大学生非法药物使用筛查：药物滥用筛查测试中文版

Screening illicit substance use in college students: The Chinese version of the Drug Abuse Screening Test.

作者信息

Chen Yi-Ting, Chang Jung-Chen, Lee Chau-Shoun

机构信息

Department of Psychiatry, MacKay Memorial Hospital, No. 92, Sec. 2, Zhongshan N. Rd., Taipei, 10449, Taiwan.

School of Nursing, College of Medicine, National Taiwan University, No. 1, Sec. 1, JenAi Rd., Taipei, 10051, Taiwan; National Taiwan University Hospital, No.7, Zhongshan S. Rd., Taipei, 100225, Taiwan.

出版信息

Drug Alcohol Depend. 2020 Oct 1;215:108184. doi: 10.1016/j.drugalcdep.2020.108184. Epub 2020 Jul 22.

DOI:10.1016/j.drugalcdep.2020.108184

PMID:32763780

Abstract

BACKGROUND

This study investigated the applicability of the Chinese versions of Drug Abuse Screening Test (DAST) to detect illicit substance use in college students.

METHODS

The data arising from a campus prevention program, Screening for Illicit Substance Use in College (SISUC), were utilized to explore the psychometrics of 26 items (DAST-26) and 10 items (DAST-10) versions of DAST in college students (CS group). A group of youth with illicit substance use were enrolled as the Illicit Substance Use group (IS group). A set of self-report questionnaires, including the Chinese version of DAST, were administered.

RESULTS

A total of 1214 participants were recruited as the CS group and 208 as the IS group. The Cronbach's alpha of DAST-26 was 0.74 in CS and 0.90 in IS; while 0.59 in CS and 0.78 in IS for the DAST-10. At a cut-off of 4 for DAST-26, the sensitivity was 87 % and specificity 97 %. As to DAST-10, a cut-off of 2 produced the sensitivity of 86 % and specificity of 96 %. The area under the curve was 0.943 for DAST-26 and 0.940 for DAST-10. The confirmatory factor analyses found a single-factor solution for the DAST-26 and DAST-10.

CONCLUSIONS

With comparison to the DAST-26, the shorter version, DAST-10, may offer promise for detecting illicit substance use in college students.

摘要

背景

本研究调查了药物滥用筛查测试（DAST）中文版在检测大学生非法药物使用情况方面的适用性。

方法

利用一项校园预防项目“大学生非法药物使用筛查（SISUC）”所产生的数据，探讨DAST的26项版本（DAST - 26）和10项版本（DAST - 10）在大学生（CS组）中的心理测量学特征。招募一组有非法药物使用行为的青年作为非法药物使用组（IS组）。发放了一套自我报告问卷，包括DAST中文版。

结果

共招募了1214名参与者作为CS组，208名作为IS组。DAST - 26在CS组中的克朗巴哈系数为0.74，在IS组中为0.90；而DAST - 10在CS组中为0.59，在IS组中为0.78。对于DAST - 26，以4分为临界值时，灵敏度为87%，特异度为97%。对于DAST - 10，以2分为临界值时，灵敏度为86%，特异度为96%。DAST - 26的曲线下面积为0.943，DAST - 10的曲线下面积为0.940。验证性因素分析发现DAST - 26和DAST - 10均为单因素模型。