Drug Involvement Scale Research Articles

The role of substance assessment tools in treatment planning and monitoring: a narrative review

Psychoactive drugs including alcohol and tobacco products can be considered as substances that lead to various negative physical and psychological consequences. On the other hand, socioeconomic deterioration also comes along with harmful substance usage. Substance addiction is a complex condition characterised by a compulsive and harmful pattern of substance use despite the adverse consequences it may comprise, and the risk of developing substance addiction is influenced by a combination of genetic, environmental, and psychological factors and relapse is the recurrence of substance use after a period of abstinence or successful treatment. Hence, healthcare professionals, educational experts, and legal officers are required to get a broader idea regarding the factors associated with substance use. Assessment tools are the most efficient way of identifying the associated factors of substance use, customising specific treatment plans, and monitoring the progress of addiction intervention. By implementing modifications and enhancements to the pre-existing tools, researchers and clinicians able to improve the accuracy of participant responses and findings, leading to a more precise identification of causal links within the context of substance use disorders. The primary focus of this study lies in the comprehensive review of the Alcohol Use Disorder Identification test, Michigan Alcohol Screening Test, Alcohol Dependency Scale, Self-administered Alcoholism Screening Test, Drug Abuse Screening Test, Tobacco, Alcohol, Prescription Medication, and Other Substance Use Tool, Alcohol, Smoking, and Substance Involvement Screening Test, Substance and Choice Scale, Screening to Brief Intervention, Adolescent Alcohol and Drug Involvement Scale, and Severity of Dependence Scale play crucial roles in identifying substance use disorders, assessing severity, guiding treatment decisions, and facilitating interventions to promote recovery and well-being.

Mental Health Issues and Psychosocial Contexts in CICL Children Versus Non-CICL Children: A Comparative Study.

Children in conflict with law (CICL) is an emerging issue in the contemporary world. Children between the ages of 12 years and 18 years are the most productive age group, but some children may develop behaviors that are undesirable to society by violating laws. The mental health and associated psychosocial factors of such children are lacking in India. It is of utmost importance to understand the mental health aspects of CICL for their rehabilitation, reintegration, and a better society for tomorrow. This study aimed to compare the psychosocial factors such as psychological adjustment, level of substance abuse, aggression, sensation seeking, self-esteem, and perceived parenting style between CICL and non-CICL. After obtaining the Institute's Ethics Committee approval (Letter No. IEC/CIP/2020-2021/1207, dated March 22, 2022), 70 CICL were selected from Ranchi district of Jharkhand. To compare, 55 non-CICL were selected with the same gender within the age range of 12-18 years, using a cross-sectional comparative survey research design. A semistructured interview schedule was used to assess the basic demographic and legal history of the children. The Strength and Difficulty Questionnaire, Adolescent Alcohol and Drug Involvement Scale, Buss and Perry Aggression Questionnaire, Arnett Inventory of Sensation Seeking, Rosenberg Self-Esteem Scale, and Parental Style Index were used to compare the psychosocial factors between CICL and non-CICL. The Pearson chi-square test indicated that CICL participants were significantly (P = .001) more likely to be from urban areas, have a history of school dropout and truancy, and come from broken families compared with non-CICL participants. The Mann-Whitney U test & indicated significant differences between CICL and non-CICL in the years of education (P = .001) for both children and their parents. The Mann-Whitney U test found that CICL participants showed significantly higher levels (P = .001) in emotional problems, internalizing attributes, prosocial behavior, level of alcohol/drug involvement, self-esteem, and strictness compared with non-CICL. These findings have significant implications for the field of juvenile justice, highlighting the need for targeted interventions and support systems. Prevention, promotional mental health aspects, and comprehensive rehabilitation plans are crucial for the successful social integration of CICL.

EFFECTS OF ALCOHOL AND ITS PREVENTION STRATEGIES ON ADOLESCENT SCHOOL STUDENTS

Substance use continues to be recognized as one of the major health and social issues in the Caribbean. This study focusses on the risks and consequences of adolescent school student's exposure to alcohol and prevention strategies. Participants were selected from the age group of 13 to 19 years old, who are attending Secondary School. Five schools were chosen according to the prevalence of alcohol. Students were purposively selected from each school based on the recommendations from the school social workers. Students completed the Adolescent Drug Involvement Scale (ADIS) to understand the extent of involvement in alcohol use. The study recommends that there is a need for effective parenting where training in awareness, skills, and techniques around engaging young adolescent students with age-appropriate information on alcohol abuse can be disbursed and reinforced as they enter various stages of their development.

