Publication | Date | Language | Abstracts | Access |
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Adewuya, A.O. Validation of the Alcohol Use Disorders Identification Test (AUDIT) as a screening tool for alcohol-related problems among Nigerian University students. Alcohol and Alcoholism, Volume 40, Issue 6, 1 November 2005, Pages 575–577 |
2005 | English | Aims: To investigate the screening properties of the Alcohol Use Disorders Identification Test (AUDIT) in the detection of alcohol-related problems among Nigerian university students. Results: The AUDIT at cut-off of 5 and above could clearly identify participants with alcohol-related problems with sensitivity of 0.935 and specificity of 0.915. Conclusions: The AUDIT is a valid instrument for screening for alcohol-related problems in Nigerian university students. | Open Access |
Aertgeerts, B., Buntinx, F., Ansoms, S., Fevery, J. Questionnaires are better than laboratory tests to screen for current alcohol abuse or dependence in a male inpatient population. Acta Clinica Belgica, Volume 57, Issue 5, September 2002, Pages 241-249 |
2002 | English | Objective: To assess the diagnostic performance of the CAGE and AUDIT (Alcohol Use Disorder Identification Test) and its derivatives, and laboratory tests for screening alcohol abuse or dependence in a male medical hospital population. Design: A diagnostic cross-sectional prevalence study. Setting: Three general hospitals and one university hospital. Patients: All male patients older than 18 years admitted to the hospitals, during a period of 6 weeks, were consecutively included in the study (N=233). Measurements: Calculation of diagnostic measurements with 95%CI and ROC curves for different scores of CAGE, AUDIT and derivatives, laboratory tests and % Carbohydrate Deficient Transferrin (CDT), using DSM-III-R as the reference standard, derived from the CIDI. Results: A current diagnosis of alcohol abuse or dependence was found in 29 medical male inpatients, representing 12.4% (95%CI: 8.6-17.5). Ten of these (4.2%) fulfilled criteria of alcohol abuse and 19 (8.2%) the criteria of alcohol dependence. Laboratory tests are useless as screening tools with sensitivities between 10% (%CDT) and 52% (GammaGT). Only the Fiveshot questionnaire seems to yield reasonable diagnostic parameters at the recommended cutpoint of ≥ 2.5 with a sensitivity of 79.3% and a specificity of 87.7%. Conclusions: With a prevalence of 12.4%, our results are similar with other published studies for alcohol abuse and dependence according DSM criteria. The AUDIT as well as the Fiveshot seems to have the best diagnostic properties in this male medical inpatient population, and regarding to brief interventions, these questionnaires can be used as screening instruments as well as opportunities to talk about alcohol problems with admitted patients. | Via Publisher |
Aertgeerts, B., Buntinx, F., Bande-Knops, J., (...), Ansoms, S., Fevery, J. The value of CAGE, CUGE, and AUDIT in screening for alcohol abuse and dependence among college freshmen. Alcoholism: Clinical and Experimental Research, Volume 24, Issue 1, January 2000, Pages 53-57 |
2000 | English | This study attempted to (1) determine the prevalence of alcohol problems in college freshmen, (2) assess the performance of both the CAGE and the Alcohol Use Disorders Identification Test (AUDIT) questionnaires in this population, and (3) assess the possibility of improving the CAGE and/or AUDIT. Prevalence of alcohol problems in college students is confirmed to be high. When screening for alcohol problems in a college freshmen population, one question seems extremely important. The newly constructed CUGE questionnaire may improve screening efforts in students, compared with existing questionnaires. | Via Publisher |
Agabio, R., Gessa, G.L., Montisci, A., (...), Bedogni, G., Marchi, A. Use of the screening suggested by the National Institute on Alcohol Abuse and Alcoholism and of a newly derived tool for the detection of unhealthy alcohol drinkers among surgical patients. Journal of Studies on Alcohol and Drugs, Volume 73, Issue 1, January 2012, Pages 126-133 |
2012 | English | Objective: The National Institute on Alcohol Abuse and Alcoholism (NIAAA) has developed a two-question tool for the detection of unhealthy drinking (NIAAA-2Q) that investigates excessive alcohol consumption per single occasion. NIAAA-2Q can be commuted into a four-question tool (NIAAA-4Q) by the addition of two questions aimed at investigating excessive weekly alcohol intake. NIAAA-2Q and NIAAA-4Q may prove useful in busy settings such as an anesthesiological environment. However, to date, no study has evaluated their efficacy in a surgical setting. The purpose of this study was to evaluate the accuracy of NIAAA-2Q and NIAAA-4Q in detecting unhealthy drinking among surgical patients using the more complex Alcohol Use Disorders