McLellan A T, Luborsky L, Woody G E, O'Brien C P
J Nerv Ment Dis. 1980 Jan;168(1):26-33. doi: 10.1097/00005053-198001000-00006.
The Addiction Severity Index (ASI) is a structured clinical interview developed to fill the need for a reliable, valid, and standardized diagnostic and evaluative instrument in the field of alcohol and drug abuse. The ASI may be administered by a technician in 20 to 30 minutes producing 10-point problem severity ratings in each of six areas commonly affected by addiction. Analyses of these problem severity ratings on 524 male veteran alcoholics and drug addicts showed them to be highly reliable and valid. Correlational analyses using the severity ratings indicated considerable independence between the problem areas, suggesting that the treatment problems of patients are not necessarily related to the severity of their chemical abuse. Cluster analyses using these ratings revealed the presence of six subgroups having distinctly different patterns of treatment problems. The authors suggest the use of the ASI to match patients with treatments and to promote greater comparability of research findings.
成瘾严重程度指数（ASI）是一种结构化临床访谈，旨在满足酒精和药物滥用领域对可靠、有效且标准化的诊断和评估工具的需求。ASI可由技术人员在20至30分钟内完成，对成瘾通常影响的六个领域分别给出10分制的问题严重程度评分。对524名男性退伍军人酗酒者和吸毒者的这些问题严重程度评分进行分析，结果表明它们具有高度的可靠性和有效性。使用严重程度评分进行的相关性分析表明，各问题领域之间具有相当大的独立性，这表明患者的治疗问题不一定与其药物滥用的严重程度相关。使用这些评分进行的聚类分析揭示了存在六个具有明显不同治疗问题模式的亚组。作者建议使用ASI来使患者与治疗方法相匹配，并提高研究结果的可比性。