The relationship of lifetime substance-use disorder with family functioning, childhood victimisation, and depression, among juvenile offenders in Malaysia

IntroductionAdolescent substance use is a multifactorial social issue that leads to detrimental outcomes. The aim of this study is to understand the association of a lifetime history of substance abuse or dependence with family functioning, childhood victimisation, and depression, among adolescent male inmates in a juvenile detention centre in Malaysia. MethodsThis study was cross-sectional involving 230 inmates and was conducted in a juvenile detention centre in Malaysia. The mean age of the participants was 16.65 years, with the highest percentage from the Malay ethnicity (87.8% where n = 202). The Mini International Neuropsychiatric Interview for Children and Adolescents (MINI-KID), Adolescent Alcohol and Drug Involvement Scale (AADIS), Family Adaptability and Cohesion Evaluation Scale (FACES) IV and Juvenile Victimization Questionnaire Second Revision (JVQ-R2) were used as instruments. ResultsThe prevalence of a lifetime history of substance abuse and substance dependence is 72.6% and 58.3%, respectively. A lifetime history of substance abuse and dependence had a significant association with age, race, religion, and peer/sibling victimisation. Further analysis reveals that an increase in age can be a predictor of both lifetime history of substance abuse and dependence while peer/sibling victimisation may predict lifetime history of substance abuse. There was no significant association of lifetime substance-use disorder with family functioning and depression in the juvenile offenders. ConclusionsAdolescents exposed to peer/sibling victimisation might be at a higher risk of developing a substance-use disorder. At-risk groups need to be identified, assessed, and have intervention early to prevent adverse outcomes.

A study of Substance Abuse and Quality of Life among Street Children in District Etawah

Background: The research series on street children are carried out in major cities by neglecting the rapidly developing small cities experiencing widespread urbanization. Unfortunately, there is lack of research-based evidences in field of mental health status and quality of life of street children. Aim & Objective: The study aimed to study the pattern of substance abuse & their correlates among street children and to assess the ‘quality of life’ among street children. Material & Methods: A sample of 145 street children of 13-18 years were enrolled by purposive sampling from January 2017 - June 2018 in Market places, Railway station, Bus depot etc. Subjects were searched at known hotspots in Etawah, and further sample was covered using snowball sampling. Information was gathered using predesigned and pre-structured questionnaire, along with WHOQOLBREF and Adolescent Alcohol and Drug Involvement Scale questionnaire. Results: Average Quality of life was tested using t test and ANOVA. Most of the street children 55% were aged between 13-15 years, 65 % had attended school for at least one year. Quality of life showed higher Physical health. Street living children had less psychological health score (30.3±7.1). Prevalence of drug abuse was 54%, while tobacco, alcohol, marijuana, inhalants, were the drugs consumed. Conclusion: Psychological health was more affected. Tobacco & alcohol were the common drugs consumed.

Prevalence and factors influencing behavioral problems among adolescents in selected high schools of Bhubaneswar: A survey in Odisha

Background: Adolescent health and well-being are important for the health of future generation. Adolescence is a period of complex amalgamation of emotional, physical and social development leading to functional independence of the individual. It is also a period when behavioral problems could adversely impact the mental health. Timely identification and utilization of support system could lead better adjustment and less emotional and behavioral problems in adolescents. The objective of the present study was to identify the prevalence and the factors influencing behavioral problems among adolescents.
 Materials and methods: Behavioral problems such as depression, substance abuse, suicidal tendency and conduct disorder were surveyed in schools. A total of 300 adolescents (150 boys and 150 girls) responded to the survey questions. Beck’s depression inventory, adolescent alcohol and drug involvement scale, suicidal behavioral questionnaire revised were used to examine depression, substance abuse and suicidal tendency respectively. Self structured questionnaire were used to evaluate conduct disorder and the factors influencing behavioral problems. The self designed tools were validated by seven multi disciplinary experts from pediatric, nursing, psychology and psychiatrics.
 Results: Prevalence of various conditions is reported, depression was reported by 36%, drug abuse is 16%, conduct disorder was observed in 45% and 27% risk of suicide. Age, class and gender have a strong association with behavioral problems. In this study it has shown that females are more affected by behavioral problems than males and more problems are reported in higher class’s students. Attitude of mother has a strong impact on behavior of an adolescent. Overall, the current study highlights the prevalence and the factors that impact behavioral conditions in adolescents.
 Conclusion: It concludes that behavioral problems among adolescents are common. They are often under recognized. Identification and recognition through proper assessment is needed to give them right referral.

