Initial validation of a computer-administered Addiction Severity Index: The ASI–MV.

The Addiction Severity Index—Multimedia Version (ASI–MV) is a CD-ROM-based simulation of the interview-administered Addiction Severity Index (ASI). Clients in treatment (N ?=?202) self-administered the ASI–MV to examine the test–retest reliability, criterion validity, and convergent–discriminant validity of the ASI–MV. Excellent test–retest reliability was observed for composite scores and severity ratings. Criterion validity, tested against the interviewer-administered ASI, was good for the composite scores. For severity ratings, variable agreement was observed between the ASI–MV and each interviewer, suggesting poor interrater reliability among interviewers. This conclusion was bolstered by a finding of superior convergent–discriminant validity for both composite scores and severity ratings compared to the standard ASI. The ASI–MV is a viable alternative to the expensive and potentially unreliable interviewer-administered version. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Predictive validity of the Addiction Severity Index's composite scores in the assessment of 2-year outcomes in a methadone maintenance population.

The current research tested the predictive validity of 6 of the 7 Composite Scores (CSs) of the Addiction Severity Index (ASI) in 310 methadone maintenance patients assessed at treatment entry using the ASI and other measures, and followed for 2 years. Logistic regression was used to estimate the sensitivity and specificity of the CSs at intake in predicting their respective validity criterion measures at follow up. Except for the Medical CS, each of the other 5 CS measures significantly predicted its validity criterion measure. The CSs measuring drug use, alcohol abuse, psychopathology, and legal problems had high specificity (79% for the Drug CS, 91% for the Alcohol CS, 96% for the Legal CS, and 100% for the Psychological CS). The CSs measuring employment problems had high sensitivity (76%). The results support the predictive validity of most of the ASI CSs as measures of specific problems as well as the validity of the multidimensional construct on which the ASI is based. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Policy capturing in the employment interview.

Employed an information-processing perspective to analyze the judgments of individual employment interviewers in a corporate setting. Linear policy-capturing equations were estimated from 3 interviewers' ratings of 120 job applicants in live and audiotaped interviews. The equations were evaluated across interviewers to identify sources of predictive validity and consistency in information use. In competition with the interviewers from whom they were derived, regression models displayed higher predictive validities in a majority of instances. Following training on selected rating dimensions, interviewers' predictive validities improved. After interviewer training, the regression models of the training dimensions yielded higher predictive validities than all 3 interviewers. Results suggest specific directions for enhancing the effectiveness of interviewing in the employee-selection process. (19 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A comparison of the predictive validity of four sets of baseline ASI summary indices.

This study compared the long-term predictive validity of original and new baseline Addiction Severity Index summary scores in methadone patients. The indices included the original Interviewer Severity Ratings (ISRs) and the new Clinical Indices (CIs), which use both lifetime and recent problem information, and the original Composite Scores (CSs) and Evaluation Indices (EIs), based on recent problems only. Outcomes were medical hospitalization, employment, alcohol intoxication, drug hospitalization, and psychiatric hospitalization in Months 7–24 poststudy entry and criminal charges in Months 0–24. Hierarchical logistic regression analyses were used in which 1 index was entered first and the other in the 2nd step. The reverse order of entry was used in a 2nd analysis, A final analysis set compared the best predictor from each of the 2 prior analysis sets. The CIs were superior to the other indices in predicting 3 of 6 outcomes (psychiatric hospitalization, drug hospitalization, and criminal charges); the EI was the best predictor of alcohol intoxication, and the CS the best predictor of unemployment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

ASI总线的信号传输系统

ＡＳＩ总线系统由主站、从站和传输系统３部分组成,而传输系统又由两芯ＡＳＩ电缆、ＡＳＩ电源和数据解耦电路构成。本文重点介绍了ＡＳＩ信号的调制过程,ＡＳＩ电源和数据的解耦原理以及ＡＳＩ报文结构和访问方式。     

ASI主站和通信协议

首先介绍了ASI主机的性能特点，然后具体描述了主机的硬件电路和通信协议。ASI系统的数据通信就是建立在它们之上的。     

Screening for psychopathology in the clinical practice

Different instruments are used in clinical practice to assess comorbid psychopathology in addicted individuals. This study is aimed at comparing two of those instruments. In total, 327 heroin- and methadone-addicted individuals were interviewed in three treatment settings and outside treatment. Instruments used are the Addiction Severity Index (ASI) and the Composite International Diagnostic Interview (CIDI). The former instrument results in a general measure of severity of psychopathology, while the latter results in categorical DSM-III-R diagnoses. A comparison of the results show, however, that the two types of data do not agree to a large extent. By using the DSM-III-R data as golden standard, it appeared that a part of the psychopathology cases was missed out by the ASI severity measures. The results, that are especially of interest for clinicians using the ASI, are presented for various disorders.     

