Psychometric Properties of the Drug Use Disorders Identification Test (DUDIT) in Heroin Dependent Adults and Adolescents with Drug Use Disorder

Background: Several cardiotoxic substances contribute to the development of heart failure (HF). The burden of comorbid substance use disorders (SUD) among patients with HF is under-characterized. Objectives: To describe the national burden of comorbid SUD (tobacco, alcohol, or drug use disorders) among hospitalized HF patients in the U.S. Methods: We used data from the 2014 National Inpatient Sample to calculate the proportion of hospitalizations for a primary HF admission with tobacco, alcohol, or drug use disorder diagnoses, accounting for demographic factors. Drug use disorder analysis was further sub-divided into specific illicit substance categories. Results: There were a total of 989,080 HF hospitalizations of which 35.3% (n=348,995) had a documented SUD. Tobacco use disorder (TUD) was most common (n= 327,220, 33.1%) followed by drug use disorder (DUD) (n=34,600, 3.5%) and alcohol use disorder (AUD) (n=34,285, 3.5%). Female sex was associated with less TUD (OR 0.59; 95% CI, 0.58-0.60), AUD (OR 0.23; 95% CI, 0.22-0.25) or DUD (OR 0.58; 95% CI 0.55-0.62). Tobacco, alcohol, cocaine, and opioid use disorders were highest among HF patients age 45 to 55, while cannabis and amphetamine use was highest in those <45 years. Native American race (versus White) was associated with increased risk of AUD (OR 1.67; 95% CI 1.27-2.20). Black race was associated with increased risk of AUD (OR 1.09; 95% CI 1.02-1.16) or DUD (OR 1.63; 95% CI 1.53-1.74). Medicaid insurance (versus Medicare) was associated with greater TUD (OR 1.27; 95% CI 1.23-1.32), AUD (OR 1.74; 95% CI 1.62-1.87), and DUD (OR 2.15; 95% CI 2.01-2.30). Decreasing quartiles of median household income were associated with increasing SUD. Conclusions: Comorbid SUD disproportionately affects certain HF populations, including men, younger age groups, lower SES patients, and race/ethnic minorities. Further research on interventions to improve prevention and treatment of SUD among hospitalized HF patients are needed given the high rates of SUD in this population. Systematically screening hospitalized HF patients for SUD may reveal opportunities for treatment and secondary prevention.

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Exploration of the (Interrater) Reliability and Latent Factor Structure of the Alcohol Use Disorders Identification Test (AUDIT) and the Drug Use Disorders Identification Test (DUDIT) in a Sample of Dutch Probationers

Substance Use & Misuse ◽

10.3109/10826084.2014.998238 ◽

2015 ◽

Vol 50 (10) ◽

pp. 1294-1306 ◽

Cited By ~ 12

Author(s):

Martin Hildebrand ◽

Mirthe G. C. Noteborn

Keyword(s):

Alcohol Use ◽

Drug Use ◽

Factor Structure ◽

Interrater Reliability ◽

Alcohol Use Disorders ◽

Latent Factor ◽

Drug Use Disorders ◽

Identification Test

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Problematic Alcohol and Drug Use Is Associated with Low Self-Directedness and Cooperativeness

European Addiction Research ◽

10.1159/000506473 ◽

2020 ◽

Vol 26 (6) ◽

pp. 326-334

Author(s):

Steinn Steingrimsson ◽

Hanne Krage Carlsen ◽

Emil Lundström ◽

Sebastian Lundström ◽

Thomas Nilsson

Keyword(s):

Standard Deviation ◽

Drug Use ◽

Personality Traits ◽

Population Total ◽

Alcohol And Drug Use ◽

Problematic Alcohol ◽

Identification Test ◽

Character Inventory ◽

Disorder Identification ◽

Drug Use Disorder

Background: Personality traits, such as self-directedness (SD) and cooperativeness (CO), may be indicative of problematic alcohol and/or drug use. Objectives: The aim of this study was to quantify the association of substance use with SD and CO in a large cohort of adolescents. Method: A total of 6,917 individuals (58% women) at the age of 18 who had filled in the Alcohol Use Disorder Identification Test (AUDIT) and Drug Use Disorder Identification Test (DUDIT), and the SD and CO scales from the Temperament and Character Inventory, as part of the Child and Adolescent Twin study in Sweden were included in the analyses. Results: High AUDIT scores (>15) were found in 2.4% of the population and high DUDIT scores (>7) in 1.2% of the population. Total score on the AUDIT was negatively correlated (p < 0.001) with SD (r = –0.18) and CO (r = –0.15), as well as total DUDIT with SD (r = –0.11) and CO (r = –0.08). The risk of high AUDIT (>15) and DUDIT (>7) was highest for those with a low (1 standard deviation below mean) SD score (ORs 4.1 and 4.5, p < 0.001) and a low CO score (ORs 3.5 and 4.5, p < 0.001). However, at 1 standard deviation above mean, no association between alcohol or drug use and SD or CO was seen. Using SD and CO scores to predict AUDIT >15 or DUDIT >7 yielded a sensitivity between 62.4 and 71.3% and a specificity between 64.9 and 70.4%. Conclusions: Personality traits of low SD and CO are associated with increased alcohol and drug use. These findings support the notion that personality traits can be used to identify individuals at high risk of substance abuse.

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