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首页> 外文期刊>Substance abuse: official publication of the Association for Medical Education and Research in Substance Abuse >The concurrent validity of the Problem Oriented Screening Instrument for Teenagers (POSIT) substance use/abuse subscale in adolescent patients in an urban federally qualified health center
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The concurrent validity of the Problem Oriented Screening Instrument for Teenagers (POSIT) substance use/abuse subscale in adolescent patients in an urban federally qualified health center

机译：在城市联邦合格卫生中心的青少年（经，分发）物质使用/滥用子程的问题导向筛选仪的并发有效性

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Background: The Problem Oriented Screening Instrument for Teenagers (POSIT) substance use/abuse subscale has been validated with high school students, adolescents with criminal justice involvement, and adolescent substance use treatment samples using the Diagnostic and Statistical Manual of Mental Disorders (DSM)-III-R and DSM-IV. This study examines the concurrent validity of the POSIT's standard 17-item substance use/abuse subscale and a revised, shorter 11-item version using DSM-5 substance use disorder diagnoses. Methods: Adolescents (N = 525; 93% African American, 55% female) 12-17years of age awaiting primary care appointments at a Federally Qualified Health Center in Baltimore, Maryland completed the 17-item POSIT substance use/abuse subscale and items from a modified World Mental Health Composite International Diagnostic Interview corresponding to DSM-5 alcohol use disorder (AUD) and cannabis use disorder (CUD). Receiver operating characteristic curves, sensitivities, and specificities were examined with DSM-5 AUD, CUD, and a diagnosis of either or both disorders for the standard and revised subscales using risk cutoffs of either 1 or 2 POSIT yes responses. Results: For the 17-item subscale, sensitivities were generally high using either cutoff (range: 0.79-1.00), although a cutoff of 1 was superior (sensitivities were 1.00 for AUD, CUD, and for either disorder). Specificities were also high using either cutoff (range: 0.81-0.95) but were higher using a cutoff of 2. For the 11-item subscale, a cutoff of 1 yielded higher sensitivities than a cutoff of 2 (ranges for 1 and 2: 0.96-1.00 and 0.79-0.86, respectively). Specificities for this subscale were higher using a cutoff of 2 (ranges for 1 and 2: 0.82-0.89 and 0.89-0.96, respectively). Conclusions: Findings suggest that the POSIT's substance use/abuse subscale is a potentially useful tool for screening adolescents in primary care for AUD or CUD using a cutoff of 1 or 2. The briefer, revised subscale may be preferable to the standard subscale in busy pediatric practices.
机译：背景：针对青少年的问题筛选仪器（DIAT）物质使用/滥用子仪表已被高中生，高中生，青少年验证，具有刑事司法参与，青少年物质使用治疗样品使用精神障碍（DSM）的诊断和统计手册 - III-R和DSM-IV。本研究介绍了使用DSM-5物质使用障碍诊断的DSM-5物质使用障碍诊断的正标准17件物质使用/滥用额卡和修订的较短11项版本的并行有效性。方法：青少年（N = 525; 93％非洲裔美国人，55％的女性）12-17年龄等待在巴尔的摩的联邦合格的医疗中心在巴尔的摩的初级保健中心，马里兰州完成了17件物品使用/滥用子电脑和物品对应于DSM-5酒精使用障碍（AUD）和大麻使用障碍（CUD）的改进的世界心理健康复合国际诊断面试。使用DSM-5 AUD，CUD和标准和修订的分量的诊断检查了操作特征曲线，灵敏度和特异性，使用1或2个问题的风险截止，对标准和修订的分量的任何一种或两种疾病进行诊断。结果：对于17项亚电视，敏感性通常使用截止值（范围：0.79-1.00），虽然1的截止值是优越的（敏感性为1.00澳元，CUD和任一疾病）。使用截止值（范围：0.81-0.95），比例也高，但是使用截止值的截止值较高。对于11项亚电路，1的截止值率高于2的截止值（范围为1和2：0.96 -1.00和0.79-0.86分别）。使用2（分别为1和2：0.82-0.89和0.89-0.96）的截止值，该子级的特异性较高。结论：调查结果表明，Disthe的物质使用/滥用子级是一种潜在的工具，用于使用1或2的截止的截止截止的截止截止者筛选初级护理的青少年的潜在有用的工具。实践。

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