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Psychometric properties of the CAST and SDS scales in young adult cannabis users.

Abstract：

AIM:To assess the validity of two cannabis use severity scales among young cannabis users and to evaluate their ability to detect Substance Use Disorders (SUD). PARTICIPANTS:241 volunteers (18-25 years), with a wide spectrum of cannabis use in the last 12 months. MEASUREMENTS:The Cannabis Abuse Screening Test (CAST) and Severity of Dependence Scale (SDS) were self-administered. The Psychiatric Interview for Substance and Mental Disorders (PRISM) was used as gold standard for cannabis use disorders according to DSM-IV. Reliability and validity were assessed for two different CAST coding algorithms (b-binary and f-full) and for the SDS. In addition, the cannabis use diagnostic criteria contained in the PRISM were grouped to approximate forthcoming proposed DSM-V criteria to further evaluate these scales. FINDINGS:26.6% (95% CI: 21.0-32.2) of the subjects met criteria for cannabis dependence, and 49.0% (95% CI: 42.7-55.3) for cannabis use disorders. For both scales internal consistency (Cronbach's alpha>0.71) and test-retest intraclass correlation coefficients (>0.80) were good. The score 12 in the CAST-full discriminated better than others between presence and absence of dependence (27.0%; 95% CI: 21.4-32.6) while the score for discrimination of SUD was 9 (51.5%; 95% CI: 45.1-57.8). For the SDS the values were 7 (22.0%; 95% CI: 16.8-27.2) and 3 (64.7%; 95% CI: 58.7-70.8), respectively. According to proposed DSM-V criteria, for moderate and severe addiction the values for the CAST-f were 7 (68.5%; 95% CI: 62.5-74.3) and 12 (27%; 95% CI: 21.3-32.6) and for the SDS, 3 (65.0%; 95% CI: 58.7-70.8) and 7 (22%; 95% CI: 17.0-34.3), respectively. CONCLUSIONS:The CAST and SDS applied to young cannabis users are reliable and valid measures to detect cannabis use disorders when compared to both DSM-IV and proposed DSM-V criteria.

journal_name

Addict Behav

journal_title

Addictive behaviors

authors

Cuenca-Royo AM,Sánchez-Niubó A,Forero CG,Torrens M,Suelves JM,Domingo-Salvany A

doi

10.1016/j.addbeh.2012.02.012

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

709-15

issue

6

eissn

0306-4603

issn

1873-6327

pii

S0306-4603(12)00065-2

journal_volume

37

pub_type

杂志文章

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