Carey K B, Correia C J
Department of Psychology, Syracuse University, NY 13244-2340, USA.
Addict Behav. 1998 Nov-Dec;23(6):735-48. doi: 10.1016/s0306-4603(98)00063-x.
This article provides a selective overview of the empirical literature on substance use assessment for persons with severe mental illness. We organize the review around key questions related to three assessment goals. With regard to screening, we address what screening tools are appropriate for use in psychiatric settings, and what methodological concerns arise regarding their use in these contexts. With regard to diagnosis, we discuss why diagnosing comorbid disorders is difficult and how clinicians can enhance the reliability and validity of their diagnoses. With regard to the related goals of treatment planning and outcome evaluation, we consider what are appropriate outcome measures, and how assessment information can assist in treatment planning. Finally, we outline three promising directions for future research: (a) evaluating the psychometric properties of established substance-related measures in persons with severe mental illness, (b) identifying the conditions under which self-report information is more or less accurate, and (c) improving the population relevance of substance assessment instruments.
本文对关于重度精神疾病患者物质使用评估的实证文献进行了选择性综述。我们围绕与三个评估目标相关的关键问题来组织此次综述。关于筛查，我们探讨哪些筛查工具适用于精神科环境，以及在这些环境中使用这些工具会出现哪些方法学上的问题。关于诊断，我们讨论为何诊断共病障碍存在困难，以及临床医生如何提高其诊断的可靠性和有效性。关于治疗计划和结果评估的相关目标，我们思考哪些是合适的结果指标，以及评估信息如何有助于治疗计划。最后，我们概述了未来研究的三个有前景的方向：（a）评估重度精神疾病患者中既定物质相关测量方法的心理测量特性；（b）确定自我报告信息或多或少准确的条件；（c）提高物质评估工具与人群的相关性。
