Spanish Adaptation of the Substance Dependence Severity Scale: preliminar results

Authors

  • Antonio Vélez-Moreno Departamento de Psicología Clínica, Experimental y Social. Universidad de Huelva.
  • Francisco González-Saiz Unidad de Salud Mental Comunitaria de Villamartín. Hospital de Salud Mental de Cádiz.
  • Juan Ramírez López Servicio Provincial de Drogodependencias de Huelva.
  • Esperanza Torrico Linares Departamento de Psicología Clínica, Experimental y Social. Universidad de Huelva.
  • Fermín Fernández-Calderón Agencia de Servicios Sociales y Dependencia de Andalucía. Sevilla.
  • Antonio J. Rojas Departamento de Psicología. Universidad de Almería.
  • Óscar M. Lozano

DOI:

https://doi.org/10.20882/adicciones.36

Keywords:

Substance Dependence Severity Scale –SDSS-, adaptation, reliability and validity, severity of dependence

Abstract

The Substance Dependence Severity Scale –SDSS- is one of the few scales that assesses substance dependence and abuse according DSM criteria in dimensional terms. Several studies have provided evidence of psychometric validity and reliability in its English version, but there is no Spanish version available. The aim of this work was to describe the adaptation process of the English version of the SDSS into Spanish, and provide preliminary results on its reliability and validity evidence.Participants were 146 patients (79.6% male), consumers of alcohol, cocaine, heroin and cannabis admitted to treatment in the Drug Abuse Centre Services of Huelva. Besides the SDSS, the EUROPASI and the Health Related Quality of Life for Drug Abusers test –HRQOLDAwere also administered. The Substance Dependence Severity Scale –SDSS- has shown adequate psychometric properties in terms of the rates of discrimination and internal consistency (α=0.881 for alcohol; α=0.814 for cocaine;α=0.531for cannabis; α=0.785 for heroin). However, the scale assessing abuse showed poorer results. Concerning the validity evidence, the evidencebased on internal structure showed a unidimensional structure. Furthermore, the evidence based from the relationships with other variables empirically support the theoretical relationships postulated. Preliminary results support the use of the Substance Dependence Severity Scale. The severity scale, which evaluates abuse criteria, needs further empirical evidence to assess its utility. Therefore, its current version is not recommended for use.

Author Biography

Óscar M. Lozano

Universidad de Huelva. Dpto. Psicología clínica, experimental y social. Campus de ‘El Carmen’.Avda. Fuerzas Armadas, s/n. 21071. Huelva. España. Tfno: +34 959 21 92 00

References

American Educational Research Association, American Psychological Association y National Council on Measurement in Education. (2002). Standards for educational and psychological testing. Washington D. C: American Educational Research Association.

American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders: DSM-IV. Washington D. C.: American Psychiatric Association.

Babor, T. F. (1992). Substance-related problems in the context of international classificatory systems. En M. Lader, G. Edwards y D.C. Drummond (Eds.). The nature of alcohol and drug related problems. Oxford: Oxford Medical Publications.

Bobes, J., González, M. P., Sáiz, P. A. y Bousoño M. (1996). Índice europeo de severidad de la adicción: EuropASI. Versión española. En Actas de la IV Reunión Interregional de Psiquiatría, 201-218.

Trull, T. J. y Durrett, C. A. (2005). Categorical and dimensional models of personality disorder. Annual Review of Clinical Psychology, 1, 355-380.

Edwards, G. (1986). The alcohol dependence syndrome: a concept as stimulus to enquiry. British Journal of Addiction, 81, 171-183.

Edwards, G. y Gross, M. (1976). Alcohol dependence: provision description of a clinical syndrome. British Medical Journal, 1, 1058-1061.

Edwards, G., Gross, M. M., Keller, M., Moser, J. y Room, R. (1977). Alcohol-related disabilities. WHO Offset Publ. Nº 32.Geneve: WHO.

Elosua, P. y Zumbo, B. (2008). Coeficientes de fiabilidad para escalas de respuesta categórica ordenada. Psicothema, 20, 896-901.

Gossop, M., Darke, S., Griffiths, P., Hando, J., Powis, B., Hall, W. y Strang, J. (1995). The Severity of Dependence Scale (SDS): psychometric properties of the SDS in English and Australian samples of heroin, cocaine and amphetamines users, Addiction, 90, 607-614.

Hambleton, R. K. (2005). Issues, designs and technical guidelines for adapting tests into multiple languages and cultures. En R. K. Hambleton, P. F. Merenda y C. D. Spielberger (Eds.). Adapting psychological and educational tests for cross-cultural assessment. Hillsdale, NJ: Erlbaum.

Hambleton, R. K. y Cook, L. L. (1983). Robustness of item response models and effects of test length and sample size on the precision of ability estimates. En D. J. Weiss (Ed.). New horizons in testing (pp. 31–49). New York: Academic.

Helzer, J. E., Van den Brink, W. y Guth, S. E. (2006). Should be both categorical and dimensional criteria for the substance use disorders in DSM-V? Addiction, 101 (suppl. 1), 17-22. International Test Commission. (2010). International Test Commission Guidelines for Translating and Adapting Tests. [http://www.intestcom.org].

