Sections:
(1) signs of physical withdrawal
(2) signs of affective withdrawal
(3) prevention of withdrawal
(4) recurrence after a period of abstinence
Physical signs:
(1) body aches
(2) stomach cramps
(3) feeling sick
(4) heart pounding
(5) hot and cold flashes
Affective signs:
(1) depression
(2) tense
(3) irritable
(4) restless
(5) craving
Withdrawal prevention:
(1) save some drug for use on waking
(2) drug taken within 2 hours of waking
(3) drug taken to prevent feeling sick
(4) thinking of drugs
(5) drug taken to stop aches
(6) drug taken to stop depression
(7) drug taken to get self going
(8) drug taken first thing after waking
|
Responses
|
Points
|
|
never or almost never
|
0
|
|
sometimes
|
1
|
|
often
|
2
|
|
always or nearly always
|
3
|
Recurrence after a period of abstinence:
(1) period of time before sick again
(2) period of time before depressed again
(3) period of time before feeling lethargic and really tired again
|
Recurrence
|
Finding
|
Points
|
|
sick again
|
not
|
0
|
|
|
> 4 weeks
|
1
|
|
|
within 4 weeks
|
2
|
|
|
within 2 weeks
|
3
|
|
|
within 1 week
|
4
|
|
|
within 24 hours
|
5
|
|
depressed again
|
not
|
0
|
|
|
>= 7 days
|
1
|
|
|
4 - 6 days
|
2
|
|
|
2 or 3 days
|
3
|
|
|
1 day
|
4
|
|
lethargic again
|
not
|
0
|
|
|
>= 7 days
|
1
|
|
|
4 - 6 days
|
2
|
|
|
2 or 3 days
|
3
|
|
|
1 day
|
4
|
total score for first 3 sections =
= SUM(points for all 18 questions)
total score for recurrence =
= SUM(points for all 3 questions)
Interpretation:
• minimum physical/affective/withdrawal score: 0
• maximum physical/affective/withdrawal score: 54
• minimum recurrence score: 0
• maximum recurrence score: 13