Patterns of drug abuse in Upper Egypt: cause or result of violence?

BackgroundDrug abuse and violence both are dangerous phenomena in all countries. The relation between drug abuse and violence is obscure, and what comes first is the question. This study clarifies the changes in drug abuse patterns in Upper Egypt and the association between drug abuse and different types of violence.MethodThree hundred patients seeking medical advice in Mental Health Hospital participated in this study. After obtaining their informed written consent, they underwent urine analysis to determine the abused drug and filled up a questionnaire to determine the type of violence. In this study, the patients were asked to fill out two types of scales: Adolescent Alcohol and Drug Involvement Scale (AADIS) and the Modified Overt Aggression Scale (MOAS).ResultsPatterns of drug abuse have been changed in Upper Egypt since the appearance of tramadol. The age of onset of abuse was 17.5 ± 5.5 years old. The age of 21–30 years old is the age of adult which is mostly affected. Most of the patients use combination of tramadol and others like alcohol, cannabis, other opioids, but 25% use tramadol alone. The type of violence changes from one drug abuse to another; auto-aggression was found in cannabis, while aggression towards objects and others was found in tramadol, inhalants, and other opioids.ConclusionDrug abuse is a direct cause that increases the violence in the community. Types and degree of violence differ according to the drug abuse type.

Psychological well-being and substance abuse among adolescents (13 to 19 years) in Central Kerala

Background: Adolescence is a developmental phase between childhood and adulthood, a period where one gains a desire of intimacy and increased responsibilities. Based on their interaction with family and society, adolescents develop positive outcomes such as getting involved in healthy behaviour and negative outcomes such as depression and substance abuse. The objectives of the study were to determine the prevalence of poor psychological well-being and substance abuse among adolescents (13 to 19 years) in Central Kerala, and to assess the role of substance abuse in psychological well-being in adolescents.Methods: A cross sectional study was conducted among 300 secondary and higher secondary school students in three government aided institutions in Central Kerala. All students available in the school at the time of the study formed the inclusion criteria; however, 10th standard students were excluded. Data on basic demographic variables were collected. General Health Questionnaire and Adolescent Alcohol Drug Involvement Scale (AADIS) were used to collect information on psychological wellbeing and alcohol use. The data were entered and analysed using standard statistical package. For significance testing, Chi square test was carried out.Results: Mean age was 14.49 years with a standard deviation of 1.31. Males were 64.5% and 82.6% belonged to nuclear family. Psychological wellbeing was significantly better in males compared to females (p=0.025). Males (7.6%) and females (4.3%) were found to be using alcohol by AADIS questionnaire. Those who were not under the influence of alcohol had better well-being when compared to those who consumed alcohol (p=0.0016).Conclusions: Prevalence of poor psychological wellbeing and substance abuse among adolescents was 7.8% and 6.4% respectively. Females were more emotionally unstable than males. Substance abuse cause further deterioration of mental function in adolescents.

Reported Maternal Styles and Substance Use: A Cross-Sectional Study Among Educated Albanian Young Adults

The study explored a predictive model of substance use including perceived maternal parenting style, age and gender. Participants were 347 Albanian young adults (144 males and 203 females) aged 18 to 28 years. They completed the Parental Authority Questionnaire and the Adolescent Alcohol and Drug Involvement Scale. Gender, perceived authoritative maternal style, and age predicted a proportion of substance use involvement. Gender and perceived authoritative maternal style also predicted the proportion of young people at risk for substance use or abuse. Implications of the findings and limitations of the study are discussed.

