Protocol - Screening and Severity of Substance Use Problems - Adults - Drugs
The 10-item Drug Abuse Screening Test (DAST-10) includes questions about the respondent’s use of drugs and related health effects and behaviors. It is used as a quantitative indicator of the respondent’s drug-related problems.
The Substance Abuse and Addiction Working Group acknowledges that the following questions may gather sensitive information relating to the use of substances and/or illegal conduct. If the information is released, it might be damaging to an individual’s employability, lead to social stigmatization, or lead to other consequences.
Most researchers assure confidentiality as part of their informed consent process, as required by their institutional review boards. Further assurance of confidentiality may be obtained by applying to the National Institutes of Health (NIH) for a Certificate of Confidentiality, which helps researchers protect the privacy of human research participants. The procedures for the Certificate of Confidentiality can be found at the Grants Policy website of the NIH (http://grants1.nih.gov/grants/policy/coc/index.htm).
The following questions concern information about your possible involvement with drugs, not including alcoholic beverages, during the past 12 months. Carefully read each statement and decide if your answer is "Yes" or "No." Then, circle the appropriate response beside the question.
In the statements, "drug abuse" refers to (1) the use of prescribed or over-the-counter drugs in excess of the directions, and (2) any non-medical use of drugs.
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Scoring Procedure and Interpretation
Add up the number of items scored in the critical direction (indicating drug problems). The critical direction answer is NO for items 4 and 5 and YES for all others.
The total score can range from 0 to 20.
A total score of 6 or more indicates need for further evaluation for possible drug use disorder.
A score of 16 or more indicates a severe drug use disorder.
© Copyright 1982 by Harvey A. Skinner, PhD, and the Centre for Addiction and Mental Health, Toronto, Canada. You may reproduce this instrument for non-commercial use (clinical, research, training purposes) as long as you credit the author Harvey A. Skinner, Department of Public Health Sciences, University of Toronto.
Protocol Name from Source
Drug Abuse Screening Test (DAST-10)
Personnel and Training Required
The interviewer must be trained and found to be competent to conduct personal interviews with individuals from the general population. The interviewer should be trained to prompt respondents further if a "don’t know" response is provided.
|Specialized requirements for biospecimen collection||No|
|Average time of greater than 15 minutes in an unaffected individual||No|
Mode of Administration
Adults aged 18 years and older
The 10-item Drug Abuse Screening Test (DAST-10) is a shorter version of the 20-item and 28-item DAST protocols. The DAST-10 is widely used and has good reliability and diagnostic validity in a variety of settings.
|Common Data Elements (CDE)||Drug Abuse Screening Test (DAST-10) Assessment Description Text||3332406||CDE Browser|
|Human Phenotype Ontology||Addictive behavior||HP:0030858||HPO|
Process and Review
The Expert Review Panel #3 (ERP 3) reviewed the measures in Alcohol, Tobacco and Other Substances, and Substance Abuse and Addiction domains.
Guidance from ERP 3 includes:
• No significant changes to measure
Back-compatible: NA no changes to Data Dictionary
Bohn, M. J., Babor, T. F., & Kranzler, H. R. (1991). Validity of the Drug Abuse Screening Test (DAST-10) in inpatient substance abusers: Problems of drug dependence. In Proceedings of the 53rd Annual Scientific Meeting. The Committee on Problems of Drug Dependence, Inc. (Department of Health and Human Services Publication No. ADM 92-1888; National Institute on Drug Abuse Research Monograph 119, p. 233). Rockville, MD: Department of Health and Human Services.
Skinner, H. A. (1982). The Drug Abuse Screening Test. Addictive Behaviors, 7(4), 363-371.
The 10-item Drug Abuse Screening Test (DAST), which is under copyright, may be obtained through:
Marketing Services Centre for Addiction and Mental Health 33 Russell Street Toronto, Ontario, Canada M5S 2S1 1-800-463-6273 www.camh.net
|Variable Name||Variable ID||Variable Description||dbGaP Mapping|
|PX510204030000||Are you always able to stop using drugs when more||Variable Mapping|
|PX510204040000||Have you had more||N/A|
|PX510204090000||Have you ever experienced withdrawal more||N/A|
|PX510204050000||Do you feel very bad or guilty about your more||N/A|
|PX510204080000||Have you engaged in illegal activities in more||N/A|
|PX510204100000||Have you ever had medical problems as a more||N/A|
|PX510204020000||Do you abuse more than one drug at a time?||N/A|
|PX510204070000||Have you neglected your family because of more||N/A|
|PX510204060000||Does your spouse (or parents) ever complain more||N/A|
|PX510204010000||Have you used drugs other than those more||N/A|
Screening and Severity of Substance Use Problems
February 24, 2012
Instruments used separately to screen for alcohol and other drug problems and to assess the severity of these problems.
The purpose of this measure is to screen for alcohol-related and other drug-related problems (use) and to assess the severity of these problems by asking the respondent questions about use, withdrawal, and behaviors associated with substance use. This measure is not intended for abuse and dependence diagnoses based on the Diagnostic and Statistical Manual of Mental Disorders (DSM).
Adolescent, Adult, Alcohol, Alcohol Abuse, Alcohol Use Disorders Identification Test, Arrests, AUDIT, Brief Michigan Alcoholism Screening Test, Brief MAST, DAST-10, Drug Abuse Screening Test, Drugs, Other Drugs, SAA, Screening, Simple Screening Instrument for Alcohol and Other Drugs, SSI-AOD, Substance Abuse, Assessment of Substance Use and Substance Use Disorders