Siassi I, Alston D C
Am J Drug Alcohol Abuse. 1976;3(2):267-77. doi: 10.3109/00952997609077196.
There is a growing concern with the rapid pace of physical and psychosocial deterioration of methadone patients who abuse alcohol. The need for a sample method for determining the extent of the problem, as well as the presence of an alcohol problem in individual patients, led the authors to test the validity of the Michigan Alcoholism Sreen Test (MAST) in a small urban methadone maintenance clinic (N = 125). The MAST was administered to every patient by their counselors, and the nursing staff was asked to independently rate each patient according to Keller's definition of alcoholism. The authors compared the patients' MAST scores with the global ratings of the nursing staff. Forty-six percent (n = 58) of the patients scored in the alcoholism range of the MAST questionnaire, while 34% (n = 43) of the patients were diagnosed as alcoholics by the nursing staff. There was 75% (n = 94) agreement between the MAST findings and the nurses' global ratings (p less than .001). The authors suggest that the MAST could be an effective screening tool in the area of alcohol abuse in methadone clinics. Going beyond the data, the authors recommend reexamination by psychiatrists of their peripheral role in the treatment of these difficult and multihandicapped patients.
人们越来越关注滥用酒精的美沙酮患者身体和心理社会状况迅速恶化的问题。由于需要一种抽样方法来确定该问题的严重程度以及个体患者是否存在酒精问题，作者对一家小型城市美沙酮维持诊所（N = 125）中的密歇根酒精中毒筛查测试（MAST）的有效性进行了测试。MAST由每位患者的咨询师进行施测，并要求护理人员根据凯勒对酒精中毒的定义对每位患者进行独立评分。作者将患者的MAST得分与护理人员的总体评分进行了比较。46%（n = 58）的患者在MAST问卷的酒精中毒范围内得分，而34%（n = 43）的患者被护理人员诊断为酒精中毒。MAST结果与护士的总体评分之间的一致性为75%（n = 94）（p小于.001）。作者认为MAST可能是美沙酮诊所酒精滥用领域一种有效的筛查工具。在数据之外，作者建议精神科医生重新审视他们在治疗这些困难且有多种障碍的患者中所扮演的边缘角色。
