Date of Submission

2003

Degree Type

Dissertation

Degree Name

Doctor of Psychology (PsyD)

Department

Psychology

Department Chair

Arthur Freeman, Ed.D., ABPP

First Advisor

Arthur Freeman, Ed.D., ABPP, Chairperson

Second Advisor

Robert A. DiTomasso, Ph.D., ABPP

Third Advisor

Steven Sachson, Ph.D.

Abstract

Multi-dimensional instruments in the addiction field developed in the United States as well as in other countries are limited. The Maudsley Addiction Profile (MAP), a brief, multi-dimensional instrument developed in the United Kingdom (UK), is designed to assess the treatment outcome of individuals with alcohol and/or drug (AOD) problems and associated issues. This measure consists of sixty items across the domains of substance use, health risk, physical/ psychological health and personal/social functioning. The MAP, which has been validated on British as well as on several European samples of substance abusers, has been suggested for further validation. The current study was designed to examine the psychometric features of the MAP on a sample of American AOD users. Subjects included 133 patients who had been admitted for treatment in an inpatient psychiatric hospital; they had been identified with a recent substance abuse history. Seven interviewers were trained to criterion; 90 percent agreement with the investigator was achieved. The test-retest reliability of the MAP was good (average concordance of 0.96 across eight substances and 0.77 across health risk, health symptoms, and personal/social functioning). The interrater reliability among seven interviewers (one researcher and six clinicians) was also good (coefficients across eight substances were 0.95 and 0.78 across problem areas). The Pearson Correlation Coefficients of physical/psychological health symptoms between US and UK samples ranged between r = 0.97 and r = 0.98. Correlations among problem areas indicate several significant interactions between substance use and problem areas. Overall, the present study has shown that the MAP is a reliable outcome measure with several distinct advantages; it is an instrument which can be recommended for use in the US.

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