Use of the AUDIT and the DAST-10 to identify alcohol and drug use disorders among adults with a severe and persistent mental illness

Use of the AUDIT and the DAST-10 to identify alcohol and drug use disorders among adults with a severe and persistent mental illness
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DOI:
10.1037//1040-3590.12.2.186
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发表时间:
2000-06-01
影响因子:
3.6
通讯作者:
Gleason, JR
Gleason, JR
中科院分区:
心理学2区
文献类型:
--
作者:
Maisto, SA;Carey, MP;Gleason, JR

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州立精神病医院门诊病人(93名男子,69名被诊断为严重持续性精神疾病(SPMI)的女性通过访谈完成了酒精使用障碍识别测试(AUDIT)和药物滥用筛查测试(DAST-10),作为一般健康/行为筛查工具的一部分。将10例患者分别与去年酒精和药物使用障碍的当前诊断标准和症状发生标准进行了比较。结果表明,对于诊断和症状,AUDIT 7和8的临界点具有良好的敏感性和特异性,DAST-10 2的临界点被确定为两个标准。这些和其他研究结果表明,这两种仪器有前途的临床实用性时,用于诊断为SPMI的个人。
State Psychiatric Hospital outpatients (93 men, 69 women) diagnosed with a serious persistent mental illness (SPMI) completed the Alcohol Use Disorders Identification Test (AUDIT) and Drug Abuse Screening Test (DAST-10) by interview as part of a general health/behavior screening instrument Responses to the AUDIT and DAST-10 were compared with criteria of current diagnosis and occurrence of symptoms in the last year for both alcohol and drug use disorders, respectively. Results showed that for both diagnosis and symptoms, AUDIT cutpoints of 7 and 8 had good sensitivity and specificity, and DAST-10 cutpoint of 2 was identified for both criteria. These and other findings suggest that both instruments have promising clinical utility when used with individuals diagnosed with an SPMI.