Identification Test (AUDIT) comprising 10 questions as the criterion method. Method: NIAAA-4Q and AUDIT were administered to 200 surgical patients by three anesthetists. Results: A total of 23.5%, 12.5%, and 28.5% surgical patients were unhealthy drinkers according to AUDIT, NIAAA-2Q, and NIAAA-4Q, respectively. NIAAA-2Q negative and positive predictive values were 0.78 and 0.36, respectively, and positive and negative likelihood ratios were 1.80 and 0.90, respectively. NIAAA-4Q negative and positive predictive values were 0.93 and 0.65, respectively, and positive and negative likelihood ratios were 6.00 and 0.24, respectively. Conclusions: NIAAA-4Q demonstrated a better satisfactory agreement than NIAAA-2Q with AUDIT in detecting unhealthy alcohol drinking among surgical patients. These results suggest that the detection of unhealthy alcohol drinking may be increased by the administration of questions aimed at assessing the weekly average of alcohol intake. The modest time required for NIAAA-4Q administration is a major advantage in clinical practice with respect to AUDIT. Further research will compare NIAAA-2Q and NIAAA-4Q with other brief alcohol screening tests. | Via Publisher |
Agabio, R., Marras, P., Gessa, G.L., Carpiniello, B. Alcohol use disorders, and at-risk drinking in patients affected by a mood disorder, in Cagliari, Italy: Sensitivity and specificity of different questionnaires. Alcohol and Alcoholism, Volume 42, Issue 6, November 2007, Pages 575-581 |
2007 | English | Aims: (i) To evaluate the prevalence of alcohol use disorders, and at risk-drinking among outpatients admitted to the Division of Psychiatry, University of Cagliari, Italy, for mood disorders, and (ii) to compare the sensitivity and specificity of the questionnaires used. Methods: Fifty-six patients affected by mood disorders answered to the questions of (i) The NIAAA Guide for identification of at-risk drinking, (ii) AUDIT questionnaire, (iii) The CAGE questionnaire and, (iv) SCID-I application forms for mood and alcohol use disorders. Results: Fourteen subjects (25%) met the criteria for alcohol use disorders according to SCID-I; 17 (30.4%) achieved a score ≥1 in CAGE questionnaire; 12 (21.4%) reached AUDIT scores of ≥8 and 4 for men and women, respectively; 12 (21.4%) provided positive answers to NIAAA Guide. Despite these prevalence rates, no diagnosis of alcohol use disorders had previously been registered in their medical records. The CAGE questionnaire achieved the highest values of sensitivity and specificity in detecting alcohol use disorders tested against that of the SCID-I. Conclusions: Alcohol use disorders and at-risk drinking are frequent in patients affected by mood disorders, although often underestimated; this underestimation was virtually absolute in the sample of patients investigated. Combination of the CAGE questionnaire plus the first questions in the NIAAA Guide may be an effective tool for use in the identification of psychiatric patients with possible alcohol use disorders or at-risk drinking. | Open Access |
Balachova, T., Sobell, L.C., Agrawal, S., (...), Volkova, E., Bohora, S. Evaluating alcohol use among Russian women at risk for an alcohol-exposed pregnancy: A comparison of three measures of alcohol use. Journal of Ethnicity in Substance Abuse, Volume 17, Issue 3, 3 July 2018, Pages 324-334 |
2018 | English | The Quick Drinking Screen (QDS) and Timeline Followback (TLFB), measures of alcohol use, have yielded similar reports of drinking with English speakers. The present study, a secondary data analysis, compared three measures of alcohol use (i.e., QDS, TLFB, and AUDIT) among Russian-speaking women. This is the first study to compare all three measures. This study replicated the findings of studies with English speakers and demonstrated that brief screening measures (QDS, AUDIT) provide reliable summary measures of alcohol use when compared to a detailed drinking measure (TLFB). The use of brief screening measures is recommended for use with Russian women. | Via Publisher |
Barry, K.L., Fleming, M.F. The Alcohol Use Disorders Identification Test (AUDIT)and the SMAST-13: Predictive validity in a rural primary care sample. Alcohol and Alcoholism. Volume 28, Issue 1, January 1993, Pages 33-42 |
1993 | English | This study was conducted to compare the validity of a new screening instrument developed by the World Health Organization, the Alcohol Use Disorders Identification Test (AUDIT), to the short version of the MAST in 287 primary care patients. Subjects were classified as meeting a lifetime or current DSM-III diagnosis of alcohol misuse and/or dependence based on the DIS-R interview schedule. Using the original WHO guidelines (score of 11 or more), 37 (13%) scored positive on the AUDIT and 103 (36%) had a weighted score of 5 or more on the SMAST-13. The internal reliability of the AUDIT was 0.86, compared to the SMAST-13 at 0.85. Cut-off scores in this sample for current alcohol problems, utilizing Receiver Operating Curves, were 7-8 for the AUDIT and 5 for the SMAST. This study confirms the utility of the AUDIT for current alcohol problems and the SMAST-13 for lifetime or past problems in a rural clinical sample. © 1993 Medical Council on Alcoholism. | Via Publisher |
