Psychiatric Disorders in Addiction - Interest of Screening and Influence on Relapse

Primary outcomes

1. Insomnia Severity Score (ISI)

   Time frame: At 22 months

   The ISI is a scale composed of 7 questions:

   Each of the 7 items is rated on a 5-point Likert scale (from 0 to 4). The total score is obtained by adding the scores for all 7 items (1a+1b+1c+2+3+4+5). The total score ranges from 0 to 28:

   0-7 = No insomnia 8-14 = Subclinical (mild) insomnia 15-21 = Clinical (moderate) insomnia 22-28 = Clinical (severe) insomnia

2. Depression Scale Score (PHQ 9)

   Time frame: At 22 months

   Depression Scale Score (PHQ 9)

   • Items are rated on a scale from 0 to 3. The maximum score is 27.
   • The threshold for assessing moderate depression (10 or higher) is the most commonly used. • Thresholds:

   No depression: 0-4 points; Mild depression: 5-9 points; Moderate depression: 10-14 points; Moderately severe depression: 15-19 points; Severe depression: 20-27 points.

3. Anxiety score (GAD-7)

   Time frame: At 22 months

   Anxiety score (GAD-7):

   The total score of the GAD-7 questionnaire ranges from 0 to 21 points. Scores of 5, 10, and 15 represent thresholds for detecting mild, moderate, or severe anxiety:

   Score 0-4: Minimal anxiety Score 5-9: Mild anxiety Score 10-14: Moderate anxiety Score above 15: Severe anxiety

4. Posttraumatic Stress Disorder Score (PCL-5)

   Time frame: At 22 months

   Posttraumatic Stress Disorder Score (PCL-5):

   The PCL-5 scale assesses the presence and severity of PTSD using 20 items.

   The PTSD severity score ranges from 0 (not present at all) to 4 (extremely), resulting in a total score between 0 and 80. PCL-5 scores were used to determine the presence of PTSD.:

   A score:

   above 33 indicates the presence of PTSD, between 31 and 33 indicates probable PTSD below 31 indicates no PTSD.

5. Addictions Score (DAST-10)

   Time frame: At 22 months

   Addictions Score (DAST-10):

   The maximum total score is 10. A threshold of 3 or 4 is recommended for screening for a drug use problem. This threshold would most closely match the criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM):

   A score of 9 or higher indicates a severe problem.

6. ADHD Score

   Time frame: At 22 months

   ADHD Score:

   Points are summed on a scale of 0 to 24, with a threshold of 14 or higher for a positive ADHD screen result. The total score can be categorized into four strata:

   0 to 9 = weakly negative 10 to 13 = strongly negative 14 to 17 = weakly positive 18 to 24 = strongly positive

7. Autism Score (RAADS-14)

   Time frame: At 22 months

   Autism Score (RAADS-14):

   The RAADS-R test calculates a score indicating the likelihood of an autism spectrum disorder in the individual taking it. The total score on the RAADS-R test ranges from 0 to 240.

   Higher scores indicate behaviors and symptoms consistent with autism. Scores equal to or greater than 65 indicate the presence of autism.

8. Emotion Dysregulation Score (DERS-16)

   Time frame: At 22 months

   Emotion Dysregulation Score (DERS-16) A 10-item scale designed to measure respondents' tendency to regulate their emotions in two ways: (1) cognitive reappraisal and (2) expressive suppression. Respondents respond to each item on a 7-point Likert-type scale, ranging from 1 (strongly disagree) to 7 (strongly agree).