Validity of the Severity of Dependence Scale for detecting dependence behaviours in chronic migraine with medication overuse

Aims In this study, we tested the validity of the Severity of Dependence Scale in detecting dependence behaviours in patients with chronic migraine and medication overuse (CM + MO) using the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and the Leeds Dependence Questionnaire as gold...

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Published inCephalalgia Vol. 42; no. 3; pp. 209 - 217
Main Authors Bottiroli, Sara, Galli, Federica, Ballante, Elena, Pazzi, Stefania, Sances, Grazia, Guaschino, Elena, Allena, Marta, Tassorelli, Cristina
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.03.2022
Subjects
Diagnostic and Statistical Manual of Mental Disorders
Headache Disorders, Secondary - psychology
Humans
Migraine Disorders - drug therapy
Prescription Drug Overuse
Substance-Related Disorders - diagnosis
Substance-Related Disorders - psychology
Medication-overuse headache
dependence
severity of dependence scale
validation
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Abstract Aims In this study, we tested the validity of the Severity of Dependence Scale in detecting dependence behaviours in patients with chronic migraine and medication overuse (CM + MO) using the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and the Leeds Dependence Questionnaire as gold standard measures. Methods Four hundred and fifty-four patients with CM + MO filled in the Severity of Dependence Scale and the Leeds Dependence Questionnaire and underwent a psychological evaluation for the diagnosis of substance dependence according to the DSM-IV criteria. Results Sixty-nine percent of subjects (n = 313) presented substance dependence according to the DSM-IV criteria. These patients scored significantly higher than those without substance dependence in Severity of Dependence Scale total score (Z = −3.29, p = 0.001), and in items 1 (Z = −2.44, p = 0.015), 2 (Z = −2.50, p = 0.012), 4 (Z = −2.05, p = 0.04), and 5 (Z = −3.39, p = 0.001). Severity of Dependence Scale total score (β = 0.13, SE = 0.04, z = 3.49, p < 0.001) was a significant predictor for substance dependence. Receiver Operating Characteristic (ROC) curves showed that Severity of Dependence Scale discriminated patients with or without substance dependence. Conclusion Severity of Dependence Scale could represent an interesting screening tool for dependency-like behaviors in CM + MO patients.
AbstractList In this study, we tested the validity of the Severity of Dependence Scale in detecting dependence behaviours in patients with chronic migraine and medication overuse (CM + MO) using the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and the Leeds Dependence Questionnaire as gold standard measures. Four hundred and fifty-four patients with CM + MO filled in the Severity of Dependence Scale and the Leeds Dependence Questionnaire and underwent a psychological evaluation for the diagnosis of substance dependence according to the DSM-IV criteria. Sixty-nine percent of subjects (n = 313) presented substance dependence according to the DSM-IV criteria. These patients scored significantly higher than those without substance dependence in Severity of Dependence Scale total score (  = -3.29,  = 0.001), and in items 1 (  = -2.44,  = 0.015), 2 (  = -2.50,  = 0.012), 4 (  = -2.05,  = 0.04), and 5 (  = -3.39,  = 0.001). Severity of Dependence Scale total score (  = 0.13,  = 0.04,  = 3.49,  < 0.001) was a significant predictor for substance dependence. Receiver Operating Characteristic (ROC) curves showed that Severity of Dependence Scale discriminated patients with or without substance dependence. Severity of Dependence Scale could represent an interesting screening tool for dependency-like behaviors in CM + MO patients.
AIMSIn this study, we tested the validity of the Severity of Dependence Scale in detecting dependence behaviours in patients with chronic migraine and medication overuse (CM + MO) using the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and the Leeds Dependence Questionnaire as gold standard measures. METHODSFour hundred and fifty-four patients with CM + MO filled in the Severity of Dependence Scale and the Leeds Dependence Questionnaire and underwent a psychological evaluation for the diagnosis of substance dependence according to the DSM-IV criteria. RESULTSSixty-nine percent of subjects (n = 313) presented substance dependence according to the DSM-IV criteria. These patients scored significantly higher than those without substance dependence in Severity of Dependence Scale total score (Z = -3.29, p = 0.001), and in items 1 (Z = -2.44, p = 0.015), 2 (Z = -2.50, p = 0.012), 4 (Z = -2.05, p = 0.04), and 5 (Z = -3.39, p = 0.001). Severity of Dependence Scale total score (β = 0.13, SE = 0.04, z = 3.49, p < 0.001) was a significant predictor for substance dependence. Receiver Operating Characteristic (ROC) curves showed that Severity of Dependence Scale discriminated patients with or without substance dependence. CONCLUSIONSeverity of Dependence Scale could represent an interesting screening tool for dependency-like behaviors in CM + MO patients.