Test–retest reliability of the lifetime items on the Addiction Severity Index.

Longer interval (M =50.6, SD =13.1 days) test–retest reliability of the lifetime items on the Addiction Severity Index (ASI), a semistructured interview, was evaluated in 108 alcohol and/or cocaine dependent patients. They were administered the ASI at admission to an intensive outpatient rehabilitation treatment program and again after completion of this intervention and randomization into an aftercare study. Results demonstrated good to excellent reliability for participants' reports for most lifetime items in the medical, employment, drug, alcohol, and legal problem areas. Two of the ASI areas, family/social and psychiatric, had numerous items that did not achieve acceptable levels of reliability. Within these two problem areas, the more subjective and less operationally defined constructs had the poorest reliability. This study, in general, supports the longer interval test–retest reliability of the ASI lifetime items as well as the notion that alcohol and cocaine dependent patients under certain conditions can and do reliably report personal information. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cephalometric analysis of changes in occlusal relationship

This article assesses the reliability and validity of the Cocaine Selective Severity Assessment (CSSA), a measure of cocaine abstinence signs and symptoms. Interrater reliability and scale internal consistency were high. Initial CSSA scores were significantly higher in cocaine-dependent subjects than in alcohol-dependent subjects. Initial CSSA scores were highly correlated with recent cocaine use and with severity measures from the Addiction Severity Index (ASI) including the interviewer severity rating and composite score in the drug section. Among cocaine-dependent subjects, initial CSSA scores were higher for those who failed to achieve abstinence or who subsequently dropped out of treatment. Further, CSSA scores showed consistent and marked declines over time for subjects who continued in treatment and remained abstinent. The CSSA appears to be a reliable and valid measure of cocaine abstinence symptoms and a useful predictor of negative outcomes in cocaine dependence treatment.     

AIDS risk behavior in opioid dependent patients treated with community reinforcement approach and relationships with psychiatric disorders

This study examined the Community Reinforcement Approach's (CRA) effect on AIDS risk behaviors and the relationship between comorbid psychiatric disorders and the risk for AIDS behavior in opioid dependent patients entering methadone maintenance treatment. Additionally, we looked at AIDS risk behaviors as they related to the Addition Severity Index (ASI), Beck Depression Inventory, Symptom Checklist-90-Revised (SCL-90-R), and the Social Adjustment Scale-Self Report (SAS-SR). Subjects (N = 227) were drawn from a large clinical trial that examined the effectiveness of a Community Reinforcement Approach for treatment of opioid dependence. Both CRA and standard treatment demonstrated a significant effect on reduction of AIDS risk behaviors. There was no relationship found regarding comorbid psychiatric disorders with the risk for AIDS behavior. However, there were correlations with other psychiatric, social, and substance abuse variables. Multivariate analyses indicated that increased drug and legal ASI composite scores were the primary predictors of increased AIDS risk behavior.     

Active specific immunotherapy for stage II and stage III human colon cancer: a randomised trial

BACKGROUND: Colon cancer is curable by surgery, but cure rate depends on the extent of disease. We investigated whether adjuvant active specific immunotherapy (ASI) with an autologous tumour cell-BCG vaccine with surgical resection was more beneficial than resection alone in stage II and III colon cancer. METHODS: In a prospective randomised trial, 254 patients with colon cancer were randomly assigned postoperative ASI or no adjuvant treatment. ASI was three weekly vaccinations starting 4 weeks after surgery, with a booster vaccination at 6 months with 10(7) irradiated autologous tumour cells. The first vaccinations contained 10(7) BCG organisms. We followed up patients for time to recurrence, and recurrence-free and overall survival. Analysis was by intention to treat. FINDINGS: The 5.3 year median follow-up (range 8 months to 8 years 11 months) showed 44% (95% CI 7-66) risk reduction for recurrence in the recurrence-free period in all patients receiving ASI (p=0.023). Overall, there were 40 recurrences in the control group and 25 in the ASI group. Analysis by stage showed no significant benefit of ASI in stage III disease. The major impact of ASI was seen in patients with stage II disease, with a significantly longer recurrence-free period (p=0.011) and 61% (18-81) risk reduction for recurrences. Recurrence-free survival was significantly longer with ASI (42% risk reduction for recurrence or death [0-68], p=0.032) and there was a trend towards improved overall survival. INTERPRETATION: ASI gave significant clinical benefit in surgically resected patients with stage II colon cancer. ASI has minimal adverse reactions and should be considered in the management of stage II colon cancer.     

