Basu Aniruddha, Bhad Roshan, Bharadwaj Balaji, Bharti Ayushi, Choudhury Shinjini, Das Prioma, Dinesh M, Guin Aparajita, Joshi Tanmay, Krishnan Vijay, Kumar Pankaj, Mansoori Saba, Mishra Ashwani Kumar, Nebhinani Naresh, Rajpurohit Surendra S, Ranjan Rajeev, Sarkar Siddharth, Shekhar Saurabh, Singh Pranshu, Sood Esha, Swami Mukesh K
Department of Psychiatry, All India Institute of Medical Sciences, Kalyani, West Bengal, India.
National Drug Dependence Treatment Centre, All India Institute of Medical Sciences, New Delhi, India.
Indian J Psychiatry. 2024 Jul;66(7):614-620. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_949_23. Epub 2024 Jul 17.
Assessment of the severity of substance use disorders (SUDs) in a culture-sensitive manner can help gauge the current condition of the substance user and assess change with time. The present study aimed to develop a scale for the assessment of the severity of SUDs in the Indian clinical context.
Based upon the review of literature on previously available instruments and a consultative meeting of experts, a clinician-rated scale was developed that finally comprised 41 items. A briefer 5-item scale with current and lifetime versions was also developed. The scales were applied to patients with SUDs at six different clinical sites.
The instrument was applied to 720 patients (98.2% males, mean age: 34.6 years). The Cronbach's alpha of the full scale was 0.852. The inter-rater reliability Pearson correlation coefficient of the full-scale was r = 0.821 ( < 0.001), and the intra-class correlation coefficient single measure was 0.800 (95% confidence interval: 0.724-0.956). A four-factor solution was suggested to be the most tenable. The mean application duration of the full scale was 13.4 minutes, and that of the briefer version was 2 minutes.
This validated scale could be a potentially useful assessment measure for the severity of SUDs in the Indian context. The utility lies in the simplicity of administration and scoring and the balance between brevity and thorough assessment.
以文化敏感的方式评估物质使用障碍（SUDs）的严重程度有助于衡量物质使用者的当前状况，并评估随时间的变化。本研究旨在开发一种用于评估印度临床环境中SUDs严重程度的量表。
基于对先前可用工具的文献综述和专家咨询会议，开发了一种临床医生评定量表最终包含41个项目。还开发了一个包含当前和终生版本的更简短的5项量表。这些量表应用于六个不同临床地点的SUDs患者。
该工具应用于720名患者（98.2%为男性，平均年龄：34.6岁）。全量表的Cronbach's alpha系数为0.852。全量表的评分者间信度Pearson相关系数为r = 0.821（<0.001），组内相关系数单测量为0.800（95%置信区间：0.724 - 0.956）。四因素解决方案被认为是最合理的。全量表的平均应用时长为13.4分钟，简短版本的平均应用时长为2分钟。
这种经过验证的量表可能是印度背景下评估SUDs严重程度的一种潜在有用的评估措施。其效用在于管理和评分的简单性以及简短性和全面评估之间的平衡。
