Dast 10 2025

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The DAST-10, or Drug Abuse Screening Test, contains 10 yes or no questions relevant to how often you use the drug, how the use of the drug affects your well-being and relationships with others and any physical or psychological symptoms you experience as a result of using the drug.
Scoring and interpretation: A score of 1 is given for each YES response, except for items 4,5, and 7, for which a NO response is given a score of 1. Based on data from a heterogeneous psychiatric patient population, cutoff scores of 6 through 11 are considered to be optimal for screening for substance use disorders
The benefits of DAST include being a standardized and comprehensive screening tool for assessing drug-related problems, aiding in risk stratification, treatment guidance, and longitudinal monitoring.
One study showed that DAST-10 used in a primary care setting had 100% sensitivity (95% CI:90.6%100%) and 77% specificity (95% CI: 71.5%81.9%) using a cut-off 3 for the detection of problems related to current drug use19.
A cutoff of 4 was used as prior work has shown that cutoff to have high sensitivity (98%) and specificity (91%) for discriminating between individuals with and without SUD. 31 However, other studies have suggested cutoff scores between 1 and 3. [32][33][34] In the current sample, the highest DAST-10 score was 3.
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Have you had medical problems because of your drug use (e.g., memory loss, hepatitis, convulsions, bleeding)? Reliability: The Cronbachs alpha coefficient for the DAST-10 Persian version was 0.93. This demonstrates excellent ( 0.70) reliability of the tool.
Assesses illicit drug use in the past year. Please ask your patient the following questions about their potential involvement with drugs (excluding alcohol and tobacco) during the past 12 months. Have you used drugs other than those required for medical reasons?

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