Comparative psychometric properties of the short versions of the SCL-90-R for patients with substance use disorder

IF 3.6 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors Pub Date : 2025-07-01 DOI:10.1016/j.addbeh.2025.108424

Javier Fernández-Montalvo , José J. López-Goñi , Alfonso Arteaga , Begoña Haro , Leire Leza , Diego Rivera

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引用次数: 0

Abstract

Background: The prevalence of comorbid psychopathological disorders and associated problems is high among patients with substance use disorder (SUD). The Symptom Checklist 90-R (SCL-90-R) is one of the most widely used self-report instruments to assess psychopathology. This study examined the psychometric properties of the SCL-90-R and its short-form versions for patients with SUD. Method: The values of the short versions were calculated a posteriori based on the SCL-90-R scores. Confirmatory factor analysis (CFA) was conducted using the diagonally weighted least squares estimator to assess construct validity. Reliability was assessed via the ordinal alpha coefficient, McDonald’s omega coefficient and intraclass correlation coefficient (ICC). Results: The SCL-90-R showed acceptable model fit (χ²/df = 1.916, CFI = 0.940, TLI = 0.938, RMSEA = 0.035). Among the short versions, the BSI-53, SA-45, SCL-27, HSCL-25, and BSI-18 demonstrated good to excellent fit. The depression scale showed the highest reliability across the versions. Pearson correlations and ICCs revealed strong associations between the SCL-90-R and its short forms, although the agreement declined with shorter versions. Despite the excellent fit of the SCL-6, it had lower reliability. Conclusion: These results provide evidence of the psychometric robustness of short versions of the SCL-90-R and support their use to assess comorbid psychopathology in people with SUD.

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物质使用障碍患者短版SCL-90-R的比较心理测量特性

背景：物质使用障碍（SUD）患者共病性精神病理障碍及相关问题的患病率较高。症状自评量表（SCL-90-R）是目前应用最广泛的精神病理自我评估工具之一。本研究考察了SUD患者的SCL-90-R及其简短版本的心理测量特征。方法：根据SCL-90-R评分后验计算短版本的值。验证性因子分析（CFA）采用对角线加权最小二乘估计来评估结构效度。通过序数α系数、麦当劳ω系数和类内相关系数（ICC）评估信度。结果：SCL-90-R模型拟合良好（χ2/df = 1.916, CFI = 0.940, TLI = 0.938, RMSEA = 0.035）。在短版本中，BSI-53、SA-45、SCL-27、HSCL-25和BSI-18表现出良好至极好的拟合性。抑郁量表在所有版本中显示出最高的信度。Pearson相关性和ICCs揭示了SCL-90-R与其简短版本之间的强烈关联，尽管这种一致性随着简短版本的出现而下降。尽管SCL-6的拟合很好，但信度较低。结论：这些结果为短版SCL-90-R的心理测量稳健性提供了证据，并支持将其用于评估SUD患者的共病精神病理。

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.