Kampman K M, Volpicelli J R, McGinnis D E, Alterman A I, Weinrieb R M, D'Angelo L, Epperson L E
University of Pennsylvania School of Medicine, Philadelphia, USA.
Addict Behav. 1998 Jul-Aug;23(4):449-61. doi: 10.1016/s0306-4603(98)00011-2.
This article assesses the reliability and validity of the Cocaine Selective Severity Assessment (CSSA), a measure of cocaine abstinence signs and symptoms. Interrater reliability and scale internal consistency were high. Initial CSSA scores were significantly higher in cocaine-dependent subjects than in alcohol-dependent subjects. Initial CSSA scores were highly correlated with recent cocaine use and with severity measures from the Addiction Severity Index (ASI) including the interviewer severity rating and composite score in the drug section. Among cocaine-dependent subjects, initial CSSA scores were higher for those who failed to achieve abstinence or who subsequently dropped out of treatment. Further, CSSA scores showed consistent and marked declines over time for subjects who continued in treatment and remained abstinent. The CSSA appears to be a reliable and valid measure of cocaine abstinence symptoms and a useful predictor of negative outcomes in cocaine dependence treatment.
本文评估了可卡因戒断体征和症状测量工具——可卡因选择性严重程度评估（CSSA）的信度和效度。评分者间信度和量表内部一致性较高。可卡因依赖者的初始CSSA得分显著高于酒精依赖者。初始CSSA得分与近期可卡因使用情况以及成瘾严重程度指数（ASI）中的严重程度测量指标高度相关，包括访谈者严重程度评分和药物部分的综合得分。在可卡因依赖者中，未能实现戒断或随后退出治疗者的初始CSSA得分更高。此外，继续接受治疗并保持戒断的受试者的CSSA得分随时间呈现出持续且显著的下降。CSSA似乎是一种可靠且有效的可卡因戒断症状测量工具，也是可卡因依赖治疗中不良结局的有用预测指标。
