The Chinese version of the Addiction Severity Index (ASI-C): Reliability, validity, and responsiveness in Chinese patients with alcohol dependence

Background: Many clinicians and researchers believe that “craving” an abusable substance is a central phenomenon related to addiction. Craving for alcohol appears to be intimately related to the loss of control over consumption and to compulsive alcohol use. Aim: To compare the scores of obsessive compulsive drinking scale with visual analogue scale, severity of alcohol dependence questionnaire and addiction severity index. Materials and Methods: Literate patients who met DCR-ICD-10 criteria for alcohol dependence syndrome were taken in the study and they must have been drinking alcohol daily till 1 week ago and the subjects were required to consume at least 6 standard drinks per day over the last month. Instruments used in this study were Obsessive Compulsive Drinking Scale – OCDS, Severity of Alcohol Dependence Questionnaire – SADQ, Addiction Severity Index – ASI ,Visual Analogue Scale – VAS, Mini Mental Status Examination – MMSE, Timeline Method – TL. Results: Among 40 patients, the mean age of these patients was 38 yrs (38.55+ 9.60). 95% of them were Hindus and 5 % Christians. 82.5 % were married. And 50% of patients have the income between Rs.15000-20000 per month. The correlation matrix of OCDS variables (OCDS-T,OCDS-O,OCDS-C),ASI-A,SADQ,VAS variables(G,F,I) and TL on all four follow-ups were measured. All correlations were positive and significant at p<0.001.obsessive compulsive drinking scale total score in 2 drinking outcome groups during 8 week treatment period was seen in which there is a difference between in two patient groups at baseline. i.e., abstinent group had lower score than relapse group. This difference was consistently observed between the groups over the entire period of follow-up. Conclusion: Craving was higher among those who relapsed than those who did not. Craving did predict high alcohol consumption and high index of severity at baseline and all through the follow-up.

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A Cross-sectional Study of Psychiatric Comorbidity and Severity of Addiction in Patients with Early- and Late-Onset Alcohol Dependence

Indian Journal of Psychological Medicine ◽

10.1177/0253717620928443 ◽

2020 ◽

Vol 42 (4) ◽

pp. 334-340

Author(s):

Anamika Das ◽

Sujita Kumar Kar ◽

Pawan Kumar Gupta ◽

Pronob Kumar Dalal

Keyword(s):

Alcohol Dependence ◽

Early Onset ◽

Late Onset ◽

Severity Index ◽

Cross Sectional Study ◽

Addiction Severity Index ◽

Cross Sectional ◽

Addiction Severity ◽

Onset Group ◽

Early Onset Group

Background: Alcohol use disorder is a serious health problem with high comorbidities. Early-onset alcohol use has been associated with greater impulsivity, increased severity of dependence, frequent alcohol withdrawal complications, externalizing symptoms, and antisocial behaviors. We aimed to evaluate the psychiatric comorbidities and severity of addiction in early- and late-onset alcohol dependence. Methods: This was a cross-sectional study. All patients fulfilling the diagnostic criteria of alcohol dependence as per International Classification of Diseases (10th edition) were included in it. Semi-Structured Assessment for Genetics of Alcoholism IV was applied to find the age of onset of dependence as per the lifetime frame and also to find comorbidities. Composite International Diagnostic Interview 3.0. was used to find other comorbidities. The severity of addiction was evaluated with Addiction Severity Index, 5th edition. All the sociodemographic and clinical parameters were compared between patients with the early- and late-onset alcohol dependence. Results: Out of the 112 patients screened, 57 met the selection criteria, 26 were with early-onset and 31 with late-onset alcohol dependence. The patients were all males. The patients with early-onset alcohol dependence had a higher family history (P = 0.006) and were nonearning (P = 0.002) in comparison to the group with late-onset dependence. The comorbidity among all patients was 59.6% and 84.2% in current and lifetime frames, respectively. It was significantly higher in the early-onset group, both for current (P = 0.015) and lifetime (P = 0.031) frames. On the domains of Addiction Severity Index 5th edition, the early-onset group had a more severe profile of addiction in all domains except the medical domain. Conclusion: Comorbidity is high among patients with alcohol dependence and is even higher for the early-onset group. The family history was higher in the early-onset group and they have more severe profile of substance use.

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Reliability and Validity of the Chinese Version of the Addiction Severity Index

JAIDS Journal of Acquired Immune Deficiency Syndromes ◽

10.1097/qai.0b013e3181c7dfca ◽

2010 ◽

Vol 53 ◽

pp. S121-S125 ◽

Cited By ~ 11

Author(s):

Wei Luo ◽

Zunyou Wu ◽

Xiaoli Wei

Keyword(s):

Reliability And Validity ◽

Severity Index ◽

Addiction Severity Index ◽

Chinese Version ◽

Addiction Severity

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Co-morbid anxiety disorders predict early relapse after inpatient alcohol treatment

European Psychiatry ◽

10.1016/j.eurpsy.2013.08.006 ◽

2015 ◽

Vol 30 (1) ◽

pp. 128-136 ◽

Cited By ~ 38

Author(s):

A.F.A. Schellekens ◽

C.A.J. de Jong ◽

J.K. Buitelaar ◽

R.J. Verkes

Keyword(s):

Anxiety Disorders ◽

Alcohol Dependence ◽

Severity Index ◽

Addiction Severity Index ◽

Late Relapse ◽

Early Relapse ◽

Addiction Severity ◽

Character Inventory ◽

Relapse Rates ◽

Alcohol Dependent

AbstractIntroduction:Alcohol dependence and anxiety disorders often co-occur. Yet, the effect of co-morbid anxiety disorders on the alcohol relapse-risk after treatment is under debate. This study investigated the effect of co-morbid anxiety disorders on relapse rates in alcohol dependence. We hypothesized that co-morbid anxiety disorders would be particularly predictive for early relapse, but not late relapse.Subjects and methods:In a prospective design, male alcohol dependent patients (n = 189) were recruited from an inpatient detoxification clinic. Psychiatric diagnoses and personality traits were assessed using the Mini International Neuropsychiatric Interview for psychiatric disorders and the Temperament and Character Inventory. The addiction severity index was used to assess addiction severity and follow-up.Results:One year after detoxification, 81 patients (53%) relapsed and nine patients (7%) were deceased, due to alcohol related causes. Co-morbid anxiety disorder, marital status, addiction severity, in particular legal problems, and harm avoidance predicted relapse. Anxiety disorders specifically predicted early relapse.Conclusion:Alcohol dependence is a severe mental disorder, with high relapse rates and high mortality. Alcohol dependent patients with co-morbid anxiety disorders are particularly prone to relapse during the first three months of treatment. These patients may therefore require additional medical and psychological attention.

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