Douglas C Smith1, Kyle M Bennett2, Michael L Dennis3, Rodney R Funk3. 1. School of Social Work, University of Illinois Urbana Champaign, 1010 West Nevada Street, Urbana, IL 61801, USA. Electronic address: smithdc@illinois.edu. 2. School of Social Work, University of Illinois Urbana Champaign, 1010 West Nevada Street, Urbana, IL 61801, USA. 3. Chestnut Health Systems, 448 Wylie Drive, Normal, IL 61701, USA.
Abstract
BACKGROUND AND OBJECTIVES: Emerging Adults (ages 18-25) have the highest prevalence of substance use disorders and rarely receive treatment from the specialty care system. Thus, it is important to have screening instruments specifically developed for emerging adults for use in Screening, Brief Intervention and Referral to Treatment (SBIRT) models. Optimal cutoffs for the widely-used GAIN Short-Screener's (GAIN-SS) Substance Disorder Screener (SDScrY) are not established specifically for emerging adults. Therefore, this study examined the sensitivity and specificity of the SDScrY in predicting emerging adult (ages 18-25) substance use disorders. METHODS: We analyzed data from emerging adults in a large clinical sample (n=9,808) who completed both the five-item SDScrY (α=0.85) and the full criteria set for DSM-IV Substance Use Disorders. We estimated the sensitivity, specificity and area under the curve to determine optimal cutoffs. RESULTS: Analyses revealed a high correlation between the SDScrY screener and its longer parent scale (r=0.95, p<0.001). Sensitivity (83%) and specificity (95%) were highest at a cutoff score of two (AUC=94%) on the SDScrY for any past year substance use disorder. Sensitivity (85%) was also high at a cutoff score of two on the SDScrY for any past year alcohol disorder. CONCLUSIONS: The five-item Substance Use Disorder Screener is a sensitive and specific screener for emerging adults, and could be used to identify emerging adults who may benefit from SBIRT interventions.
BACKGROUND AND OBJECTIVES: Emerging Adults (ages 18-25) have the highest prevalence of substance use disorders and rarely receive treatment from the specialty care system. Thus, it is important to have screening instruments specifically developed for emerging adults for use in Screening, Brief Intervention and Referral to Treatment (SBIRT) models. Optimal cutoffs for the widely-used GAIN Short-Screener's (GAIN-SS) Substance Disorder Screener (SDScrY) are not established specifically for emerging adults. Therefore, this study examined the sensitivity and specificity of the SDScrY in predicting emerging adult (ages 18-25) substance use disorders. METHODS: We analyzed data from emerging adults in a large clinical sample (n=9,808) who completed both the five-item SDScrY (α=0.85) and the full criteria set for DSM-IV Substance Use Disorders. We estimated the sensitivity, specificity and area under the curve to determine optimal cutoffs. RESULTS: Analyses revealed a high correlation between the SDScrY screener and its longer parent scale (r=0.95, p<0.001). Sensitivity (83%) and specificity (95%) were highest at a cutoff score of two (AUC=94%) on the SDScrY for any past year substance use disorder. Sensitivity (85%) was also high at a cutoff score of two on the SDScrY for any past year alcohol disorder. CONCLUSIONS: The five-item Substance Use Disorder Screener is a sensitive and specific screener for emerging adults, and could be used to identify emerging adults who may benefit from SBIRT interventions.
Authors: Raymond Khanano; Skye Barbic; Joanna Henderson; Steve Mathias; Christopher G Richardson Journal: J Can Acad Child Adolesc Psychiatry Date: 2021-05-01
Authors: David S Carrell; Ladia Albertson-Junkans; Arvind Ramaprasan; Grant Scull; Matt Mackwood; Eric Johnson; David J Cronkite; Andrew Baer; Kris Hansen; Carla A Green; Brian L Hazlehurst; Shannon L Janoff; Paul M Coplan; Angela DeVeaugh-Geiss; Carlos G Grijalva; Caihua Liang; Cheryl L Enger; Jane Lange; Susan M Shortreed; Michael Von Korff Journal: J Drug Assess Date: 2020-04-28