Strong David R, Lesieur Henry R, Breen Robert B, Stinchfield Randy, Lejuez C W
Brown University, Providence, RI, USA.
Addict Behav. 2004 May;29(3):465-81. doi: 10.1016/j.addbeh.2003.08.017.
The South Oaks Gambling Screen (SOGS: [Am. J. Psychiatr. 144 (1987) 1184]) is one of the most widely used measures of gambling problems in epidemiological studies and clinical evaluations. In the current paper, we were able to examine the SOGS using a Rasch model with data obtained from a representative community sample and a large clinical sample. The SOGS demonstrated significant stability across community and clinical samples despite the sample differences in gambling behaviors and demographic characteristics. In the clinical sample, we demonstrated the significant agreement between DSM-IV- and SOGS-based estimates of each person's level of gambling problem severity. However, the relative severity of DSM-IV and SOGS symptoms suggests that the measures tap somewhat different and overlapping regions of the latent continuum. We estimate that the DSM-IV reliably separates three levels of gambling problem severity and provides corresponding cut scores for a SOGS scale composed of 15 sample-invariant items. Recommendations for a relaxed cut score on the DSM-IV and reduced set of SOGS items are discussed.
南奥克斯赌博筛查量表（SOGS：[《美国精神病学杂志》144（1987）1184]）是流行病学研究和临床评估中使用最广泛的赌博问题测量工具之一。在本文中，我们能够使用拉施模型，通过从代表性社区样本和大型临床样本中获得的数据来检验SOGS。尽管社区样本和临床样本在赌博行为和人口统计学特征方面存在差异，但SOGS在这两个样本中都显示出显著的稳定性。在临床样本中，我们证明了基于《精神疾病诊断与统计手册》第四版（DSM-IV）和SOGS对每个人赌博问题严重程度的评估之间存在显著一致性。然而，DSM-IV和SOGS症状的相对严重程度表明，这两种测量方法在潜在连续体上所涉及的区域有所不同且存在重叠。我们估计，DSM-IV能够可靠地区分三个赌博问题严重程度等级，并为一个由15个样本不变项目组成的SOGS量表提供相应的划界分数。文中还讨论了关于放宽DSM-IV的划界分数以及减少SOGS项目数量的建议。
