Leeds Dependence Questionnaire

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Leeds Dependence Questionnaire

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About Leeds Dependence Questionnaire

Scale Name

Leeds Dependence Questionnaire

Author Details

Duncan Raistrick, Jackie Bradshaw, Gillian Tober, Jeremy Weiner, Jeff Allison, and Carolyn Healey

Translation Availability

English

Background/Description

The Leeds Dependence Questionnaire (LDQ), developed by Raistrick et al. (1994), is a 10-item self-report scale designed to measure the severity of dependence on a variety of substances, with a focus on alcohol and opiates, in the context of treatment evaluation. Published in Addiction, the LDQ assesses core elements of the dependence syndrome, as defined by Edwards and Gross (1976), including preoccupation, salience, compulsion to start, planning, maximizing effect, narrowing of repertoire, compulsion to continue, primacy of effect, constancy of state, and cognitive set. It maps onto ICD-10 and DSM-IV criteria for substance dependence, providing a unidimensional, continuous measure of dependence severity across substances.

Participants rate each item based on their experiences over the past month on a 4-point Likert scale (0 = “Never” to 3 = “Nearly always”). Total scores range from 0–30, with higher scores indicating greater dependence severity (0–10 = mild, 11–20 = moderate, 21–30 = severe). The LDQ was validated with four subsamples (N = 174, mean age ≈ 34 years, mixed gender, UK-based, including alcohol and opiate users), with subsequent studies involving larger clinical samples (N = 1,681) and young adults (N = 203, mean age ≈ 25 years).

Approximately 60–80% of clinical samples scored in the moderate-to-severe range. The LDQ correlates with the Severity of Dependence Scale (r ≈ 0.60–0.80) and measures of psychological distress (r ≈ 0.40–0.60). It is used in clinical psychology, addiction treatment, and research to screen for dependence, monitor treatment progress, and evaluate program outcomes. The LDQ is freely available and widely used due to its brevity and applicability across substances.

Administration, Scoring and Interpretation

  • Obtain the scale from Raistrick et al. (1994) or authorized sources (e.g., Addiction journal, Leeds Addiction Unit), ensuring ethical permissions.
  • Explain to participants (adults with substance use, particularly alcohol or opiates) that the questionnaire assesses dependence symptoms, emphasizing confidentiality and voluntary participation.
  • Administer the 10-item scale in a clinical, community, or research setting, using paper or digital formats, with instructions to rate experiences over the past month.
  • Estimated completion time is 3–5 minutes.
  • Ensure a private, supportive environment; provide support resources (e.g., addiction helplines, counseling services) and adapt for accessibility (e.g., oral administration) if needed.

Reliability and Validity

The LDQ demonstrates strong psychometric properties (Raistrick et al., 1994; Heather et al., 2001; Kelly et al., 2010). Internal consistency is high (Cronbach’s alpha = 0.90–0.94) across adult and young adult samples (N = 174–1,681). Test-retest reliability is robust (r = 0.95 over 2–5 days, N = 33). Principal components analysis supports a unidimensional structure, accounting for 58–64% of variance.

Convergent validity is evidenced by correlations with the Severity of Dependence Scale (r ≈ 0.60–0.80), Addiction Severity Index (r ≈ 0.50–0.70), and DSM-IV substance dependence criteria (r ≈ 0.55–0.75). Discriminant validity is shown by weak correlations with unrelated constructs like general life satisfaction (r < 0.20). Criterion validity is supported by its sensitivity to mild, moderate, and severe dependence and ability to detect treatment-related changes (Tober et al., 2000).

The LDQ has been validated for alcohol, opiates, cannabis, stimulants, and benzodiazepines. Pairing with measures like the Alcohol Use Disorders Identification Test (AUDIT) or Drug Abuse Screening Test (DAST) enhances comprehensive assessment.

Available Versions

10-Items

Reference

Raistrick, D., Bradshaw, J., Tober, G., Weiner, J., Allison, J., & Healey, C. (1994). Development of the Leeds Dependence Questionnaire (LDQ): a questionnaire to measure alcohol and opiate dependence in the context of a treatment evaluation package. Addiction89(5), 563-572.

Important Link

Scale File:

Frequently Asked Questions

What does the Leeds Dependence Questionnaire measure?
It measures the severity of substance dependence across various substances, focusing on alcohol and opiates.

Who is the target population?
Adults with substance use, particularly alcohol or opiate dependence.

How long does it take to administer?
Approximately 3–5 minutes.

Can it inform interventions?
Yes, it screens for dependence severity and monitors treatment progress.

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