Screening for drug and alcohol abuse among older adults using a modified version of the CAGE.
Screening for drug and alcohol abuse among older adults using a modified version of the CAGE.
复制标题
使用改进版的 CAGE 筛查老年人中的药物和酒精滥用情况。
DOI：
10.1111/j.1521-0391.2001.tb00521.x
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
Lissy F. Jarvik
中科院分区：
文献类型：
--
作者：
C. Hinkin;S. Castellon;Elizabeth Dickson;Garrett Daum;Jerome Jaffe;Lissy F. Jarvik
本研究探讨了灵敏度，特异性和受试者工作特性（ROC）曲线的修改版本的笼，用于检测老年酒精和药物滥用的个人的筛选措施。在一项对976例老年药物滥用项目筛选的患者的临床记录进行回顾性审查时，作者检查了患者对CAGE修改版的反应，其中包括有关药物使用的询问。CAGE对50岁或以上的个体进行管理，这些个体来自三个诊断组：酒精滥用/依赖，药物滥用/依赖和正常对照。方差分析和判别函数分析表明，修改后的CAGE能够区分酒精和药物滥用者从控制。检测灵敏度、特异性和ROC曲线的分析显示，CAGE表现出极好的灵敏度，但特异性较差。从CAGE中省略“削减”项显著提高了特异性，而灵敏度仅略有下降。鉴于易于管理和敏感性，酒精和药物滥用，这些数据表明，修改后的笼是非常适合作为筛选工具，老年药物和酒精滥用。
This study examined the sensitivity, specificity, and receiver operating characteristics (ROC) curves of a modified version of the CAGE, a screening measure used in the detection of older alcohol- and drug-abusing individuals. In a retrospective review of clinical records of 976 patients screened by a geriatric substance abuse program, the authors examined patients' responses on a modified version of the CAGE that included queries regarding drug use. The CAGE was administered to individuals age 50 or over draw from three diagnostic groups: alcohol abuse/dependence, drug abuse/dependence, and normal controls. Analysis of variance and discriminant function analyses revealed that the modified CAGE was able to discriminate both alcohol and drug abusers from controls. Analyses examining test sensitivity, specificity, and ROC curves revealed the CAGE to demonstrate excellent sensitivity but poor specificity. Omitting the "cut down'' item from the CAGE significantly improved specificity with only a modest drop in sensitivity. Given the ease of administration and sensitivity to both alcohol and drug abuse, these data suggest that the modified CAGE is well suited as a screening instrument for geriatric drug and alcohol abuse.
妇女、工作和酒精：简单理论的失败。
DOI：
10.1111/j.1530-0277.1992.tb01361.x
发表时间：
1992
期刊：
Alcoholism, clinical and experimental research
影响因子：
--
作者：
Wilsnack,RW;Wilsnack,SC
通讯作者：
Wilsnack,SC