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DAST-10薬物乱用スクリーニング

用途When to use: adults when substance-use screening beyond alcohol is needed.

層別Zones 0 / 1–2 / 3–5 / 6–8 / 9–10 escalate assessment intensity.

限界When not to use: replacing full SUD assessment. · Pitfall: forgetting reverse item 3. · Not a sole SUD diagnosis.

出典USPSTF 不健康药物使用筛查推荐 2020

⚠️ ブラウザ内ローカル計算（PHI 非送信）。医師向け参考であり、臨床判断の代替ではありません。
端末内の記録。再訪リマインダー用

当直の次の一手

スコア後：シーン連算・隣接スコア・対応パスへ。ローカル参照のみ、HIS書き込みなし。

方法論 · 代入例・ガイドライン要点・詳細

適用場面

When to use: adults when substance-use screening beyond alcohol is needed.

入力項目

  • 1. Used drugs other than those required for medical reasons? · 選択
  • 2. Used more than one drug at a time? · 選択
  • 3. Able to stop using drugs when you want? (No = +1) · 選択
  • 4. Had blackouts or flashbacks as a result of drug use? · 選択
  • 5. Felt bad or guilty about your drug use? · 選択
  • 6. Family complained about your involvement with drugs? · 選択
  • 7. Stayed away from family because of drug use? · 選択
  • 8. Engaged in illegal activities to obtain drugs? · 選択
  • 9. Experienced withdrawal symptoms? · 選択
  • 10. Had medical problems from drug use (memory, hepatitis, etc.)? · 選択

計算方法と公式

Ten yes/no items (item 3 reverse-scored); total 0–10.

Confidential interview covering past 12 months; exclude alcohol/tobacco.

計算例（数値代入）

以下の数値は本ツールの入力欄に定義された例示値であり、本ページの数式でサーバー側で実際に計算したものです。計算過程を素早く確認できます。代入方法の例示のみで、臨床上の助言ではなく、実在する症例でもありません。

1. Used drugs other than those required for medical reasons?No (0)
2. Used more than one drug at a time?No (0)
3. Able to stop using drugs when you want? (No = +1)Yes, can stop (0)
4. Had blackouts or flashbacks as a result of drug use?No (0)
5. Felt bad or guilty about your drug use?No (0)
6. Family complained about your involvement with drugs?No (0)
7. Stayed away from family because of drug use?No (0)
8. Engaged in illegal activities to obtain drugs?No (0)
9. Experienced withdrawal symptoms?No (0)
10. Had medical problems from drug use (memory, hepatitis, etc.)?No (0)

→DAST-100/10

  • Zone：0 — no reported problems
1. Used drugs other than those required for medical reasons?Yes (+1)
2. Used more than one drug at a time?Yes (+1)
3. Able to stop using drugs when you want? (No = +1)No, cannot stop (+1)
4. Had blackouts or flashbacks as a result of drug use?Yes (+1)
5. Felt bad or guilty about your drug use?Yes (+1)
6. Family complained about your involvement with drugs?Yes (+1)
7. Stayed away from family because of drug use?Yes (+1)
8. Engaged in illegal activities to obtain drugs?Yes (+1)
9. Experienced withdrawal symptoms?Yes (+1)
10. Had medical problems from drug use (memory, hepatitis, etc.)?Yes (+1)

→DAST-1010/10

  • Zone：9–10 — severe; urgent specialty referral

結果の判読と層別

Zones 0 / 1–2 / 3–5 / 6–8 / 9–10 escalate assessment intensity.

ガイドライン要点（独自整理）

  • Ten items.
  • Five zones.
  • Next: brief intervention / referral.

以上は該当ガイドラインの要点を本サイトが独自に整理したものであり、原文の引用ではありません。

注意点と限界

  • When not to use: replacing full SUD assessment.
  • Pitfall: forgetting reverse item 3.
  • Not a sole SUD diagnosis.
照合と出典 · 検証可能なガバナンス

参考ガイドラインと出典

  • [ガイドライン / 主要出典]USPSTF 不健康药物使用筛查推荐 2020 · 出典 ↗
  • Skinner HA. Drug Abuse Screening Test. Addict Behav 1982 · 出典 ↗

ガイドライン全文の著作権は各学会・出版社に帰属します。 · データセット整理日 2026-10-08

よくある質問

よくある質問

DAST-10薬物乱用スクリーニングは患者データをアップロードしますか？どこで計算しますか？
計算はブラウザ内でローカルに行われ、入力と結果はサーバーに送信されません。免許を有する医師向けであり、病歴・検査・施設プロトコルと合わせて解釈すること。診断や処方の代替ではありません。
DAST-10薬物乱用スクリーニングは実際にどう計算しますか？計算例を示せますか？
代入値: 1. Used drugs other than those required for medical reasons? No (0)、2. Used more than one drug at a time? No (0)、3. Able to stop using drugs when you want? (No = +1) Yes, can stop (0)、4. Had blackouts or flashbacks as a result of drug use? No (0)、5. Felt bad or guilty about your drug use? No (0)、6. Family complained about your involvement with drugs? No (0)、7. Stayed away from family because of drug use? No (0)、8. Engaged in illegal activities to obtain drugs? No (0)… → 結果: DAST-10 0 /10（Zone: 0 — no reported problems） 代入値: 1. Used drugs other than those required for medical reasons? Yes (+1)、2. Used more than one drug at a time? Yes (+1)、3. Able to stop using drugs when you want? (No = +1) No, cannot stop (+1)、4. Had blackouts or flashbacks as a result of drug use? Yes (+1)、5. Felt bad or guilty about your drug use? Yes (+1)、6. Family complained about your involvement with drugs? Yes (+1)、7. Stayed away from family because of drug use? Yes (+1)、8. Engaged in illegal activities to obtain drugs? Yes (+1)… → 結果: DAST-10 10 /10（Zone: 9–10 — severe; urgent specialty referral）
照合手順

照合と根拠

本ツールの数式と計算方法は本ページに明示しており、公開のうえ逐一照合できます。数式・係数・閾値は上記の権威ある情報源に基づき照合しています。 臨床ツール一覧 →

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