Wittchen H U, Perkonigg A, Lachner G, Nelson C B
Max Planck Institute of Psychiatry, Clinical Psychology and Epidemiology Unit, Munich, Germany.
Eur Addict Res. 1998 Mar;4(1-2):18-27. doi: 10.1159/000018921.
The primary and secondary objectives of the Early Developmental Stages of Substance Abuse Study (EDSP) are described along with a detailed description of the overall design, special design features and instruments used. The EDSP is a 5-year prospective study with three waves of assessments. Special design features are the linkages with family genetic investigations as well as neuroendocrinological stress tests in high-risk subjects. Overall, 3,021 adolescents and young adults aged 14-24 years are included. The response rate for the baseline investigation was 71%. Diagnostic assessments were made by using a modified lifetime (baseline) and 12-month change version of the WHO-CIDI, adjusted for DSM-IV. Modifications refer to a more detailed quantitative assessment of symptoms and substance use variables as well as the inclusion of questions to assess course of disorders and subthreshold diagnostic conditions.
物质滥用早期发育阶段研究(EDSP)的主要和次要目标已作描述,并详细介绍了总体设计、特殊设计特点及所使用的工具。EDSP是一项为期5年的前瞻性研究,进行三轮评估。特殊设计特点包括与家庭基因调查以及高危受试者的神经内分泌应激测试的关联。总体而言,纳入了3021名年龄在14至24岁之间的青少年和青年。基线调查的应答率为71%。诊断评估采用经修改的WHO-CIDI终生(基线)版和12个月变化版,并根据《精神疾病诊断与统计手册》第四版进行了调整。修改内容包括对症状和物质使用变量进行更详细的定量评估,以及纳入评估疾病病程和阈下诊断状况的问题。