Article

Reliability of DSM-IV diagnostic criteria using the Semi-Structured Assessment for Drug Dependence and Alcoholism (SSADDA)

Alcohol Research Center, Department of Psychiatry, University of Connecticut School of Medicine, Farmington, CT 06030-2103, United States.
Drug and Alcohol Dependence (Impact Factor: 3.28). 12/2007; 91(1):85-90. DOI: 10.1016/j.drugalcdep.2007.04.014
Source: PubMed

ABSTRACT The semi-structured assessment for drug dependence and alcoholism (SSADDA) yields reliable DSM-IV diagnoses for a variety of psychiatric disorders, including alcohol and drug dependence. This study examines the reliability of individual DSM-IV criteria for lifetime substance dependence diagnoses and the impact of those criteria on diagnostic reliability.
Two hundred ninety-three subjects (52.2% women; 38.2% African American, 46.8% European American, 7.5% Hispanic) were interviewed twice over a 2-week period to examine the inter-rater reliability (n=173) or test-retest reliability (n=120) of the SSADDA. Cohen's kappa-statistic and its confidence interval were used to assess the reliability of individual diagnostic criteria.
Overall, the inter-rater reliability estimates were excellent for individual DSM-IV criteria for nicotine and opioid dependence; good for alcohol and cocaine dependence, and fair for dependence on cannabis, sedatives and stimulants. The impact of any individual criterion on diagnostic reliability was minimal, consistent with the notion that the DSM-IV diagnosis of substance dependence measures an underlying construct that is relatively consistent across specific groups of substances.
These results, combined with results from a study of the SSADDA's diagnostic reliability [Pierucci-Lagha, A., Gelernter, J., Feinn, R., Cubells, J.F., Pearson, D., Pollastri, A., Farrer, L., Kranzler, H.R., 2005. Diagnostic reliability of the semi-structured assessment for drug dependence and alcoholism (SSADDA). Drug Alcohol Depend. 80, 303-312], show that the instrument can be used reliably to assess substance dependence.

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    • ") for all major psychiatric traits, including opioid, cocaine, or alcohol dependence. Subjects were interviewed using the Semi-Structured Assessment for Drug Dependence and Alcoholism (SSAD- DA) (Gelernter et al, 2005; Pierucci-Lagha et al, 2007). Control subjects had no diagnosed substance use or major psychiatric disorders. "
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    • "Subjects were interviewed with the Semi-Structured Assessment for Drug Dependence and Alcoholism (SSADDA), a computer-assisted interview that yields lifetime DSM-IV diagnoses of SUDs (Pierucci-Lagha et al., 2005; Pierucci-Lagha et al., 2007). For each substance, the SSADDA also includes questions that elicit information regarding craving (e.g., " In situations where you could not drink, did you ever have such a strong desire for it that you could not think of anything else? " ). "
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    • "The study sample consisted of 1140 cocaine-dependent individuals who participated in a large, collaborative, family-based (affected sibling pair), multi-site study on the genetics of cocaine and opioid dependence (Gelernter et al., 2005; Gelernter et al., 2006), 840 of whom have been reported on previously (Kalayasiri et al., 2006a). Diagnostic, demographic, and drug use data were obtained using the Semi-Structured Assessment for Drug Dependence and Alcoholism (SSADDA) (Pierucci-Lagha et al., 2005; Pierucci-Lagha et al., 2007). Subjects provided blood or saliva for the isolation of DNA and genetic analysis. "
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