Document Detail


Assessing pathological detoxification fear among methadone maintenance patients: the DFSS.
MedLine Citation:
PMID:  3667947     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study assessed the reliability, validity, discriminative accuracy, and factor structure of the Detoxification Fear Survey Schedule (DFSS). Prevalence of detoxification fear and its correlates also were assessed. Random samples from three geographically, culturally, and racially disparate populations (N = 271) of treated opioid addicts were used. The DFSS had a test-retest r = .935 and demonstrated several indicants of validity. A briefer version (DFSS-14) showed superior psychometric properties and could identify correctly 81% of the detox fear subjects while it excluded 55% of nonfear subjects. The DFSS-14 had a replicated three-factor structure that accounted for 62.1% of total item variance in the validation sample. Factor two, probably best named dose reduction fear, was replicated in all populations. A cut-off score set at the nonfear mean is recommended for clinical use. A brief clinical interview of positive scorers quickly should eliminate false positives and, thus, efficiently identify most of those with detoxification fear.
Authors:
J B Milby; R H Gurwitch; A A Hohmann; D J Wiebe; W Ling; A T McLellan; G E Woody
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Journal of clinical psychology     Volume:  43     ISSN:  0021-9762     ISO Abbreviation:  J Clin Psychol     Publication Date:  1987 Sep 
Date Detail:
Created Date:  1987-12-04     Completed Date:  1987-12-04     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0217132     Medline TA:  J Clin Psychol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  528-38     Citation Subset:  IM    
Affiliation:
Psychology Service, Veterans Administration Medical Center, Birmingham, Alabama 35233.
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MeSH Terms
Descriptor/Qualifier:
Adult
Fear*
Female
Humans
Male
Metabolic Detoxication, Drug
Methadone / adverse effects,  metabolism*,  therapeutic use
Opioid-Related Disorders / psychology,  rehabilitation*
Psychometrics
Substance Withdrawal Syndrome / psychology*
Chemical
Reg. No./Substance:
76-99-3/Methadone

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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