Stinchfield Randy
Department of Psychiatry, University of Minnesota, USA.
Addict Behav. 2002 Jan-Feb;27(1):1-19. doi: 10.1016/s0306-4603(00)00158-1.
The South Oaks Gambling Screen (SOGS) was originally developed to screen for pathological gambling in clinical settings; however, its use has expanded to other purposes, settings, and populations, including prevalence studies of pathological gambling in the general population. Questions have been raised about the accuracy of the SOGS with its use in these new settings and populations. The purpose of this study is to examine current estimates of the reliability, validity, and classification accuracy of the SOGS in two different samples: (a) a general population sample (N= 803) and (b) a gambling treatment sample (N = 1,589). DSM-IV diagnostic criteria served as the standard against which to measure the SOGS classification accuracy and both the SOGS and DSM-IV diagnostic criteria were administered to participants. The SOGS was found to have satisfactory reliability with coefficient alphas of .69 and .86 in the general population and gambling treatment samples, respectively. The SOGS demonstrated satisfactory validity by differentiating between the general population and the gambling treatment sample and by exhibiting high correlations with DSM-IV diagnostic criteria and moderate correlations with other measures of gambling problem severity. The SOGS demonstrated good to excellent classification accuracy in the gambling treatment sample, but had poorer accuracy in the general population sample with a 50% false positive rate. The SOGS overestimated the number of pathological gamblers in the general population, as compared to DSM-IV diagnostic criteria.
南奥克斯赌博筛查量表(SOGS)最初是为在临床环境中筛查病态赌博而开发的;然而,其用途已扩展到其他目的、环境和人群,包括普通人群中病态赌博的患病率研究。对于SOGS在这些新环境和人群中的使用准确性,人们提出了疑问。本研究的目的是在两个不同样本中检验当前对SOGS的信度、效度和分类准确性的估计:(a)一个普通人群样本(N = 803)和(b)一个赌博治疗样本(N = 1,589)。《精神疾病诊断与统计手册》第四版(DSM-IV)的诊断标准作为衡量SOGS分类准确性的标准,并且将SOGS和DSM-IV诊断标准都应用于参与者。结果发现,在普通人群样本和赌博治疗样本中,SOGS的信度令人满意,其系数α分别为0.69和0.86。通过区分普通人群和赌博治疗样本,以及通过与DSM-IV诊断标准呈现高度相关性和与其他赌博问题严重程度的测量方法呈现中度相关性,SOGS显示出令人满意的效度。在赌博治疗样本中,SOGS显示出良好到优秀的分类准确性,但在普通人群样本中的准确性较差,假阳性率为50%。与DSM-IV诊断标准相比,SOGS高估了普通人群中病态赌徒的数量。