Screening for alcoholism among medical inpatients: How important is corroboration of patient self-report?
Screening for alcoholism among medical inpatients: How important is corroboration of patient self-report?
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DOI：
10.1111/j.1530-0277.1998.tb03925.x
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发表时间：
1998-10-01
影响因子：
3.2
通讯作者：
Beresford, TP
中科院分区：
文献类型：
--
作者：
Chermack, ST;Singer, K;Beresford, TP
对于在非酒精中毒治疗背景下评估的个体，附带报告在证实自我报告方面的效用知之甚少。本研究考察了581对医疗患者的一致性，以及对常用酒精筛查工具CAGE问题的附带反应，以及对患者饮酒后果和酒精消耗的报告。结果表明，患者/侧枝的一致性在CAGE临界值上是边缘性的，但可以接受，并且与酗酒治疗的报告相似，患者通常报告的饮酒后果多于侧枝。患者和附属报告的患者饮酒没有显著差异。在男性和女性以及DSM-III-R诊断为酒精依赖的患者中，都发现了这种患者和附带报告酒精后果和消费的模式。研究结果支持病人自我报告酒精中毒筛查措施在医疗机构的有效性。此外，结果表明，在直接从患者那里获得的信息中添加附带报告只能适度地提高对酒精依赖的识别。总体研究结果表明，酒精筛查可以在医疗环境中有效和高效地进行。
Little is known about the utility of collateral reports in substantiating self-report for individuals assessed in nonalcoholism treatment contexts. This study examined the concordance of 581 pairs of medical patient and collateral responses to a commonly used alcohol screening instrument, the CAGE Questions, as well as to reports of the patient's drinking consequences and alcohol consumption. Results demonstrated that patient/collateral concordance was marginal, but acceptable, on CAGE cut-off scores and, that similar to reports from alcoholism treatment settings, patients generally reported more drinking consequences than collaterals. Patient and collateral reports of the patient's alcohol consumption did not differ significantly. This pattern of patient and collateral reporting of alcohol consequences and consumption was found for both men and women, as well as for patients with a DSM-III-R diagnosis of alcohol dependence. The findings support the validity of patient self-report on alcoholism screening measures in medical settings. Furthermore, results demonstrated that the addition of collateral reports to information directly obtained from patients only modestly improved the identification of alcohol dependence. The overall findings indicate that alcohol screening can be done effectively and efficiently in medical settings.