酒精使用障碍识别测试（AUDIT）作为初级保健中过度饮酒的筛查工具：法语版本的可靠性和有效性。

The Alcohol Use Disorders Identification Test (AUDIT) as a screening tool for excessive drinking in primary care: reliability and validity of a French version.

作者信息

Gache Pascal, Michaud Philippe, Landry Ulrika, Accietto Cataldo, Arfaoui Sonia, Wenger Olivier, Daeppen Jean-Bernard

机构信息

Alcohology Unit Department of Community Medicine, Hôpitaux Universitaires de Genève, Switzerland.

出版信息

Alcohol Clin Exp Res. 2005 Nov;29(11):2001-7. doi: 10.1097/01.alc.0000187034.58955.64.

DOI:10.1097/01.alc.0000187034.58955.64

PMID:16340457

Abstract

BACKGROUND

Excessive drinking is a major problem in Western countries. AUDIT (Alcohol Use Disorders Identification Test) is a 10-item questionnaire developed as a transcultural screening tool to detect excessive alcohol consumption and dependence in primary health care settings.

OBJECTIVES

The aim of the study is to validate a French version of the Alcohol Use Disorders Identification Test (AUDIT).

METHODS

We conducted a validation cross-sectional study in three French-speaking areas (Paris, Geneva and Lausanne). We examined psychometric properties of AUDIT as its internal consistency, and its capacity to correctly diagnose alcohol abuse or dependence as defined by DSM-IV and to detect hazardous drinking (defined as alcohol intake >30 g pure ethanol per day for men and >20 g of pure ethanol per day for women). We calculated sensitivity, specificity, positive and negative predictive values and Receiver Operator Characteristic curves. Finally, we compared the ability of AUDIT to accurately detect "alcohol abuse/dependence" with that of CAGE and MAST.

RESULTS

1207 patients presenting to outpatient clinics (Switzerland, n = 580) or general practitioners' (France, n = 627) successively completed CAGE, MAST and AUDIT self-administered questionnaires, and were independently interviewed by a trained addiction specialist. AUDIT showed a good capacity to discriminate dependent patients (with AUDIT > or =13 for males, sensitivity 70.1%, specificity 95.2%, PPV 85.7%, NPV 94.7% and for females sensitivity 94.7%, specificity 98.2%, PPV 100%, NPV 99.8%); and hazardous drinkers (with AUDIT > or =7, for males sensitivity 83.5%, specificity 79.9%, PPV 55.0%, NPV 82.7% and with AUDIT > or =6 for females, sensitivity 81.2%, specificity 93.7%, PPV 64.0%, NPV 72.0%). AUDIT gives better results than MAST and CAGE for detecting "Alcohol abuse/dependence" as showed on the comparative ROC curves.

CONCLUSIONS

The AUDIT questionnaire remains a good screening instrument for French-speaking primary care.

摘要

背景

过度饮酒是西方国家的一个主要问题。酒精使用障碍识别测试（AUDIT）是一份包含10个条目的问卷，作为一种跨文化筛查工具开发，用于在初级卫生保健机构中检测过度饮酒和酒精依赖情况。

目的

本研究旨在验证法语版的酒精使用障碍识别测试（AUDIT）。

方法

我们在三个法语地区（巴黎、日内瓦和洛桑）开展了一项验证性横断面研究。我们检验了AUDIT的心理测量特性，如内部一致性，以及其正确诊断《精神疾病诊断与统计手册》第四版（DSM-IV）所定义的酒精滥用或依赖的能力，和检测危险饮酒（定义为男性每天纯乙醇摄入量>30克，女性每天纯乙醇摄入量>20克）的能力。我们计算了敏感性、特异性、阳性和阴性预测值以及受试者工作特征曲线。最后，我们将AUDIT准确检测“酒精滥用/依赖”的能力与CAGE和MAST的能力进行了比较。

结果

1207名到门诊诊所就诊的患者（瑞士，n = 580）或全科医生处就诊的患者（法国，n = 627）先后完成了CAGE、MAST和AUDIT自我管理问卷，并由一名经过培训的成瘾专家进行独立访谈。AUDIT显示出良好的区分依赖患者的能力（男性AUDIT≥13，敏感性70.1%，特异性95.2%，阳性预测值85.7%，阴性预测值94.7%；女性敏感性94.7%，特异性98.2%，阳性预测值100%，阴性预测值99.8%）；以及危险饮酒者（男性AUDIT≥7，敏感性83.5%，特异性79.9%，阳性预测值55.0%，阴性预测值82.7%；女性AUDIT≥6，敏感性81.2%，特异性93.7%，阳性预测值64.0%，阴性预测值72.0%）。如比较性受试者工作特征曲线所示，在检测“酒精滥用/依赖”方面，AUDIT比MAST和CAGE的结果更好。