Ist der European Addiction Severity Index ein sinnvolles Diagnoseinstrument bei Alkoholabhängigkeit?

Abstract

The severity ratings by means of EuropASI-Composite Scores illustrated the assumption that the severity level gives information about the treatment needs: the more severe disorder the larger the treatment needs. Furthermore, a t0-t1-decrease of the Composite Scores was shown for the whole sample in the domains 'alcohol use' and 'employment satisfaction'. This points to a reduction of the addiction severity level due to treatment. In spite of some limitations regarding the Composite Scores, the EuropASI seems to be useful for patient allocation.

Profiles of Childhood Trauma in Patients with Alcohol Dependence and Their Associations with Addiction-Related Problems

“…The EuropASI has been developed on the basis of the fifth version of the American Addiction Severity Index (McLellan et al., ). The severity of problems was calculated for each of the 9 subscales and ranged from 0 = “no problem” to 1 = “extreme problem.” Validity studies reported sufficient internal consistency, inter‐rater reliability, and construct validity (Scheurich et al., ; Schmidt et al., ; Weiler et al., ). Age at onset of substance dependence, years of substance dependence, and number of previous detoxifications were assessed as additional outcome variables.…”

Determinants of relapse and re-admission among alcohol abusers after intensive residential treatment

“…All patients were interviewed after their second week at the detoxification ward (between the 15 th and 21 st day after admission) using a structured questionnaire based on the European version of the Addiction Severity Index (EuropASI) [50]. Baseline interviews were administered by staff members of the treatment units involved and by trained Master students in Educational Sciences (Ghent University).…”

“…The ASI is a widely used self-report assessment and research instrument tested in numerous treatment settings with diverse groups of substance abusers [50,52,53]. It is a one-hour structured interview that measures lifetime and recent (past 30 days) severity of problems on a 10-point scale (0-9) in seven areas of bio-psychosocial functioning: medical status, employment and self-support, alcohol use, drug use, legal status, family and social relationships, and psychiatric symptoms [54].…”

Zur Effektivität der medizinischen Rehabilitation bei Alkoholabhängigkeit

“…Im Vergleich zur station ä ren Rehabilitation sind die Verl ä ufe nach ganzt ä gig ambulanter oder ambulanter Rehabilitation wegen Alkoholabh ä ngigkeit etwas g ü nstiger. Dieses Ergebnis best ä tigt zum einen, dass die ambulante Rehabilitation bei Alkoholabh ä ngigkeit bei daf ü r geeigneten Rehabilitand(inn)en ebenso wirksam ist wie die station ä re Rehabilitation [7,6] . Zum Anderen d ü rfte das Ergebnis mit der prog nostisch g ü nstigen besseren sozialen Integration der ambulant rehabilitierten Alkoholkranken zusammenh ä ngen.…”