THE ALCOHOL-USE DISORDERS IDENTIFICATION TEST (AUDIT) - VALIDATION OF A SCREENING INSTRUMENT FOR USE IN MEDICAL SETTINGS
THE ALCOHOL-USE DISORDERS IDENTIFICATION TEST (AUDIT) - VALIDATION OF A SCREENING INSTRUMENT FOR USE IN MEDICAL SETTINGS
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DOI：
10.15288/jsa.1995.56.423
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发表时间：
1995-07-01
期刊：
影响因子：
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通讯作者：
KRANZLER, HR
中科院分区：
文献类型：
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作者：
BOHN, MJ;BABOR, TF;KRANZLER, HR
目的：评估酒精使用障碍识别测试 (AUDIT) 的并发效度、结构效度和判别效度。审核由包含 10 项的核心调查问卷和包含 8 项的临床程序组成。审计旨在识别危险饮酒者（尽管尚未发生与酒精相关的危害，但其饮酒会增加出现酒精相关问题的风险）；有害饮酒者（最近因饮酒而造成身体或精神伤害，但不依赖酒精）；以及有酒精依赖的人。方法：已知的酗酒者（n = 65）和普通内科患者（n = 187）填写了自我报告问卷，并接受了诊断访谈、体检和实验室检测。结果：AUDIT 分数与 MAST 和 MacAndrew 酒精中毒筛查测试分数以及 ALAT、ASAT、GGT 和 MCV 水平显着相关，后者反映了近期的大量饮酒。 AUDIT 分数与酗酒脆弱性的测量（例如，家族性酗酒和反社会）以及饮酒的躯体和情感后果相关。接受者操作特征和判别功能分析表明，AUDIT 核心和临床仪器在区分酗酒者和医疗患者（其中大多数是非酗酒者）方面具有敏感性和特异性。在区分危险饮酒者和非危险饮酒者方面，AUDIT Core 优于 MAST 和 AUDIT Clinical。在区分有害饮酒者和无害饮酒者方面，它也优于 AUDIT Clinical。结论：AUDIT 核心工具有助于早期发现危险或有害饮酒，而 AUDIT 临床工具更适合识别和/或确认酒精依赖病例。
Objective: The concurrent, construct, and discriminant validity of the Alcohol Use Disorders Identification Test (AUDIT) were evaluated. AUDIT consists of a 10-item Core questionnaire and an 8-item Clinical procedure. AUDIT was designed to identify hazardous drinkers (whose drinking increases their risk of alcohol-related problems, though alcohol-associated harm has not yet occurred); harmful drinkers (who have had recent physical or mental harm from their drinking, but who are not alcohol-dependent); and people with alcohol dependence. Method: Known alcoholics (n = 65) and general medical patients (n = 187) completed self-report questionnaires and underwent a diagnostic interview, physical examination and laboratory testing. Results: AUDIT scores correlated significantly with scores on the MAST and MacAndrew alcoholism screening tests, and with ALAT, ASAT, GGT and MCV levels, which reflect recent heavy drinking. AUDIT scores were correlated with measures of alcoholism vulnerability (e.g., familial alcoholism and sociopathy), and with somatic and affective consequences of drinking. Receiver operating characteristic and discriminant function analyses indicated that the AUDIT Core and Clinical Instruments were sensitive and specific in discriminating alcoholics from medical patients, most of whom were nonalcoholics. The AUDIT Core was superior to the MAST and the AUDIT Clinical in discriminating hazardous drinkers from nonhazardous drinkers. It was also superior to the AUDIT Clinical in discriminating harmful from nonharmful drinkers. Conclusions: The AUDIT Core Instrument is useful for early detection of hazardous or harmful drinking, while the AUDIT Clinical Instrument is better applied to identification and/or confirmation of cases of alcohol dependence.