Alcohol use disorders: Screening and diagnosis
Alcohol use disorders: Screening and diagnosis
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DOI：
10.1111/j.1521-0391.2003.tb00493.x
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发表时间：
2003-01-01
影响因子：
3.7
通讯作者：
Saitz, R
中科院分区：
文献类型：
--
作者：
Maisto, SA;Saitz, R
本文的目的是提供一个经验支持的概述，主要是自我报告的方法，筛选和诊断相关的酒精使用障碍（AUDs）。筛查工具的讨论集中在初级保健环境，诊断工具的讨论集中在酒精（和其他药物）治疗环境。文献表明，AUDIT和CAGE是在初级保健中筛选AUD的最广泛验证的方法，并且可以在该背景下容易地应用。类似地，许多设计用于推导DSM-IV（和ICD-90）AUD诊断的工具，以及与如何定义AUD相关的结构，都是可用的，可以满足各种临床需求。未来的研究重点包括进一步开发简单的方法来识别危险饮酒者或患有AUD的个人，以及改进诊断工具，以增加其在治疗环境和亚群中的应用。
The purpose of this article is to provide an overview of empirically supported, primarily self-report methods of screening and diagnosis related to alcohol use disorders (AUDs). The discussion of screening instruments focuses on the primary care setting, and the diagnosis instruments discussion centers on the alcohol (and other drug) treatment setting. The literature shows that the AUDIT and the CAGE are the most widely validated methods of screening for AUDs in primary care and may be applied readily in that context. Similarly, a number of instruments designed to derive DSM-IV (and ICD-90) AUD diagnoses, as well as constructs related to how AUDs are defined, are available and can meet a variety of clinical needs. Future research priorities include further development of brief methods to identify hazardous drinkers or individuals who have an AUD, as well as refinement of diagnosis instruments to increase their application across treatment settings and subpopulations.