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Wiley InterScience

Addiction

Addiction

Volume 99 Issue 4, Pages 398 - 410

Published Online: 13 Feb 2004

Journal compilation © 2010 Society for the Study of Addiction



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FOR DEBATE
Studies of the reliability and validity of the Addiction Severity Index
Klaus Mäkelä
  Finnish Foundation for Alcohol Studies, Finland
Correspondence to  Klaus Mäkelä Laivurinkatu 43 A 21 00150 Helsinki 15 Finland
E-mail: klaus.makela@helsinki.fi
Copyright 2004 Society for the Study of Addiction
KEYWORDS
Addiction Severity Index • reliability • validity

ABSTRACT

Aims  To examine the reliability and validity of the widely used Addiction Severity Index (ASI).

Material  Thirty-seven studies of the psychometric performance of the ASI.

Findings  The inter-rater and test–retest reliabilities of the severity ratings and composites scores vary from excellent to unsatisfactory. High internal consistencies have been reported regularly for only three of the seven composite scores (medical status, alcohol use, psychiatric status). The remaining four composite scores (employment status, drug use, legal status, family/social relations) have low consistencies in at least four different studies. Coefficients of criterion validity are often low.

Conclusions  There is a discrepancy between the psychometric performance of the ASI and its purported clinical, administrative and research uses.


Submitted 27 March 2003;
initial review completed 20 May 2003;
final version accepted 20 October 2003

DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1360-0443.2003.00665.x About DOI

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