Substance Abuse Treatment, 19 (2), 103109.Google Scholar
Wertz, J. S., Cleaveland, B. I., & Stephens, R. S. (1995). Problems in the application of the Addiction Severity Index (ASI) in rural substance abuse services. Journal of Substance Abuse, 7, 175188.Google Scholar
Zhang, A. Y., Harmon, J. A., Werkner, J., & McCormick, R. A. (2004). Impacts of motivation for change on the severity of alcohol use by patients with severe and persistent mental illness. Journal of Studies on Alcohol, 65(3), 392397.Google Scholar

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