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Verification of the Addiction Severity Index Japanese Version (ASI-J) as a Treatment-Customization, Prediction, and Comparison Tool for Alcohol-Dependent Individuals
Division of Psychobiology, Tokyo Institute of Psychiatry, 2-1-8 Kamikitazawa, Setagaya-ku, Tokyo 156-8585, Japan
Division of Social Psychiatry, Tokyo Institute of Psychiatry, 2-1-8 Kamikitazawa, Setagaya-ku, Tokyo 156-8585, Japan
Institute for Family Functioning, 2-14-6 Azabu Ju-ban, Minato-ku, Tokyo 106-0045, Japan
Wakamiya Hospital, 2-15-3 Yoshiwara, Yamagata 990-2451, Japan
National Defense Medical College Hospital, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan
Dansyu no Ie Clinic, 217 Fujikata, Tsu, Mie 514-0815, Japan
Asahiyama Hospital, 4-3-33 Futagoyama, Chuo-ku, Sapporo, Hokkaido 064-0946, Japan
Okabe Hospital, 15 Nagasaka-machi-chi, Kanazawa, Ishikawa 921-8114, Japan
National Hospital Organization Ryukyu Hospital, 7958-1, Kin, Kin-Cho, Kunigami-Gun, Okinawa 904-1201, Japan
Akagi-Kohgen Hospital, Kitaakagiyama, Akagi-machi, Shibukawa, Gunma 379-1111, Japan
Tohokukai Mental Hospital, 1-8-7, Kashiwagi, Aoba-ku, Sendai, Miyagi 981-0933, Japan
National Hospital Organization Kurihama Alcoholism Center, 5-3-1, Nobi, Yokosuka, Kanagawa 246-0841, Japan
* Author to whom correspondence should be addressed.
Received: 7 July 2009; Accepted: 10 August 2009 / Published: 12 August 2009
Abstract: Objective: To demonstrate the usefulness of the Addiction Severity Index Japanese Version (ASI-J) in Japanese alcohol-dependent individuals. The ASI is a frequently used clinical and research instrument that measures severities in seven functional domains in people with substance abuse disorders. Methods: A total of 370 male inpatients with a history of alcohol dependence participated in the study. Forty-nine participants were excluded in the final analysis due to lack of reliability (i.e., patient misrepresentation or inability to understand). We used the ASI-J and a series of indexes that determined patient states during and post-treatment. Results: The correlations between ASI Composite Scores (CSs), which were calculated through a weighted formula and indicated the severity of each problem area, were significant but low in eight relations and not significant in 13 relations, indicating substantial independence of the problem areas. Significant differences were found in Family/Social CSs between abstinent and relapsed alcohol-dependent individuals. The questions of undesirable attitude were significantly related to the CSs of Employment, Drug use, Family/Social, and Psychiatric sections. Significant differences were observed in patient demographics, CS, and ASI Severity Rating (SR) and interviewer’s subjective scoring between alcohol-dependent individuals and drug abusers. CSs in Japanese alcohol-dependent individuals were generally similar to corresponding CSs in individuals from other countries, with the exception of The Netherlands. Conclusions: This study demonstrated that the ASI-J is useful for understanding individual profiles of problems for each patient and planning customized treatment. The ASI-J served as a predictive tool for relapse and compliance to treatment afterward and was shown to be useful as a comparison tool in clarifying similarities and differences between substance abuser groups.
Keywords: addiction severity index; alcohol dependence; japanese
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Haraguchi, A.; Ogai, Y.; Senoo, E.; Saito, S.; Suzuki, Y.; Yoshino, A.; Ino, A.; Yanbe, K.; Hasegawa, M.; Murakami, M.; Murayama, M.; Ishikawa, T.; Higuchi, S.; Ikeda, K. Verification of the Addiction Severity Index Japanese Version (ASI-J) as a Treatment-Customization, Prediction, and Comparison Tool for Alcohol-Dependent Individuals. Int. J. Environ. Res. Public Health 2009, 6, 2205-2225.
Haraguchi A, Ogai Y, Senoo E, Saito S, Suzuki Y, Yoshino A, Ino A, Yanbe K, Hasegawa M, Murakami M, Murayama M, Ishikawa T, Higuchi S, Ikeda K. Verification of the Addiction Severity Index Japanese Version (ASI-J) as a Treatment-Customization, Prediction, and Comparison Tool for Alcohol-Dependent Individuals. International Journal of Environmental Research and Public Health. 2009; 6(8):2205-2225.
Haraguchi, Ayako; Ogai, Yasukazu; Senoo, Eiichi; Saito, Satoru; Suzuki, Yoshihiro; Yoshino, Aihide; Ino, Aro; Yanbe, Kenji; Hasegawa, Mitsuru; Murakami, Masaru; Murayama, Masanobu; Ishikawa, Toru; Higuchi, Susumu; Ikeda, Kazutaka. 2009. "Verification of the Addiction Severity Index Japanese Version (ASI-J) as a Treatment-Customization, Prediction, and Comparison Tool for Alcohol-Dependent Individuals." Int. J. Environ. Res. Public Health 6, no. 8: 2205-2225.