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. 2006 Mar 24;12(2):105–115. doi: 10.1002/mpr.147

Acceptability, validity and reliability of the Structured Clinical Interview for the Spectrum of Substance Use (SCI‐SUBS): a pilot study

A Sbrana 1,✉, L Dell'osso 1, C Gonnelli 1, P Impagnatiello 1, MR Doria 1, S Spagnolli 1, L Ravani 1, GB Cassano 1, E Frank 2, MK Shear 2, VJ Grochocinski 2, P Rucci 3,4, JD Maser 5, J Endicott 6
PMCID: PMC6878548  PMID: 12830304

Abstract

This paper reports on the acceptability, reliability and validity of the Structured Clinical Interview for the Spectrum of Substance Use (SCI‐SUBS), a new instrument exploring the interactive pathway between substance abuse and psychiatric disorders.

Psychiatric outpatients with (n = 21) and without (n = 32) substance abuse comorbidity according to the DSM‐IV, non‐psychiatric subjects with opioid dependence (OD, n = 14) and normal controls (n = 33) were assessed with the SCI‐SUBS. The presence or absence of psychiatric disorders was determined with the Structured Clinical Interview for DSM IV (SCID).

The SCI‐SUBS was well accepted by participants. The internal consistency of the domains was satisfactory (between 0.64 and 0.93). Domain scores of OD subjects were significantly higher than those of controls and of psychiatric patients without substance abuse. The cut‐off point on the SCI‐SUBS total score at which there was optimal discrimination between the presence and the absence of a DSM‐IV diagnosis of substance abuse was 45.

The pilot version of the SCI‐SUBS has satisfactory internal consistency and construct validity. Copyright © 2003 Whurr Publishers Ltd.

