Adolescent Diagnostic Interview

Winters, Ken C.; Henly, George A.

doi:10.1037/t02989-000

Cited by 75 publications

(138 citation statements)

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“…The Children's Hospital Boston Committee on Clinical Investigation (institutional review board) waived the requirement for parental consent in accordance with current guidelines for adolescent health research. 13,14 For assessing actual substance-related diagnoses of abuse or dependence, adolescents were administered the Adolescent Diagnostic Interview (ADI) 15 by a trained research assistant. The ADI is a 30-to 90-minute structured interview that provides alcoholand drug-related diagnoses according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV).…”

Section: Methodsmentioning

confidence: 99%

Are Clinical Impressions of Adolescent Substance Use Accurate?

et al. 2004

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ABSTRACT. Objective. To compare providers' impressions of adolescents' level of substance use with diagnostic classifications from a structured diagnostic interview.Methods. Secondary analysis of data was conducted from a validation study of the CRAFFT substance abuse screening test of 14-to 18-year-old medical clinic patients (n ‫؍‬ 533) and their corresponding medical care providers (n ‫؍‬ 109) at an adolescent clinic affiliated with a large tertiary care pediatric hospital. Medical care providers completed a form that recorded their clinical impressions of patients' level of alcohol and drug involvement (none, minimal, problem, abuse, dependence) and demographic characteristics. The form included brief diagnostic descriptions for each level of use. After the medical visit, patients completed the Adolescent Diagnostic Interview (ADI), a structured diagnostic interview that yields diagnoses of abuse and dependence according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV). On the basis of their past 12 months of alcohol and drug use on the ADI interview, adolescents were classified into 5 mutually exclusive diagnostic groups. "None" was defined by no reported use of alcohol or drugs during the past year. "Minimal use" was defined as use of alcohol or drugs but no report of any substance-related problems. "Problem use" was defined as reporting 1 or more substance-related problems but no diagnosis of abuse or dependence. "Abuse" was defined by meeting any 1 of 4 DSM-IV diagnostic criteria for either alcohol or drug abuse but no diagnosis of dependence. "Dependence" was defined by meeting any 3 of 7 diagnostic criteria for either alcohol or drug dependence, with or without a diagnosis of abuse. Proportions were compared using Fisher exact test. Agreement was assessed with the weighted , and these analyses were stratified by substance used (ie, alcohol vs drug) and demographic characteristics. Sensitivity, specificity, and positive and negative predictive values were calculated from 2 ؋ 2 tables.Results. Compared with the criterion standard interview, providers identified significantly fewer patients with problem use and abuse and no patients with dependence. Of >100 patients whom the ADI classified with substance problem use, providers correctly identified 18. Of 50 patients who were classified with a diagnosis of alcohol or drug abuse, providers correctly identified 10. Of 36 patients who were classified with a diagnosis of alcohol or drug dependence, providers correctly identified none. For the 86 adolescents who were classified with a substance-related disorder (ie, abuse or dependence), providers' impressions were "none" (24.4%), "minimal use" (50%), "problem use" (15.1%), "abuse" (10.5%), and "dependence" (0% suggests that the longer well-child visit yielded greater identification of substance-related pathology. Providers' impressions had a sensitivity of .63 for identifying use of alcohol or drugs. However, sensitivity was poor for identification of problem use (.14), abu...

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Section: Methodsmentioning

confidence: 99%

Are Clinical Impressions of Adolescent Substance Use Accurate?

et al. 2004

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“…These categorizations are justified within the context that all treatment participants reported at intake either about weekly or about daily use of at least one drug. (American Psychiatric Association, 1994) SUDs were measured with the Adolescent Diagnostic Interview, a highly structured interview with favorable psychometric properties (Winters & Henly, 1993). Again a high-water decision rule was used; clients with any dependence diagnosis received the dependence descriptor; an abuse descriptor meant that the client had at least one abuse diagnosis but no dependence diagnosis; no diagnosis meant no abuse or dependence diagnosis was met.…”

Section: Drug Involvement Measuresmentioning

confidence: 99%

Internalizing and externalizing behaviors and their association with the treatment of adolescents with substance use disorder

Winters

Stinchfield

Latimer

et al. 2008

Journal of Substance Abuse Treatment

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“…Los datos fueron recogidos mediante una entrevista estructurada, con el apoyo de un cuestionario en el que se incluían: la subescala de Uso y Abuso de Sustancias del Problem Oriented Screening Instrument for Teenagers (POSIT UAS ) (Rahdert, 1991), la Adolescent Diagnostic Interview (ADI) (Winters y Henly, 1993) y el CRAFFT Substance Abuse Screening Test (Knight et al, 1999). Para evitar un posible sesgo del orden de cumplimentación de los tres instrumentos, éste fue debidamente contrabalanceado.…”

Section: Instrumentounclassified

“…La Adolescent Diagnostic Interview (ADI) (Winters y Henly, 1993) fue utilizada como criterio para calcular la sensibilidad y especificidad del POSIT UAS y consiste en una entrevista diagnóstica de 213 ítems adaptada a los criterios del DSM-5 (American Psychiatric Association [APA], 2013), para la identificación de trastornos por consumo de sustancias en adolescentes. Para su empleo en este trabajo, dicha entrevista fue traducida y contra-traducida bajo la supervisión de sus autores originales.…”

Section: Instrumentounclassified

Validación psicométrica del POSIT para el cribado del consumo de riesgo de alcohol y otras drogas entre adolescentes

et al. 2018

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Early detection of alcohol and drug abuse among adolescents is decisive not only for rapid referral and intervention in cases of risk, but also as an indicator for use in the evaluation of prevention programs and public policies to reduce consumption. One of the most widely-used screening instruments in the world is the Problem Oriented Screening Instrument for Teenagers (POSIT) (Rahdert, 1991), whose substance use and abuse subscale (POSIT UAS ) is a brief tool of enormous applied potential. However, there is still no empirical validation study that

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Adolescent Diagnostic Interview

Cited by 75 publications

References 0 publications

Are Clinical Impressions of Adolescent Substance Use Accurate?

Are Clinical Impressions of Adolescent Substance Use Accurate?

Internalizing and externalizing behaviors and their association with the treatment of adolescents with substance use disorder

Validación psicométrica del POSIT para el cribado del consumo de riesgo de alcohol y otras drogas entre adolescentes

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