Sandí Esquivel L E, Avila Corrales K
Bol Oficina Sanit Panam. 1989 Dec;107(6):561-7.
In 1988 the Institute on Alcoholism and Drug Dependency in San José, Costa Rica, performed a study aimed at adapting the Index of Severity of Addiction to Costa Rica and determining the Index's effectiveness by measuring its sensitivity and specificity. The scale covered seven evaluation areas: state of health, work/financial situation, family/social relations situation, legal situation, use of alcohol, use of drugs, and psychological state. One hundred male subjects between 18 and 64 years of age were interviewed and divided into one group of cases (n = 51) and another of controls (n = 49). The information obtained was coded and analyzed by means of the Statistical Package for the Social Sciences, and the X2 test was applied together with the Yates correction in order to compare the proportions. A tendency toward higher indexes of severity in the cases was observed. The most affected areas in this group were, in order of intensity, the use of alcohol, family/social relations situation, work situation, and psychological state, with a highly significant correlation of respective indexes of severity (P less than 0.001). The study demonstrated the validity of the instrument in differentiating the affected and the unaffected populations and in measuring both the severity of the problems resulting from addiction and the need for treatment.
1988年，位于哥斯达黎加圣何塞的酒精中毒与药物依赖研究所开展了一项研究，旨在使成瘾严重程度指数适用于哥斯达黎加，并通过测量其敏感性和特异性来确定该指数的有效性。该量表涵盖七个评估领域：健康状况、工作/财务状况、家庭/社会关系状况、法律状况、酒精使用情况、药物使用情况和心理状态。对100名年龄在18至64岁之间的男性受试者进行了访谈，并将他们分为一组病例（n = 51）和另一组对照（n = 49）。所获得的信息通过社会科学统计软件包进行编码和分析，并应用X2检验及耶茨校正来比较比例。在病例组中观察到严重程度指数有升高的趋势。该组中受影响最严重的领域依次为酒精使用情况、家庭/社会关系状况、工作状况和心理状态，各严重程度指数之间存在高度显著的相关性（P小于0.001）。该研究证明了该工具在区分受影响人群和未受影响人群，以及测量成瘾导致的问题的严重程度和治疗需求方面的有效性。
