From the Department of Psychiatry (JM, NET), Centre for Addiction and Mental Health, University of Toronto, ON; British Columbia Mental Health and Addiction Services (JC), PHSA Research and Networks, Vancouver, BC; and Centre for Addiction and Mental Health (BD, FC), York University, Toronto, ON, Canada.
J Addict Med. 2010 Mar;4(1):38-46. doi: 10.1097/ADM.0b013e3181ac2086.
: The objective of this study was to pilot a new self-report screening instrument, the addictive behaviors questionnaire (ABQ), which screens for a broad range of impulsive-compulsive behaviors, in a treatment-seeking psychiatric population with comorbid addiction.
: Psychiatric outpatients (N = 94) being treated for comorbid addiction and mental illness were approached consecutively by their therapists to fill out a number of self-report measures, in addition to the ABQ, including the Addiction Severity Index, Toronto Alexithymia Scale, and Reflective Activity Scale. The ABQ was evaluated both as a continuous measure and as a categorical measure using clinically relevant cutoff scores for each behavior. It was tested for internal reliability, test-retest reliability, and correlation with other scales.
: The completion rate for the ABQ was 74%. It demonstrated good internal reliability (continuous measure α = 0.81, categorical measure alpha = 0.82) and good test-retest reliability (continuous r = 0.68, categorical r = 0.76). The total ABQ score positively correlated with alexithymia (continuous r = 0.45, P < 0.001; categorical r = 0.37, P < 0.001) and negatively correlated with reflective activity (continuous r = -0.29, P < 0.01; categorical r = -0.27, P < 0.05). The behaviors that were most commonly endorsed as problematic were overeating, unhealthy relationships, excessive TV watching, and excessive shopping. Based on cutoff scores, 61% of the sample endorsed at least one problematic behavior and 31% endorsed 2 or more behaviors.
: These preliminary results suggest that the ABQ is reliable and easily administered by clinicians treating comorbid addiction in an outpatient setting. Further study is required with larger sample sizes, normative data, and comparable scales to help establish construct validity and cutoff scores.
本研究旨在试用一种新的自陈式筛查工具——成瘾行为问卷（ABQ），该问卷筛查广泛的冲动-强迫行为，针对的是同时患有成瘾和精神疾病的治疗性精神病患者群体。
治疗性精神病门诊患者（N=94），他们同时患有成瘾和精神疾病，由他们的治疗师连续介绍来填写一些自陈式量表，除 ABQ 外，还包括成瘾严重程度指数、多伦多述情障碍量表和反射性活动量表。ABQ 既被评估为连续量表，也被评估为使用每个行为的临床相关临界值的分类量表。对其进行了内部信度、重测信度和与其他量表的相关性测试。
ABQ 的完成率为 74%。它表现出良好的内部信度（连续量表α=0.81，分类量表α=0.82）和良好的重测信度（连续 r=0.68，分类 r=0.76）。ABQ 总分与述情障碍呈正相关（连续 r=0.45，P<0.001；分类 r=0.37，P<0.001），与反射性活动呈负相关（连续 r=-0.29，P<0.01；分类 r=-0.27，P<0.05）。最常见的被认为有问题的行为是暴饮暴食、不健康的人际关系、过度看电视和过度购物。根据临界值，61%的样本至少有一项有问题的行为，31%的样本有 2 项或更多行为。
这些初步结果表明，ABQ 在治疗性精神病门诊环境中，由治疗师对同时患有成瘾的患者进行使用时，具有可靠性和可操作性。需要进一步研究，扩大样本量，获得正常数据，并与可比量表进行比较，以帮助建立结构效度和临界值。
