Wu Shu-I, Huang Hui-Chun, Liu Shen-Ing, Huang Chiu-Rong, Sun Fang-Ju, Chang Tse-Yun, Shih Shou-Chuan, Jeng Kuo-Shyang
Department of Psychiatry, Mackay Memorial Hospital, 45 Ming-Sheng Road, Tamshui, Taipei County 251, Taiwan.
Alcohol Alcohol. 2008 Sep-Oct;43(5):577-82. doi: 10.1093/alcalc/agn036. Epub 2008 May 8.
The aim of this study was to validate the Mandarin Chinese version of different screening instruments and compare their performances for identifying hazardous drinkers in Taiwan.
We compared the performance of the Mandarin Chinese versions of AUDIT, AUDIT-C (AUDIT items 1, 2 and 3), AUDIT-4 (AUDIT items 1, 2, 3 and 10), AUDIT-3 (AUDIT item 3), TWEAK, SMAST and CAGE to detect hazardous drinking in hospitalized patients in Taiwan. The results of the test instruments were blindly compared with the reference standard Schedule for Clinical Assessments in Neuropsychiatry (SCAN).
Of 404 patients evaluated, 100 were identified as having a hazardous drinking pattern. All screening instruments showed acceptable sensitivities (ranging from 85 to 93%) and specificities (ranging from 72 to 92%), but AUDIT and its short forms performed consistently better than the other instruments.
The Mandarin Chinese versions of AUDIT and its derivatives perform well in screening hospitalized Taiwanese patients for hazardous drinking.
本研究旨在验证不同筛查工具的中文版，并比较它们在识别台湾地区危险饮酒者方面的表现。
我们比较了酒精使用障碍识别测试（AUDIT）中文版、AUDIT-C（AUDIT第1、2和3项）、AUDIT-4（AUDIT第1、2、3和10项）、AUDIT-3（AUDIT第3项）、TWEAK、SMAST和CAGE在检测台湾地区住院患者危险饮酒情况方面的表现。将测试工具的结果与神经精神病学临床评估量表（SCAN）这一参考标准进行盲法比较。
在评估的404名患者中，有100名被确定为有危险饮酒模式。所有筛查工具都显示出可接受的敏感性（范围为85%至93%）和特异性（范围为72%至92%），但AUDIT及其简化版的表现始终优于其他工具。
AUDIT及其衍生工具的中文版在筛查台湾地区住院患者的危险饮酒情况方面表现良好。
