Assessing illicit substance use in schizophrenia: The relationship between self report and detection by hair analysis

Abstract Background: This paper examines the validity of self-report of alcohol and other drug use in a South African cohort of pregnant women by comparing simple questioning about alcohol and other drug use (yes/no), a standardized screening tool (Alcohol, Smoking and Substance Involvement Screening Test; ASSIST, and urine analysis. Method: An observational study among women in eleven public prenatal clinics was conducted. Dichotomous verbal screening is a standard of care, and pregnant patients reporting alcohol and substance use in dichotomous verbal screenings were asked to engage in screening using the ASSIST and urinalysis. Results: Significant agreements between dichotomous and ASSIST scores were observed (K = 0.73-0.76). A higher rate of self-reported (36.9%) alcohol use was detected, relative to urine screening (19.6%) with a predictive value of 34.9; while underreporting of illicit substance use was observed (3.6% self-report vs 8.8% urine screening) with an overall predictive value of 50.0. Conclusion: Dichotomous verbal screening was considered valid after comparison with the ASSIST; however, combined use with urine screenings can be recommended especially for identifying illicit substance use in order to accurately detect alcohol and other drug use in pregnancy so that women can be identified and referred for appropriate interventions where needed.

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Validation of simple dichotomous self-report on prenatal alcohol and other drug use in women attending midwife obstetric units in the Cape Metropole, South Africa

Clinical Ethics ◽

10.1177/1477750920928885 ◽

2020 ◽

Vol 15 (4) ◽

pp. 181-186

Author(s):

Petal Petersen Williams ◽

Catherine Mathews ◽

Esmé Jordaan ◽

Yukiko Washio ◽

Mishka Terplan ◽

...

Keyword(s):

South Africa ◽

Substance Use ◽

Drug Use ◽

Pregnant Women ◽

Predictive Value ◽

Self Report ◽

Urine Screening ◽

Illicit Substance ◽

Illicit Substance Use ◽

Prenatal Alcohol

Background This paper examines the degree of agreement among simple dichotomous self-report, validated screening results, and biochemical screening results of prenatal alcohol and other drug use among pregnant women. Method Secondary analysis was conducted on a cohort of pregnant women 16 years or older, presenting for prenatal care in the greater Cape Town, South Africa. Dichotomous verbal screening is a standard of care, and pregnant patients reporting alcohol and other drug use in dichotomous verbal screenings were asked to engage in screening using the Alcohol Smoking and Substance Involvement Screening Test (ASSIST) and urinalysis. Results Significant agreements between dichotomous and ASSIST scores were observed (K = 0.73–0.76). A higher rate of self-reported (36.9%) alcohol use was detected, relative to urine screening (19.6%) with a predictive value of 34.9; while underreporting of illicit substance use was observed (3.6% self-report vs. 8.8% urine screening) with an overall predictive value of 50.0. Conclusion Dichotomous verbal screening was considered valid after comparison with the ASSIST; however, combined use with urine screenings can be recommended especially for identifying illicit substance use in order to accurately detect alcohol and other drug use in pregnancy, so that women can be identified and referred for appropriate interventions where needed.

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Using ICD-10-CM codes to detect illicit substance use: A comparison with retrospective self-report

Drug and Alcohol Dependence ◽

10.1016/j.drugalcdep.2021.108537 ◽

2021 ◽

Vol 221 ◽

pp. 108537

Author(s):

Christopher L. Rowe ◽

Glenn-Milo Santos ◽

Wiley Kornbluh ◽

Sumeet Bhardwaj ◽

Mark Faul ◽

...

