Lee Christina S, Abrantes Ana M, Colby Suzanne M, López Steven R, Jordan Theresa J
Department of Community Health, Center for Alcohol and Addiction Studies, Butler Hospital and Brown Medical School, Brown University, Providence, Rhode Island 02912, USA.
Subst Use Misuse. 2008;43(5):709-21. doi: 10.1080/10826080701202791.
The clinical encounter presents opportunities for detection and intervention of adolescent alcohol use disorders (AUDs).
Investigate (a) identification rate of AUDs, (b) whether AUD identification predicts clinical judgment, and (c) patient characteristics influences on clinical judgment. Medical students (n=123) read a case study and completed questions on diagnosis and clinical judgment. Twenty-five percent of participants identified AUD adolescents, who were more negatively rated than non-AUD adolescents. Prior clinical experience and addiction training predicted AUD identification. Patient race and gender influenced clinical judgment ratings. Addictions training is needed to improve identification rates. Study limitations are noted.
临床问诊为青少年酒精使用障碍（AUDs）的检测和干预提供了机会。
调查（a）AUDs的识别率，（b）AUD识别是否能预测临床判断，以及（c）患者特征对临床判断的影响。医学生（n = 123）阅读了一个案例研究，并完成了关于诊断和临床判断的问题。25%的参与者识别出了患有AUD的青少年，这些青少年的评分比未患AUD的青少年更负面。先前的临床经验和成瘾培训可预测AUD的识别。患者的种族和性别影响临床判断评分。需要进行成瘾培训以提高识别率。文中指出了研究的局限性。
