K. Knight et al., THE VALIDITY OF SELF-REPORTED COCAINE USE IN A CRIMINAL-JUSTICE TREATMENT SAMPLE, The American journal of drug and alcohol abuse, 24(4), 1998, pp. 647-660
Recent studies comparing self-admitted cocaine use with hair and urine
test results have raised concerns about underreporting due to variati
ons across situations and settings. Because of the frequent need for s
elf-report data in conducting treatment evaluations, more information
is needed on factors that affect the credibility of this information.
The present study examines records of cocaine use collected as part of
an evaluation of prison-based treatment (N = 396). Specifically, self
-reported cocaine use from 6-month postrelease follow-up interviews, c
ompleted with treatment graduates and a comparison sample of parolees
who were eligible but not sent to treatment, was examined in relation
to urine and hair test results. Overall, cocaine use was underreported
when compared to hair test results, but underreporting was lower for
program graduates than for the untreated comparison group. Furthermore
, program graduates originally admitted to prison on a drug-related ar
rest were the most likely to underreport cocaine use, seemingly due to
a heightened concern about potential consequences, such as returning
to prison on another drug-related charge. Given that the validity of s
elf-report for high-risk individuals varies greatly and is difficult t
o predict across studies, future research with criminal justice sample
s should continue to assess the validity of these measures under speci
fic research conditions and for diverse types of individuals.