The reliability and validity of the Severity of Dependence Scale for detecting cannabis dependence in psychosis

Addiction. 2007 Jan;102(1):35-40. doi: 10.1111/j.1360-0443.2006.01669.x.

Abstract

Aims: To determine the reliability and validity of the Severity of Dependence Scale (SDS) for detecting cannabis dependence in a large sample of in-patients with a schizophrenia spectrum disorder.

Design: Cross-sectional study.

Participants: Participants were 153 in-patients with a schizophrenia spectrum disorder in Brisbane, Australia.

Measurements: Participants were administered the SDS for cannabis dependence in the past 12 months. The presence of Diagnostic and Statistical Manual Version-IV (DSM-IV) cannabis dependence in the previous 12 months was assessed using the Comprehensive International Diagnostic Interview (CIDI).

Findings: The SDS had high levels of internal consistency and strong construct and concurrent validity. Individuals with a score of >or = 2 on the SDS were nearly 30 times more likely to have DSM-IV cannabis dependence. The SDS was the strongest predictor of DSM-IV cannabis dependence after controlling for other predictor variables.

Conclusions: The SDS is a brief, valid and reliable screen for cannabis dependence among people with psychosis.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't
  • Validation Study

MeSH terms

  • Adolescent
  • Adult
  • Humans
  • Male
  • Marijuana Abuse / diagnosis*
  • Psychiatric Status Rating Scales / standards*
  • Psychoses, Substance-Induced / diagnosis*
  • Reproducibility of Results
  • Severity of Illness Index
  • Substance Abuse Detection / standards*