Keyword(s):

Substance Use ◽

Self Report ◽

Illicit Substance ◽

Illicit Substance Use ◽

Icd 10

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Self-report of illicit substance use versus urine toxicology results from at-risk pregnant women

Journal of Substance Use ◽

10.3109/14659891003721133 ◽

2010 ◽

Vol 16 (5) ◽

pp. 372-380 ◽

Cited By ~ 21

Author(s):

Kimberly A. Yonkers ◽

Heather B. Howell ◽

Nathan Gotman ◽

Bruce J. Rounsaville

Keyword(s):

At Risk ◽

Substance Use ◽

Pregnant Women ◽

Self Report ◽

Illicit Substance ◽

Illicit Substance Use ◽

Urine Toxicology

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Adolescent Behavioral Characteristics Mediate Familial Effects on Alcohol Use and Problems in College-bound Students

10.31234/osf.io/6m7tu ◽

2019 ◽

Author(s):

April L. Brown ◽

Roberto A. Espana ◽

Chelsie Benca-Bachman ◽

Justine W. Welsh ◽

Rohan Palmer

Keyword(s):

Substance Use ◽

Family History ◽

Alcohol Use ◽

Internalizing Problems ◽

Age Of Onset ◽

Individual Characteristics ◽

Self Report ◽

Illicit Substance ◽

Illicit Substance Use ◽

History Of

Background: Alcohol use and problems are complex behaviours influenced by individual characteristics, such as temperament, mood. Studies suggest a broad spectrum of behaviours associated with drinking, which makes it unclear whether patterns of familial risk for drinking are directly or indirectly related to patterns of alcohol use and problems in late adolescence. Objectives: We examined direct and indirect effects of perceived family history of psychopathology on pre-collegiate alcohol use and problems via the Transmissible Liability Index (TLI).Methods: Participants (N=302; 29.6% male) provided self-report data on age of onset of drinking, past 90-day alcohol use and problems, family history of internalizing and alcohol and illicit substance use, and TLI. Results: Approximately 21% of participants reported having at least one relative with a history of regular and/or problematic alcohol use, compared to 12% for illicit substance use, and ~55% for internalizing problems. Higher TLI scores were associated with increased family history of substance use, alcohol use, and internalizing problems, as well as earlier age of onset of drinking. Family history of internalizing problems was the most robust indicator of AUP (β = 0.20 [95% CI = 0.04 - 0.36], p = 0.01). Path analyses suggested that the individual-level behaviours that comprise TLI mediate the effects of family history on age of initiation and regular alcohol consumption. Conclusions: Family history of internalizing, drinking, and illicit substance use reflect generalized risk for a broad set of behaviours associated with risk for alcohol initiation and use during the transition from high school to college.

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Adolescent Behavioral Characteristics Mediate Familial Effects on Alcohol Use and Problems in College-Bound Students

Substance Abuse Research and Treatment ◽

10.1177/1178221820970925 ◽

2020 ◽

Vol 14 ◽

pp. 117822182097092

Author(s):

April L Brown ◽

Roberto A España ◽

Chelsie E Benca-Bachman ◽

Justine W Welsh ◽

Rohan HC Palmer

Keyword(s):

Substance Use ◽

Family History ◽

Alcohol Use ◽

Internalizing Problems ◽

Age Of Onset ◽

Self Report ◽

Behavioral Characteristics ◽

Illicit Substance ◽

Illicit Substance Use ◽

History Of

Background: Studies suggest a broad spectrum of behaviors associated with drinking. Consequently, it is unclear whether patterns of familial risk for psychopathology are directly or indirectly related to patterns of alcohol use and problems in late adolescence or mediated by behavioral characteristics, such as temperament, mood. Objectives: We examined direct and indirect effects of perceived family history of psychopathology on pre-collegiate alcohol use and problems via the Transmissible Liability Index (TLI). Methods: Participants (N = 302; 29.6% male) provided self-report data on age of onset of drinking, past 90-day frequency of alcohol use and problems (AUP), family history of internalizing and alcohol and illicit substance use, and TLI. Results: Approximately 21% of participants reported having at least one relative with a history of regular and/or problematic alcohol use, compared to 12% for illicit substance use, and −55% for internalizing problems. Higher TLI scores were associated with increased family history of substance use, alcohol use, and internalizing problems, as well as earlier age of onset of drinking. Family history of internalizing problems was the most robust indicator of AUP (β = 0.20 [95% CI = 0.04-0.36], P = .01). Path analyses suggested that the individual-level behaviors that comprise TLI mediate the effects of family history on age of initiation and regular alcohol consumption. Conclusions: Family history of internalizing, drinking, and illicit substance use reflect generalized risk for a broad set of behaviors associated with risk for alcohol initiation and use during the transition from high school to college.

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