Use of the AUDIT and the DAST-10 to identify alcohol and drug use disorders among adults with a severe and persistent mental illness

Stephen A. Maisto, Michael P. Carey, Kate B. Carey, Christopher M. Gordon, John R. Gleason

Research output: Contribution to journalArticle

189 Scopus citations

Abstract

State Psychiatric Hospital outpatients (93 men, 69 women) diagnosed with a serious persistent mental illness (SPMI) completed the Alcohol Use Disorders Identification Test (AUDIT) and Drug Abuse Screening Test (DAST-10) by interview as part of a general health/behavior screening instrument. Responses to the AUDIT and DAST-10 were compared with criteria of current diagnosis and occurrence of symptoms in the last year for both alcohol and drug use disorders, respectively. Results showed that for both diagnosis and symptoms, AUDIT cutpoints of 7 and 8 had good sensitivity and specificity, and DAST-10 cutpoint of 2 was identified for both criteria. These and other findings suggest that both instruments have promising clinical utility when used with individuals diagnosed with an SPMI.

Original languageEnglish (US)
Pages (from-to)186-192
Number of pages7
JournalPsychological Assessment
Volume12
Issue number2
DOIs
StatePublished - 2000

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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