Psychometric evaluation of the Alcohol Use Disorders Identification Test and short Drug Abuse Screening Test with psychiatric patients in India
Psychometric evaluation of the Alcohol Use Disorders Identification Test and short Drug Abuse Screening Test with psychiatric patients in India
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DOI：
10.4088/jcp.v64n0705
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发表时间：
2003-07-01
影响因子：
5.3
通讯作者：
Chandra, PS
中科院分区：
文献类型：
--
作者：
Carey, KB;Carey, MP;Chandra, PS
背景资料：酒精使用障碍识别测试（AUDIT）和简短的药物滥用筛查测试（DAST-10）是对酒精和药物问题的简短自我报告筛查，尚未评估用于发展中国家的精神病患者。本研究的目的是评估因素结构，信度，效度和效用的AUDIT和DAST-10在印度精神病hospital.Method：连续住院病人从2001年4月至12月进行抽样。根据ICD-10标准，患者被诊断为物质使用障碍或精神疾病。所有患者都完成了AUDIT和DAST-10在他们的摄入evaluation.Results：在2286入院，1349人参加了研究（30%的妇女）; 361例（27%）有原发性物质使用障碍和988例（73%）有原发性精神疾病。AUDIT和DAST-10都是一维的，内部一致。总得分显着区分主要物质使用的子样本与那些原发性精神疾病（p < .0001）。使用AUDIT大于或等于8分和DAST-10大于或等于3分的临界值，只有10%（N = 100）的精神病学子样本超过了任一临界值，而99%（N = 358）的成瘾治疗子样本超过了I或两个临界值。在精神病学子样本中，77%（N = 65）在AUDIT上被确定为高风险的患者在出院时没有接受额外的酒精使用障碍诊断，59%（N = 16）在DAST-10上被确定为高风险的患者在出院时没有接受额外的药物使用障碍诊断。AUDIT和DAST-10在印度精神病医院使用时表现出强大的心理测量特性。常规使用这些简短的屏幕可以促进精神病患者中物质使用障碍的检测。
Background: The Alcohol Use Disorders Identification Test (AUDIT) and the short Drug Abuse Screening Test (DAST-10) are brief self-report screens for alcohol and drug problems that have not been evaluated for use with psychiatric patients in developing countries. This study was designed to evaluate the factor structure, reliability, validity, and utility of the AUDIT and the DAST-10 in an Indian psychiatric hospital.Method: Consecutive inpatient admissions from April to December 2001 were sampled. Patients were diagnosed with substance use disorders or psychiatric disorders according to ICD-10 criteria. All patients completed both the AUDIT and the DAST-10 during their intake evaluation.Results: Of the 2286 admissions to the hospital, 1349 were enrolled in the study (30% women); 361 patients (27%) had primary substance use disorders and 988 patients (73%) had primary psychiatric disorders. Both the AUDIT and the DAST-10 were unidimensional and internally consistent. Total scores significantly differentiated the subsamples with primary substance use from those with primary psychiatric disorders (p < .0001). Using cutoff scores of greater than or equal to8 on the AUDIT and greater than or equal to3 on the DAST-10, only 10% (N = 100) of the psychiatric subsample exceeded either cutoff, whereas 99% (N = 358) of the addiction treatment subsample exceeded I or both cutoffs. Within the psychiatric subsample, 77% (N = 65) of the patients who were identified as high risk on the AUDIT did not receive an additional alcohol use disorder diagnosis at discharge, and 59% (N = 16) of those identified as high risk on the DAST-10 did not receive an additional discharge diagnosis of drug use disorder.Conclusion: The AUDIT and the DAST-10 demonstrate strong psychometric properties when used in an Indian psychiatric hospital. Routine use of these brief screens can facilitate detection of substance use disorders among psychiatric patients.