de Torres Luis Angel Pérula, Rebollo Encarnación Márquez, Ruiz-Moral Roger, Fernández-García Jose Angel, Vega Raquel Arias, Palomino María Muriel
Family Medicine Vocational Training Scheme of Cordoba, Cordoba School of Medicine, Cordoba, Spain.
Eur J Gen Pract. 2009;15(1):15-21. doi: 10.1080/13814780902855754.
To check the validity of the Alcohol Use Disorders Identification Test (AUDIT) among Spanish adult citizens.
This is a descriptive observational study. The surveyed group comprised patients aged 18-80 years who went to their doctors' surgeries at two primary care centres located in Cordoba (Spain). We examined the psychometric properties of AUDIT and its capacity to correctly diagnose alcohol abuse or dependence, as defined by DSM-IV, ICD-10, and hazardous drinking.
Six hundred and fourteen patients were studied (mean age 43+/-1.43 years). At a cut-off value of 7 points, the sensitivity of AUDIT in detecting hazardous drinking was 91.7%, and its specificity 91.9%; the area below the curve was 0.95 (95% confidence interval [CI] 0.937-0.975). To detect possible dependence, the optimum cut-off value was 6 points. According to ICD-10, sensitivity was 81.6%, specificity 82.3%, and the area under the curve 0.885 (95% CI 0.848-0.923; p<0.001), whereas according to DSM-IV criteria, sensitivity was 88.3%, specificity 83.1%, and the area under the curve 0.918 (95% CI 0.885-0.951).
The high criterion-related validity of AUDIT was proven, regardless of the gold standard used.
检验酒精使用障碍识别测试（AUDIT）在西班牙成年公民中的有效性。
这是一项描述性观察性研究。被调查群体包括年龄在18至80岁之间、前往位于西班牙科尔多瓦的两个初级保健中心看诊的患者。我们研究了AUDIT的心理测量特性及其正确诊断酒精滥用或依赖的能力，酒精滥用或依赖的定义依据《精神疾病诊断与统计手册》第四版（DSM-IV）、《国际疾病分类》第十版（ICD-10）以及危险饮酒标准。
共研究了614名患者（平均年龄43±1.43岁）。在临界值为7分时，AUDIT检测危险饮酒的敏感度为91.7%，特异度为91.9%；曲线下面积为0.95（95%置信区间[CI] 0.937 - 0.975）。为检测可能的依赖，最佳临界值为6分。根据ICD-10，敏感度为81.6%，特异度为82.3%，曲线下面积为0.885（95% CI 0.848 - 0.923；p<0.001），而根据DSM-IV标准，敏感度为88.3%，特异度为83.1%，曲线下面积为0.918（95% CI 0.885 - 0.951）。
无论使用何种金标准，均证明AUDIT具有较高的标准关联效度。