Effect of Differentiation of Self on Adolescent Risk Behavior

Innovative theoretical models are needed to explain the occurrence of high-risk sexual behaviors, alcohol and other-drug (AOD) use, and academic engagement among ethnically diverse, inner-city adolescents. The aim of this study was to test the credibility of a theoretical model based on the Bowen family systems theory to explain adolescent risk behavior. Specifically tested was the relationship between the predictor variables of differentiation of self, chronic anxiety, and social problem solving and the dependent variables of high-risk sexual behaviors, AOD use, and academic engagement. An ex post facto cross-sectional design was used to test the usefulness of the theoretical model. Data were collected from 161 racially/ethnically diverse, inner-city high school students, 14 to 19 years of age. Participants completed self-report written questionnaires, including the Differentiation of Self Inventory, State-Trait Anxiety Inventory, Social Problem Solving for Adolescents, Drug Involvement Scale for Adolescents, and the Sexual Behavior Questionnaire. Consistent with the model, higher levels of differentiation of self related to lower levels of chronic anxiety (p < .001) and higher levels of social problem solving (p < .01). Higher chronic anxiety was related to lower social problem solving (p < .001). A test of mediation showed that chronic anxiety mediates the relationship between differentiation of self and social problem solving (p < .001), indicating that differentiation influences social problem solving through chronic anxiety. Higher levels of social problem solving were related to less drug use (p < .05), less high-risk sexual behaviors (p < .01), and an increase in academic engagement (p < .01). Findings support the theoretical model's credibility and provide evidence that differentiation of self is an important cognitive factor that enables adolescents to manage chronic anxiety and motivates them to use effective problem solving, resulting in less involvement in health-comprising behaviors and increased academic engagement.

Measuring Drug Abuse: The Development of the Chinese Drug Involvement Scale in Hong Kong

Objective: The development of the Chinese Drug Involvement Scale for use in Chinese communities. Method: A battery of scales, including the Chinese Drug Involvement Scale and three mental health measures, were administered to 152 students of 13 to 18 years of age. Reliability and validity analyses were performed. The refined version was then cross-validated on a group of identified drug abusers (N = 77). Results: The final version of the Chinese Drug Involvement Scale is a 22-item scale. Validation results demonstrate that the Chinese Drug Involvement Scale has high reliability and a satisfactory level of validity. Conclusion: The Chinese Drug Involvement Scale is a global assessment of an individual’s beliefs and values relating to drug use, apart from actual drug abuse behavior. The scale will be particularly useful for periodic assessments or outcome evaluation in treatment programs.

The Drug Involvement Scale for Adolescents (DISA).

This article specifically addressed the need for a multidimensional approach to measuring adolescents' drug involvement. The Drug Involvement Scale for Adolescents (DISA) was theoretically specified and its measurement properties were tested using Confirmatory Factor Analyses and traditional procedures with 705 high-risk and typical high school students. Five first-order dimensions, Drug Access, Alcohol Use, Other Drug Use, Drug Use Control Problems and Adverse Drug Use Consequences, and a hierarchical model of Drug Involvement demonstrated a good fit between model and data. Further, the DISA demonstrated good internal consistency (alpha = .91); correlated as expected with known correlates of adolescent drug use; discriminated drug involvement between high-risk and typical high school students; and predicted later drug involvement and known drug-related consequences among adolescents. The results suggest the DISA should be useful for capturing a multidimensional view of adolescent drug involvement in both etiologic and prevention studies. A major advantage of the DISA is its brevity: twenty-two indicators constructed from twenty-nine items.

The adolescent drug involvement scale

The adolescent drug involvement scale

MacAndrew scale and sociodemographic correlates of adolescent alcohol and drug use

To assess the utility of the MacAndrew Scale (MAC) of the MMPI as a screening device for problem drinking and drug use with adolescents, 403 ninth- through twelfth-graders were administered the MAC, a sociodemographic questionnaire, an alcohol/drug frequency questionnaire, the Adolescent Alcohol Involvement Scale, and the Adolescent Drug Involvement Scale. Stepwise multiple regression analysis showed the MAC to be the best single predictor (compared to sociodemographic variables) of alcohol/drug use for both males and females. MAC cutoff scores for differentiation between alcohol/drug abusers and nonabusers were obtained that were more efficient than base rate prediction. The results are discussed as supportive of the MAC's concurrent validity and of Jessor and Jessor's “problem behavior theory.” Finally, implications for practice (e.g., early intervention and prevention) and future research are considered.

A drug involvement scale for classification of drug abusers

A drug involvement scale for classification of drug abusers