Personality Assessment Inventory substance-use scales: Convergent and discriminant relations with the Addiction Severity Index in a residential chemical dependence treatment setting.

This study examined the convergent and discriminant validity of the Alcohol Problems (ALC) and Drug Problems (DRG) scales of the Personality Assessment Inventory (PAI; Morey, 1991). Participants were 103 male veterans (mean age?=?41.7 years) in a Veterans Affairs residential treatment for chemical dependence. The PAI was compared to the Addiction Severity Index (ASI; McLellan et al., 1992), a semistructured interview. The sampling strategy that was used resulted in a diverse sample (66% African American, 33% Caucasian; 59% with primary alcohol diagnosis, 38% with primary drug diagnosis, 56% with comorbid alcohol and drug diagnoses) and adequately variable ALC and DRG scores. Results supported the convergent validity of both the ALC and DRG scales in relation to both the ASI and substance-use diagnosis. The ALC scale also demonstrated excellent discriminant validity, whereas the discriminant validity of the DRG scale was less impressive. Despite this, the DRG scale performed better in the current diverse sample than observed in an earlier study (Alterman et al., 1995). Recommendations for the use of the PAI in chemical dependence treatment settings are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

ASI从站的结构和工作流程

详细介绍了ＡＳＩ总线从站的结构和工作流程,并对从站接口的技术特征作了简要的说明。     

The Addiction Severity Index as a predictor of the use of mental health care.

The Addiction Severity Index (ASI) has been extensively used in the United States and Europe as an indicator of the problems of substance abuse patients. Several studies have shown the ASI to be a reliable and valid instrument, but lately doubt has arisen regarding its validity and reliability. The article focuses on a specific scale of the ASI-the Psychiatric Status scale-and its strength in predicting the use of mental health care. A group of 1,027 heroin patients in Rotterdam, the Netherlands, who participated in a methadone program were the subjects. Three indices have been used: the evaluation index, the clinical index, and the composite scores. It appears that no matter which indices are used, the Psychiatric scale does discriminate between those who will have contact with mental health care and those who will not. However, the percentage of false positives is high. None of the indices predicts the intensity and duration of the mental health care treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

剥片机组ASI网络模块改造

本文主要介绍电解剥片机组ASI网络模块的结构、改造背景、方案及设计思路。     

Industrial work and lung cancer

In a hospital-based case-control study, 316 lung cancer cases and 536 controls were interviewed for their occupational, smoking, passive smoking, cancer in the family and residential histories as well as social economic status, by trained interviewers, using a standardized questionnaire. Cases and controls were matched by hospital, sex and age. The study was carried out between 1st July 1990 and 31st January 1991 in 14 hospitals in the Metropolitan Region of S. Paulo, the most highly industrialized and urbanized region in Brazil. Score criteria were developed for the ordering of the individuals of the study by occupational exposure to know carcinogens to the lung, in order to evaluate this exposure during the occupational life of each person. The criteria accumulated information on exposure to carcinogens as regards type, sector of work and time in each employment. The unconditional logistic regression analysis showed an odds ratio of 1.97 (95% IC: 1.52 to 2.55) for the highest exposure group. This result showed that workers linked to the production sectors of several industries have about twice the risk of developing lung cancer as workers involved in non-industrial activities.     

Gender differences among pathological gamblers seeking treatment.

This study investigated gender differences among treatment-seeking pathological gamblers. During treatment intake, 115 pathological gamblers completed the Addiction Severity Index (ASI; A. T. McLellan et al., 1985), including a section on gambling severity, as well as the South Oaks Gambling Screen (H. R. Lesieur & S. B. Blume, 1987). When age and income were controlled, gender differences emerged in ASI gambling, alcohol, and legal scores. Men initiated gambling, began gambling regularly, tried to stop gambling, and first entered gambling treatment at a younger age than women. Women were more likely to be living with someone with a gambling or drinking problem but themselves had fewer alcohol and legal problems. Results suggest that gender differences exist in the initiation of gambling dysfunction and its psychosocial correlates. Understanding these differences may assist in developing treatments that address differential needs of male and female pathological gamblers. (PsycINFO Database Record (c) 2010 APA, all rights reserved)