Demmel Ralf, Hagen Jutta
Psychological Institute I, University of Münster, Germany.
Eur Addict Res. 2002 Jun;8(3):128-32. doi: 10.1159/000059382.
The development of screening instruments for the detection of paternal alcoholism is of both clinical and research interest. F-SMAST, an adapted version of the Short Michigan Alcoholism Screening Test (SMAST), has proven to be a reliable and valid instrument for the assessment of an individual's father's drinking history. The present investigation examines the reliability of a German version of the F-SMAST. Internal consistency and test-retest stability (Pearson correlation coefficients on unweighted total scores; kappa statistics and Yule's Y of the individual items) are evaluated in a sample of undergraduates (n = 202). Internal consistency of the F-SMAST is re-evaluated in a second study by analysing the responses of alcohol-dependent in-patients (n = 205). The German version of the F-SMAST exhibited excellent reliability in terms of internal consistency and test-retest stability of the unweighted total scores. Test-retest agreement of the individual items was in the acceptable range. Taking into account the lifetime prevalence of alcoholism and several background variables (e.g. marital status and number of real children) a cut score of 6 or 7 on the F-SMAST seems appropriate for the detection of paternal alcoholism.
开发用于检测父亲酒精中毒的筛查工具具有临床和研究意义。F-SMAST是密歇根酒精中毒简易筛查测试(SMAST)的改编版本,已被证明是评估个人父亲饮酒史的可靠且有效的工具。本研究考察了德语版F-SMAST的可靠性。在一个本科生样本(n = 202)中评估了内部一致性和重测稳定性(未加权总分的皮尔逊相关系数;单个项目的kappa统计量和尤尔Y值)。在第二项研究中,通过分析酒精依赖住院患者(n = 205)的反应,重新评估了F-SMAST的内部一致性。德语版F-SMAST在未加权总分的内部一致性和重测稳定性方面表现出出色的可靠性。单个项目的重测一致性在可接受范围内。考虑到酒精中毒的终生患病率和几个背景变量(如婚姻状况和亲生孩子数量),F-SMAST上6或7的截断分数似乎适合用于检测父亲酒精中毒。