Bergman, H., Källmén, H. Alcohol use among Swedes as assessed by the Alcohol Use Disorders Identification Test (AUDIT): A psychometric study | [Befolkningens alkoholvanor enligt AUDIT-testet: Sänkt gränsvärde fördubblade andelen kvinnor med riskabla alkoholvanor]. Lakartidningen, Volume 97, Issue 17, 2000, Pages 2078-2084 |
2000 | Swedish | The Alcohol Use Disorders Identification Test (AUDIT) was completed by 997 persons randomly sampled from the general Swedish population (80 percent response rate). Eighteen percent of the men and 5 percent of the women had hazardous or harmful alcohol use according to the 8+ score criterion. Since women are more sensitive to alcohol than men, a cut-off score of 6+ was suggested for them. The female prevalence of hazardous or harmful alcohol use then increased to nearly 11 percent. Hazardous or harmful alcohol use decreased with increasing age in both genders. The »binge drinking» question explained half of the total AUDIT variance and is thus the best predictor of heavy drinking in the test. The internal and test-retest reliability of the AUDIT was satisfactory. Reference values for different ages and genders are presented. | Open Access |
Bischof, G., Reinhardt, S., Grothues, J., (...), John, U., Rumpf, H.-J. Development and evaluation of a screening instrument for alcohol-use disorders and at-risk drinking: The Brief Alcohol Screening Instrument for Medical Care (BASIC). Journal of Studies on Alcohol and Drugs, Volume 68, Issue 4, July 2007, Pages 607-614 |
2007 | English | Objective: Screening for problem drinking has not yet become standard practice in primary health care settings, and lack of time is an important barrier for general practicioners to intervene. Very brief screening instruments might help to implement screening into the daily routine in primary health care. The present study describes the development and evaluation of the Brief Alcohol Screening Instrument for medical Care (BASIC), using two independently drawn samples. Method: Sample 1 was recruited from general practices in two northern German cities. In total, 10,803 screenings were conducted. Item selection and validation of the BASIC was carried out in two equally sized random subsamples drawn from Sample 1. Sample 2 consisted of 2,949 consecutively admitted patients from a general hospital. Two different screening tools, both containing the Lübeck Alcohol abuse and dependence Screening Test (LAST) and one containing the full Alcohol Use Disorders Identification Test (AUDIT) and the other one the BASIC, were randomly handed out to study participants and compared according to validity criteria. As a gold standard for the detection of alcohol-use disorders, the Munich-Composite International Diagnostic Interview (M-CIDI) was used for screening positive individuals. Results: In the first general-practice subsample, six items that performed comparably well to the AUDIT were identified. In the second study, these findings were replicated. Both questionnaires performed better than the complementary deployed AUDIT-C and LAST. Conclusions: Data show that the BASIC is an efficient screening tool that performs as well as the AUDIT in medical settings while being shorter in administration and scoring. | Via Publisher |
Bradley, K.A., Bush, K.R., McDonell, M.B., Malone, T., Fihn, S.D. Screening for problem drinking: Comparison of CAGE and AUDIT. Journal of General Internal Medicine Volume 13, Issue 6, 1998, Pages 379-388 |
1998 | English | OBJECTIVE: To compare self-administered versions of three questionnaires for detecting heavy and problem drinking: the CAGE, the Alcohol Use Disorders Identification Test (AUDIT), and an augmented version of the CAGE. SETTING: Three Department of Veterans Affairs general medical clinics. MAIN RESULTS: Of 393 eligible patients, 261 (66%) returned the AUDIT and completed interviews. For detection of active alcohol abuse or dependence, the CAGE augmented with three more questions (AUROC 0.871) performed better than either the CAGE alone or AUDIT (AUROCs 0.820 and 0.777, respectively). For identification of heavy-drinking patients, however, the AUDIT performed best (AUROC 0.870). To identify both heavy drinking and active alcohol abuse or dependence, the augmented CAGE and AUDIT both performed well, but the AUDIT was superior (AUROC 0.861).CONCLUSIONS: For identification of patients with heavy drinking or active alcohol abuse or dependence, the self-administered AUDIT was superior to the CAGE in this population. |
Via Publisher |