Keywords: substance abuse, spectrum, reliability, validity, structured interview

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References

  1. American Psychiatric Association . Diagnostic and Statistical Manual of Mental Disorders. 4 edn (DSM IV). Washington DC: American Psychiatric Association, 1994. [Google Scholar]
  2. Aronson TA, Craig TJ. Cocaine precipitation of panic disorder. Am J Psychiatry 1986; 143: 643–5. [DOI] [PubMed] [Google Scholar]
  3. Brady KT, Lydiard RB. Bipolar affective disorder and substance abuse. J. Clin. Psychopharmacology 1992; 12 (suppl 1): 17–22. [DOI] [PubMed] [Google Scholar]
  4. Brooner RK, King van L, Kidorf M, Schmidt CW, Bigelow GE. Psychiatric and substance use comorbidity among treatment‐seeking opioid abusers. Arch Gen Psychiatry 1997; 54: 71–80. [DOI] [PubMed] [Google Scholar]
  5. Bukstein OG, Brent DA, Kaminer Y. Comorbidity of substance abuse and other psychiatric disorders in adolescents. Am J Psychiatry 1989; 146: 1131–41. [DOI] [PubMed] [Google Scholar]
  6. Cassano GB, Dell'Osso L, Frank E, Miniati M, Fagiolin A, Shear K, Pini S, Maser J. The Bipolar Spectrum: a clinic reality in search of diagnostic criteria and an assessment methodology. J Affect Disord 1999; 54: 319–28. [DOI] [PubMed] [Google Scholar]
  7. Cassano GB, Michelini S, Shear K, Coli E, Maser JD, Frank E. The panic‐agoraphobic spectrum: a descriptive approach to the assessment and treatment of subtle symptoms. Am J Psychiatry 1997; 154 (suppl 6):27–38. [DOI] [PubMed] [Google Scholar]
  8. Castaneda R, Galanter M, Franco H. Self‐medication among addicts with primary psychiatric disorders. Compr Psychiatry 1989; 30: 80–3. [DOI] [PubMed] [Google Scholar]
  9. Cloninger CR. A systematic method for clinical description and classification of personality variant. Arch Gen Psychiatry 1987; 44: 573–88. [DOI] [PubMed] [Google Scholar]
  10. Cox BJ, Norton GR, Dorward J, Fergusson PA. The relationship between panic attacks and chemical dependencies. Addict Behav 1989; 14: 53–60. [DOI] [PubMed] [Google Scholar]
  11. Dixon L. Dual diagnosis of substance abuse in schizophrenia: prevalence and impact on outcomes. Schizophrenia Res 1999; 35: S93–S100. [DOI] [PubMed] [Google Scholar]
  12. Ether Ashton C. Pharmacology and effects of cannabis: a brief review. Br J Psych 2001; 178: 101–6. [DOI] [PubMed] [Google Scholar]
  13. Frank E, Shear MK, Rucci P, Cryanowski JM, Endicott J, Fagiolini A, Grochocinski VJ, Honk P, Kupfter Dj, Maser JD, Cassano GB. Influence of panic‐agoraphobic spectrum symptoms on treatment response in recurrent major depression. Am J Psychiatry 2000; 157: 1101–7. [DOI] [PubMed] [Google Scholar]
  14. Gossop M, Darke S, Griffiths P, Hando J, Powis B, Hall W, Strang J. The Severity of Dependence Scale: psycho‐metric properties of the SDS in English and Australian samples of heroin, cocaine and amphetamine users. Addiction 1995, 90: 607–14. [DOI] [PubMed] [Google Scholar]
  15. Herzog DB, Keller MB, Sacks NR, Yeh CJ, Lavori P. Psychiatric comorbidity in treatment‐seeking anorexic and bulimic. J Am Acad Child Adolesc Psychiatry 1992; 31: 810–18. [DOI] [PubMed] [Google Scholar]
  16. Himmelhoch JM. Social anxiety, hypomania and the bipolar spectrum: data, theory and clinical issues. J. Affect Disord 1998; 50: 203–13. [DOI] [PubMed] [Google Scholar]
  17. Khantzian BJ. The self‐medication hypothesis of addictive disorders: focus on heroin and cocaine dependence. Am J Psychiatry 1985; 142: 1259–64. [DOI] [PubMed] [Google Scholar]
  18. Masse LC, Tremblay RE. Behaviour of boys in kindergarten and the onset of substance abuse during adolescence. Arch Gen Psychiatry 1997; 54: 62–8. [DOI] [PubMed] [Google Scholar]
  19. Mcelroy S, Altshuler LL, Suppes T, Keck P Jr, Frye MA, Denicoff KD, Nolen WA, Kupka RW, Leverich GS, Rochussen JR, Rush AJ, Post RM. Axis I psychiatry comorbidity and its relationship to historical illness variables in 288 patients with bipolar disorder. Am J Psychiatry 2001; 158: 3 420–6. [DOI] [PubMed] [Google Scholar]
  20. McLellan AT, Luborsky L, Woody GE, O'Brien CP. An improved diagnostic evaluation instrument for substance abuse patients. The Addiction Severity Index. Journal of Nervous and Mental Disease 1980, 168: 26–33. [DOI] [PubMed] [Google Scholar]
  21. Mirin SM, Weiss R, Michael J, Griffin M. Psychopathology in substance abusers: diagnosis and treatment. Am J Drug Alcohol Abuse 1988; 14: 139–57. [DOI] [PubMed] [Google Scholar]
  22. Moran C. Depersonalization and agoraphobia associated with marijuana use. Br J Med Psychol 1986; 59: 187–96. [DOI] [PubMed] [Google Scholar]
  23. Nunnally JC, Bernstein IH. Psychometric Theory. Maidenhead: McGraw Hill Inc, 1994. [Google Scholar]
  24. Page RM. Shyness as a risk factor for adolescent substance use. J Soc Health 1989; 59: 432–35. [DOI] [PubMed] [Google Scholar]
  25. Perretta P, Akiskal HS, Nisita C, Lorenzetti C, Zaccaguini E, Della Santa M, Cassano GB. The high prevalence of bipolar II and associated cyclothymic and hyperthymic temperaments in HIV‐patients. J Affect Disord 1998; 50: 215–24. [DOI] [PubMed] [Google Scholar]
  26. Pini S, Dell'Osso L, Mastrocinque C, Marcacci G, Papasoghi A, Vignolis, Pallanti S, Cassano G. Axis I comorbidity in bipolar disorder with psychotic features. Br J Psychiatr 1999; 175: 467–71. [DOI] [PubMed] [Google Scholar]
  27. Price WA, Giannini AJ. Phenilcyclidine and ‘crack’‐precipitated panic disorder. Am J Psychiatry 1987; 144: 686–7. [DOI] [PubMed] [Google Scholar]
  28. Regier DA, Farmer ME, Rae DS, Locke BZ, Keith SJ, Judd LL, Goodwin FK, Comorbidity of mental disorders with alcohol and other drug abuse. Results from the Epidemiological Catchment Area (Eca) Study. Jama 1990; 264: 2511–8. [PubMed] [Google Scholar]
  29. Rounsaville BJ, Weissmann MM, Crits‐Christoph K, Kleber HD. Diagnosis and symptoms of depression in opiate addicts: course and relationship to treatment outcome. Arch Gen Psychiatry 1982; 39: 151–6. [DOI] [PubMed] [Google Scholar]
  30. Rucci P, Maser JD. Instrument development in the Italy‐USA Collaborative Spectrum Project. Epidemiol Psichiatr Soc 2000; 9: 249–56. [DOI] [PubMed] [Google Scholar]
  31. Sonne SC, Brady KT, Morton A. Substance abuse and bipolar affective disorder. J Nerv Ment Dis 1994; 182: 349–52. [DOI] [PubMed] [Google Scholar]
  32. Wilson JJ, Levine FR. Attention deficit hyperactivity disorder (ADHD) and substance use disorders. Curr Psychiatry Rep 2001; 3: 497–506. [DOI] [PubMed] [Google Scholar]

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