Blankfield A, Maritz J S
Department of Statistics, La Trobe University, Melbourne, Australia.
Acta Psychiatr Scand. 1990 May;81(5):483-7. doi: 10.1111/j.1600-0447.1990.tb05486.x.
In an age-matched sample of male and female inpatient alcoholics of the same ethnic background, the mean Michigan Alcoholism Screening Test (MAST) score declined significantly with age group and was lowest in elderly people. Females and first-admission subjects recorded lower mean MAST scores. A correlation was noted in both sexes between reported alcohol consumption and MAST scores. Although screening tests such as MAST have been found of value in detecting alcoholism in high-risk populations, this study of some of the MAST parameters in a clinical population suggests that some of the "invisible" and older alcoholics might not be grossly disturbed persons and that other more subtle behavioural clues to diagnosis should be determined. Despite the limitations inherent in any diagnostic technique, the ultimate detection of invisible alcoholics lies at the interface of clinical judgement, the use of screening tests, community awareness and the development of personal responsibility.
在一个年龄匹配、具有相同种族背景的男女住院酗酒者样本中，密歇根酒精中毒筛查测试（MAST）的平均得分随年龄组显著下降，在老年人中最低。女性和首次入院的受试者MAST平均得分较低。在报告的酒精摄入量与MAST得分之间，男女两性均存在相关性。尽管诸如MAST之类的筛查测试已被证明在检测高危人群中的酒精中毒方面具有价值，但这项针对临床人群中一些MAST参数的研究表明，一些“隐形”的老年酗酒者可能并非严重紊乱的个体，应该确定其他更细微的行为诊断线索。尽管任何诊断技术都存在固有的局限性，但检测隐形酗酒者的最终关键在于临床判断、筛查测试的使用、社区意识以及个人责任感的培养之间的相互作用。
