TY - JOUR
T1 - Validation of the revised Problems Assessment for Substance Using Psychiatric Patients
AU - Vincent, Paula C.
AU - Bradizza, Clara M.
AU - Carey, Kate B.
AU - Maisto, Stephen A.
AU - Stasiewicz, Paul R.
AU - Connors, Gerard J.
AU - Mercer, Nicole D.
N1 - Funding Information:
Funding for this study was provided by NIAAA Grant R01-AA12805, awarded to Dr. Clara M. Bradizza as principal investigator. NIAAA had no role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication.
PY - 2011/5
Y1 - 2011/5
N2 - This study assessed the factor structure, internal consistency, test-retest reliability, and construct validity of the Problems Assessment for Substance Using Psychiatric Patients (PASUPP; Carey, Roberts, Kivlahan, Carey, & Neal, 2004) with a sample of 278 men and women seeking outpatient dual-diagnosis treatment. All participants were diagnosed with a current AUD and schizophrenia and/or bipolar disorder. Initial confirmatory factor analysis did not support the 1-factor model for the 50-item measure found by Carey and colleagues. Instead, exploratory factor analysis yielded a shorter (27-item) scale with four distinct, yet related factors (Physical Problems, Aggression, Social and Financial Consequences, and Psychological Problems). The factor-based scales had good internal consistency (α = .77-.81) and 1-week test-retest reliability (r= .67-.73). The revised PASUPP (PASUPP-R) was associated with measures of psychiatric symptoms/adjustment, substance use/dependence, and another measure of substance use problems, providing evidence for convergent validity. Subgroup comparisons suggested few demographic differences on the PASUPP-R, but differential patterns of problems endorsement emerged as a function of mental health and substance use diagnosis. Overall, this study provides preliminary evidence for the psychometric soundness of the PASUPP-R as a measure of problems experienced by persons with co-occurring psychiatric and substance use disorders.
AB - This study assessed the factor structure, internal consistency, test-retest reliability, and construct validity of the Problems Assessment for Substance Using Psychiatric Patients (PASUPP; Carey, Roberts, Kivlahan, Carey, & Neal, 2004) with a sample of 278 men and women seeking outpatient dual-diagnosis treatment. All participants were diagnosed with a current AUD and schizophrenia and/or bipolar disorder. Initial confirmatory factor analysis did not support the 1-factor model for the 50-item measure found by Carey and colleagues. Instead, exploratory factor analysis yielded a shorter (27-item) scale with four distinct, yet related factors (Physical Problems, Aggression, Social and Financial Consequences, and Psychological Problems). The factor-based scales had good internal consistency (α = .77-.81) and 1-week test-retest reliability (r= .67-.73). The revised PASUPP (PASUPP-R) was associated with measures of psychiatric symptoms/adjustment, substance use/dependence, and another measure of substance use problems, providing evidence for convergent validity. Subgroup comparisons suggested few demographic differences on the PASUPP-R, but differential patterns of problems endorsement emerged as a function of mental health and substance use diagnosis. Overall, this study provides preliminary evidence for the psychometric soundness of the PASUPP-R as a measure of problems experienced by persons with co-occurring psychiatric and substance use disorders.
KW - Dual diagnosis
KW - Factor analysis
KW - Negative consequences of substance use
KW - Severe mental illness
KW - Substance abuse
UR - http://www.scopus.com/inward/record.url?scp=79951856655&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79951856655&partnerID=8YFLogxK
U2 - 10.1016/j.addbeh.2011.01.024
DO - 10.1016/j.addbeh.2011.01.024
M3 - Article
C2 - 21330064
AN - SCOPUS:79951856655
SN - 0306-4603
VL - 36
SP - 494
EP - 501
JO - Addictive Behaviors
JF - Addictive Behaviors
IS - 5
ER -