Iraurgi Castillo, I. y González Saiz, F. (2002). Instrumentos de evaluación en drogodependencias. Madrid: Aula Médica.

Kraemer, H. C., Noda, A. y O’Hara, R. (2004). Categorical versus dimensional approaches to diagnosis: methodological challenges. Journal of Psychiatric Research, 38, 17–25.

Langenbucher, J. W., Labouvie, E., Martin, C. S., sanjuan P. M., Bavly, L. y Kirisci, L. (2004). An application of Item Response Theory Analysis to alcohol, cannabis and cocaine criteria in DSM-IV. Journal of Abnormal Psychology, 113, 72-80.

Lorenzo-Seva, U. y Ferrando, P. J. (2006). FACTOR: A computer program to fit the exploratory factor analysis model. Behavioral Research Methods, Instruments and Computers, 38, 88-91.

Lozano, O. M., Rojas, A. J., Pérez, C., Apraiz, B., Sánchez, F. y Marín A. (2007). Test para la Evaluación de la Calidad de Vida en Adictos a Sustancias Psicoactivas (TECVASP): estudios de fiabilidad y validez. Trastornos Adictivos, 9, 97-107.

Lozano, O. M., Rojas, A. J., Pérez, C., González-Saiz, F., Ballesta, R. y Bilbao I. (2008). Validity evidences of the Health Related Quality of Life for Drug Abuser Test (HRQOLDA Test) based on Biaxial Model of Addiction.

Psicothema, 20, 311-317.

Lozano, O. M., Rojas, A. J. y Pérez, C. (2009). Development of a specific Health-Related Quality of Life Test in Drug Abusers using the Rasch Rating Scale Model. European Addiction Research, 15, 63-70.

McLellan, A. T., Kushner, H., Metzger, D., Peters, R., Smith, I., Grissom, G. Pettinati, H. y Argeriou, M. (1992). The Fifth Edition of the Addiction Severity Index. Journal of Substance Abuse Treatment, 9, 199–213.

Miele, G. M., Carpenter, K. M., Cockerman, M. S., Trautman, K. D., Baline, J. y Hasin, D. S. (2000a). Substance Dependence Severity Scale (SDSS): reliability and validity of a clinician-administered interview for DSM-IV

substance use disorders. Drug and Alcohol Dependence, 59, 63-75.

Miele, G. M., Carpenter, K. M., Cockerman, M. S., Trautman, K. D., Baline, J. y Hasin, D.S. (2000b). Concurrent and predictive validity of the Substance Dependence Severity Scale (SDSS). Drug and Alcohol Dependence, 59, 77-88.

Miele, G. M., Carpenter, K. M., Cockerman, M. S., Trautman, K. D., Baline, J. y Hasin, D.S. (2001). Substance Dependence Severity Scale reliability and validity for ICD-10 substance use disorders. Addictive Behaviors, 26,

-612.

Observatorio Español de la Droga y las Toxicomanías. (2011). Situación y tendencia de los problemas de drogas en España. Madrid: Ministerio de Sanidad, Política Social e Igualdad.

Raistrick, D., Bradshaw, J., Tober, G., Weiner, J., Allison, J. y Healey. C. (1994). Development of the Leeds Dependence Questionnaire (LDQ): A questionnaire to measure alcohol and opiate dependence in the context of

a treatment evaluation package, Addiction, 89, 563-572.

Raistrick, D., Dunbar, G. y Davidson, R. (1983). Development of a questionnaire to measure alcohol dependence, British Journal of Addiction, 78, 89-95.

Room, R., Janca, A., Bennett, L. A., Schmidt, L. y Sartorius, N. (1996). WHO cross-cultural applicability research on diagnosis and assessment of substance use disorders: an overview of methods and selected results. Addiction, 91, 199–220.

Rosa, C., Ghitza, U. y Tai, B. (2012). Selection and utilization of assessment instruments in substance abuse treatment trials: The National Drug Abuse Treatment Clincial Network experience. Substance Abuse Rehabilitation, 17, 81-89.

Rounsaville, B. J., Spitzer, R. L. y Williams, J.B. (1986). Proposed changes in DSM-III Substance Use Dirsorders: Description and rationale. American Journal of Psychiatry, 143, 463-468.

Stockwell, T., Murphy, D., Hodgson, R. (1983) The Severity of Alcohol Dependence Questionnaire: Its use, reliability and validity. British Journal of Addiction, 78, 145-155.

Trull, T. y Durret, C. A. (2005). Categorical and dimensional models of personality disorder. Annual Review of Clinical Psychology, 1, 355-380.

World Health Organization. (1992). International Statistical Classification of Diseases and Related Health Problems (ICD-10). 1989 Revision. Geneva: World Health Organization.

World Health Organization. (2008). Principles of Drug Dependence Treatment. Discussion Paper. Geneva: World Health Organization.

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Published

2013-12-01

Issue

Vol. 25 No. 4 (2013)

Section

Originals