Senoo Eiichi, Ogai Yasukazu, Haraguchi Ayako, Kondo Ayumi, Ishibashi Yoko, Umeno Mitsuru, Kikumoto Hirotsugu, Hori Toru, Komiyama Tokutaro, Kato Riki, Aso Katsuro, Asukai Nozomu, Wada Kiyoshi, Saitoh Satoru, Ikeda Kazutaka
Division of Social Psychiatry, Tokyo Institute of Psychiatry, 2-1-8 Kamikitazawa Setagaya-ku, Tokyo 156-8585, Japan.
Nihon Arukoru Yakubutsu Igakkai Zasshi. 2006 Aug;41(4):368-79.
The Addiction Severity Index (ASI) is a frequently used clinical and research instrument that collects data from substance abusers in seven problem areas: medical, employment, alcohol, drug use, legal, family-social functioning, and psychiatric status. In each area, the ASI provides a composite score and severity rating that estimate the seriousness of the problem and the client's need for treatment. In the present study, we investigated the reliability and validity of the Japanese version of the ASI (ASI-J). One hundred and eleven subjects with a history of drug abuse were interviewed with a test battery including the ASI with informed consent. This revealed that: (a) the problem areas were independent of each other, underscoring the need for multidimensional assessment, (b) the inter-rater correlation of severity ratings in each area ranged from 0.68 to 0.99, and Cronbach's alpha coefficient for the items used for the composite score in each area ranged from 0.57 to 0.86, indicating their reliability with the exception of the drug and employment areas, and (c) several composite scores were significantly correlated with the drug craving levels assessed by a visual analogue scale, the abstinence period, mental health, and/or relapse, supporting their concurrent and predictive validity. These results suggest that the ASI-J has acceptable reliability and validity.
成瘾严重程度指数（ASI）是一种常用的临床和研究工具，它从七个问题领域收集药物滥用者的数据：医疗、就业、酒精、药物使用、法律、家庭社会功能和精神状态。在每个领域，ASI都提供一个综合评分和严重程度评级，以估计问题的严重程度以及客户对治疗的需求。在本研究中，我们调查了日语版ASI（ASI-J）的信度和效度。111名有药物滥用史的受试者在获得知情同意后接受了包括ASI在内的一组测试访谈。结果显示：（a）各问题领域相互独立，凸显了多维评估的必要性；（b）各领域严重程度评级的评分者间相关性在0.68至0.99之间，各领域用于综合评分的项目的克朗巴哈α系数在0.57至0.86之间，表明除药物和就业领域外，它们具有可靠性；（c）几个综合评分与通过视觉模拟量表评估的药物渴望水平、禁欲期、心理健康和/或复发显著相关，支持了它们的同时效度和预测效度。这些结果表明ASI-J具有可接受的信度和效度。
