Martin C, Grabot D, Auriacombe M, Brisseau S, Daulouède J P, Tignol J
Laboratoire de Psychiatrie de l'Université-de Bordeaux II.
Encephale. 1996 Sep-Oct;22(5):359-63.
The Addiction Severity Index (ASI) is an instrument that provides, in a 45-minutes semi-structured interview, a multidimensional assessment of substance abuse patients. It was designed in 1980 by A.T. McLellan et al., from Philadelphia PA, in North-America and introduced in France by our group in 1990. Over the past five years we have used it in different substance abuse populations including alcohol users. The goal of this paper is to review the adaptation procedure into French context and to present ASI data from different substance abuse sub-groups: opioïd dependent subjects seeking treatment and former heroïn addicted patients in maintenance treatment. After description of the ASI, presentation of the training procedure for its optimized use and methodological issues, we present for each opiate dependent group acceptability data, results of some of the ASI's 240 items and the severity scores. The Addiction Severity Index provides assessment of problem severity in seven functional areas in which substance abusers are commonly impaired and unable assessment of need for treatment. Objective and subjective patient data are collected in the following seven areas: medical, employment/ support, alcohol, drug use, legal, family/social relationship, and psychiatric. The ASI is both broad in the extent of its evaluation and yet easy to use for appropriately trained interviewers. Use of the ASI over the past five years allows us to underline the following characteristics: in the clinical setting the ASI unable a common descriptive analysis for need and adaptation for treatment of different patients populations; in the research setting the ASI is particularly suited for epidemiological studies of addiction and description, analysis or evaluation research.
成瘾严重程度指数（ASI）是一种工具，通过45分钟的半结构化访谈，对药物滥用患者进行多维度评估。它由来自美国宾夕法尼亚州费城的A.T. 麦克莱伦等人于1980年设计，并于1990年由我们团队引入法国。在过去五年中，我们已将其用于包括酒精使用者在内的不同药物滥用人群。本文的目的是回顾其在法国背景下的改编过程，并展示来自不同药物滥用亚组的ASI数据：寻求治疗的阿片类药物依赖者以及维持治疗中的 former heroïn 成瘾患者。在描述了ASI、介绍其优化使用的培训程序和方法学问题之后，我们针对每个阿片类药物依赖组呈现可接受性数据、ASI的240个项目中的一些结果以及严重程度得分。成瘾严重程度指数在药物滥用者通常受损的七个功能领域提供问题严重程度评估以及对治疗需求的评估。在以下七个领域收集客观和主观的患者数据：医疗、就业/支持、酒精、药物使用、法律、家庭/社会关系和精神状况。ASI在评估范围上既广泛，又便于经过适当培训的访谈者使用。在过去五年中使用ASI使我们能够强调以下特点：在临床环境中，ASI无法对不同患者群体的需求进行通用的描述性分析和治疗适应性分析；在研究环境中，ASI特别适合成瘾的流行病学研究以及描述、分析或评估研究。