Aims In this study, we tested the validity of the Severity of Dependence Scale in detecting dependence behaviours in patients with chronic migraine and medication overuse (CM + MO) using the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and the Leeds Dependence Questionnaire as gold standard measures. Methods Four hundred and fifty-four patients with CM + MO filled in the Severity of Dependence Scale and the Leeds Dependence Questionnaire and underwent a psychological evaluation for the diagnosis of substance dependence according to the DSM-IV criteria. Results Sixty-nine percent of subjects (n = 313) presented substance dependence according to the DSM-IV criteria. These patients scored significantly higher than those without substance dependence in Severity of Dependence Scale total score (Z = −3.29, p = 0.001), and in items 1 (Z = −2.44, p = 0.015), 2 (Z = −2.50, p = 0.012), 4 (Z = −2.05, p = 0.04), and 5 (Z = −3.39, p = 0.001). Severity of Dependence Scale total score (β = 0.13, SE = 0.04, z = 3.49, p < 0.001) was a significant predictor for substance dependence. Receiver Operating Characteristic (ROC) curves showed that Severity of Dependence Scale discriminated patients with or without substance dependence. Conclusion Severity of Dependence Scale could represent an interesting screening tool for dependency-like behaviors in CM + MO patients.
Aims In this study, we tested the validity of the Severity of Dependence Scale in detecting dependence behaviours in patients with chronic migraine and medication overuse (CM + MO) using the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) and the Leeds Dependence Questionnaire as gold standard measures. Methods Four hundred and fifty-four patients with CM + MO filled in the Severity of Dependence Scale and the Leeds Dependence Questionnaire and underwent a psychological evaluation for the diagnosis of substance dependence according to the DSM-IV criteria. Results Sixty-nine percent of subjects (n = 313) presented substance dependence according to the DSM-IV criteria. These patients scored significantly higher than those without substance dependence in Severity of Dependence Scale total score ( Z = −3.29, p = 0.001), and in items 1 ( Z = −2.44, p = 0.015), 2 ( Z = −2.50, p = 0.012), 4 ( Z = −2.05, p = 0.04), and 5 ( Z = −3.39, p = 0.001). Severity of Dependence Scale total score ( β = 0.13, SE = 0.04, z = 3.49, p < 0.001) was a significant predictor for substance dependence. Receiver Operating Characteristic (ROC) curves showed that Severity of Dependence Scale discriminated patients with or without substance dependence. Conclusion Severity of Dependence Scale could represent an interesting screening tool for dependency-like behaviors in CM + MO patients.
Author Sances, Grazia
Bottiroli, Sara
Guaschino, Elena
Pazzi, Stefania
Tassorelli, Cristina
Allena, Marta
Ballante, Elena
Galli, Federica
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severity of dependence scale
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Snippet Aims In this study, we tested the validity of the Severity of Dependence Scale in detecting dependence behaviours in patients with chronic migraine and...
In this study, we tested the validity of the Severity of Dependence Scale in detecting dependence behaviours in patients with chronic migraine and medication...
Aims In this study, we tested the validity of the Severity of Dependence Scale in detecting dependence behaviours in patients with chronic migraine and...
AIMSIn this study, we tested the validity of the Severity of Dependence Scale in detecting dependence behaviours in patients with chronic migraine and...
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SubjectTerms Diagnostic and Statistical Manual of Mental Disorders
Headache Disorders, Secondary - psychology
Humans
Migraine Disorders - drug therapy
Prescription Drug Overuse
Substance-Related Disorders - diagnosis
Substance-Related Disorders - psychology
Title Validity of the Severity of Dependence Scale for detecting dependence behaviours in chronic migraine with medication overuse
URI https://journals.sagepub.com/doi/full/10.1177/03331024211039817
https://www.ncbi.nlm.nih.gov/pubmed/34541932
https://search.proquest.com/docview/2574736100
Volume 42
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