Weiss R D, Najavits L M, Greenfield S F, Soto J A, Shaw S R, Wyner D
Alcohol and Drug Abuse Program, McLean Hospital, Belmont, MA 02178, USA.
Am J Psychiatry. 1998 Jan;155(1):127-8. doi: 10.1176/ajp.155.1.127.
The purpose of this study was to assess the validity of self-reports of substance use among outpatients dually diagnosed with substance use disorder and either bipolar disorder or posttraumatic stress disorder.
Self-reports of substance use were compared with supervised urine samples collected on the same day for 55 subjects.
Self-reports were highly valid. Only 4.7% of cases involved subjects not reporting substance use detected by urine screens.
Self-reports of substance use may be highly valid in nonpsychotic, dually diagnosed outpatients under certain conditions, i.e., when patients are in treatment, when urine samples are collected with patients' prior knowledge, when patients are well-known to staff, and when honest self-reporting is encouraged.
本研究旨在评估同时被诊断为物质使用障碍以及双相情感障碍或创伤后应激障碍的门诊患者自我报告的物质使用情况的有效性。
将55名受试者的物质使用自我报告与同一天采集的受监督尿液样本进行比较。
自我报告具有高度有效性。仅4.7%的病例涉及未报告尿液筛查检测出的物质使用情况的受试者。
在某些条件下，即患者正在接受治疗、在患者事先知晓的情况下采集尿液样本、工作人员熟知患者以及鼓励患者诚实自我报告时，物质使用的自我报告在非精神病性、同时患有两种疾病的门诊患者中可能具有高度有效性。
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