Sherman M F, Bigelow G E
Johns Hopkins School of Medicine/Francis Scott Key Medical Center, Baltimore, MD 21224.
Drug Alcohol Depend. 1992 Apr;30(1):1-11. doi: 10.1016/0376-8716(92)90030-g.
Recent reviews conclude that there is some evidence that drug abusers' self-reports are reliable and valid. However, there are wide variations among studies depending upon the samples and procedures used to obtain the data. The current study was conducted to extend the findings in this area. An examination of the intake interviews and same day urinalyses on 150 patients enrolling for outpatient opioid detoxification or maintenance revealed a fairly high agreement between drug use self-reports and urinalyses. A second study (N = 70) looking at the validity of self-reported drug use at intake and at 4 weeks follow-up revealed some noticeable changes in validity measures, suggesting that contingencies on positive urine results influence self reported drug use of addicts.
近期的综述得出结论，有一些证据表明药物滥用者的自我报告是可靠且有效的。然而，根据用于获取数据的样本和程序不同，各研究之间存在很大差异。开展本研究是为了扩展该领域的研究结果。对150名参加门诊阿片类药物戒毒或维持治疗的患者进行的入院访谈和当日尿液分析检查显示，药物使用自我报告与尿液分析之间的一致性相当高。第二项研究（N = 70）考察了入院时及随访4周时自我报告的药物使用情况的有效性，结果显示有效性指标有一些明显变化，这表明尿液检测呈阳性的相关情况会影响成瘾者自我报告的药物使用情况。
