Psychometric Properties of the Arabic Version of the Addiction Severity Index (ASI-5): A Cross-Cultural Validation Study in Egypt and Saudi Arabia.

IF 5.1 Q1 SUBSTANCE ABUSE

Substance Abuse and Rehabilitation Pub Date : 2025-05-10 eCollection Date: 2025-01-01 DOI:10.2147/SAR.S519241

Mohamed Abouzed, Ahmed Aljadani, Amgad Gabr, Mohamed Elsheikh, Mohamed Saad Almuqahwi, Mohamed Fayed Alrashidy, Ghali Khalaf Alrashidi, Mahmoud Farag Soliman, Amal Nasser Altamimi, Nida Saleh Alenze, Nisrin Elsaadouni

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Abstract

Background: The Addiction Severity Index (ASI) is a globally recognized tool for assessing substance use disorder (SUD) severity. Despite its widespread use, no validated Arabic version exists. This study aimed to validate the Arabic ASI-5 in Egypt and Saudi Arabia and evaluate its psychometric properties.

Methods: : A cross-sectional study recruited 400 participants (200 per country) from inpatient/outpatient SUD treatment centers. The ASI-5 underwent forward-backward translation, pilot testing, and cultural adaptation. Internal consistency (Cronbach's α), test-retest reliability (Spearman's ρ), and inter-observer reliability were assessed. Convergent and discriminant validity were evaluated using adjusted Spearman's correlations.

Results: The Arabic ASI-5 demonstrated acceptable internal consistency (α = 0.61-0.82), with medical (α = 0.78) and psychiatric (α = 0.82) domains showing the highest reliability. Lower consistency in drug (α = 0.62) and legal (α = 0.61) domains reflected cultural and methodological factors. Test-retest (ρ = 0.55-0.98) and inter-observer reliability (ρ = 0.78-0.99) were strong. Convergent validity was robust for medical and psychiatric domains (r = 0.70-0.85).

Conclusion: The Arabic ASI-5 is a reliable tool for assessing SUD severity in Arabic-speaking populations. Further refinement of drug and legal domains is recommended to enhance cultural relevance.

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阿拉伯版本成瘾严重程度指数（ASI-5）的心理测量特性：埃及和沙特阿拉伯的跨文化验证研究

背景：成瘾严重程度指数（ASI）是全球公认的评估物质使用障碍（SUD）严重程度的工具。尽管它被广泛使用，但没有经过验证的阿拉伯语版本存在。本研究旨在验证埃及和沙特阿拉伯的阿拉伯语ASI-5，并评估其心理测量特性。方法：横断面研究从住院/门诊SUD治疗中心招募了400名参与者（每个国家200名）。ASI-5经历了前后翻译、飞行员测试和文化适应。评估内部一致性（Cronbach’s α）、重测信度（Spearman’s ρ）和观察者间信度。采用调整后的Spearman相关评估收敛效度和判别效度。结果：阿拉伯文ASI-5具有可接受的内部一致性（α = 0.61-0.82），其中医学（α = 0.78）和精神病学（α = 0.82）领域具有最高的可靠性。药物（α = 0.62）和法律（α = 0.61）领域的一致性较低反映了文化和方法因素。重测信度（ρ = 0.55-0.98）和观察者间信度（ρ = 0.78-0.99）较强。医学和精神病学领域的收敛效度是稳健的（r = 0.70-0.85）。结论：阿拉伯语ASI-5是评估阿拉伯语人群SUD严重程度的可靠工具。建议进一步完善毒品和法律领域，以加强文化相关性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Substance Abuse and Rehabilitation SUBSTANCE ABUSE-

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审稿时长

16 weeks