DIAGNOSTIC VALIDITY OF THE MAST AND THE ALCOHOL DEPENDENCE SCALE IN THE ASSESSMENT OF DSM-III ALCOHOL DISORDERS
DIAGNOSTIC VALIDITY OF THE MAST AND THE ALCOHOL DEPENDENCE SCALE IN THE ASSESSMENT OF DSM-III ALCOHOL DISORDERS
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DOI：
10.15288/jsa.1990.51.506
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发表时间：
1990-11-01
期刊：
影响因子：
--
通讯作者：
SKINNER, HA
中科院分区：
文献类型：
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作者：
ROSS, HE;GAVIN, DR;SKINNER, HA
评估了密歇根酒精中毒筛查测试 (MAST) 和酒精依赖量表 (ADS) 在筛查当前 DSM-III 酒精滥用/依赖障碍方面的比较有效性。这些量表适用于 501 名因酗酒或吸毒问题而接受治疗的患者。 DSM-III 酒精障碍使用诊断面谈时间表进行诊断。接受者操作特征 (ROC) 分析用于确定 MAST 和 ADS 的最佳阈值分数，并比较两种仪器的筛查能力。 MAST 和 ADS 的最佳切点分别为 12/13 和 8/9。使用这些阈值分数的两种仪器的总体分类准确度为 88%。 ROC 曲线下面积为 0.91 和 0.90 (SD = 0.02)，MAST 和 ADS 在筛查该人群中酒精滥用或酒精依赖的能力方面没有显着差异。 MAST 和 ADS 彼此高度相关 (0.79)。我们的研究报告的结果应该适用于修订后的 DSM-III，因为现场试验发现诊断系统之间在酒精障碍方面高度一致。讨论了评估酗酒的分类方法和维度方法。
The comparative validity of the Michigan Alcoholism Screening Test (MAST) and the Alcohol Dependence Scale (ADS) in screening for current DSM-III alcohol abuse/dependence disorders is evaluated. These scales were administered to 501 patients presenting for treatment of alcohol or drug problems. DSM-III alcohol disorders are diagnosed using the Diagnostic Interview Schedule. Receiver Operating Characteristic (ROC) analysis is used to determine optimum threshold scores for the MAST and ADS and to compare the screening ability of the two instruments. Optimum cut points for the MAST and the ADS are 12/13 and 8/9, respectively. The overall accuracy of classification for both instruments using these threshold scores is 88%. The areas under the ROC curves are .91 and .90 (SD = .02) and there are no significant differences between the MAST and the ADS in their ability to screen for alcohol abuse or dependence in this population. The MAST and the ADS correlate highly with each other (.79). The results reported in our study should be applicable to the revised DSM-III since a field trial found a high level of agreement on alcohol disorders between the diagnostic systems. Categorical versus dimensional approaches to the assessment of alcoholism are discussed.