Read Jennifer P, Haas Amie L, Radomski Sharon, Wickham Robert E, Borish Sarah E
Department of Psychology, University at Buffalo, the State University of New York.
Pacific Graduate School of Psychology, Palo Alto University.
Psychol Assess. 2016 Oct;28(10):1276-1289. doi: 10.1037/pas0000251. Epub 2015 Dec 21.
Heavy and problematic drinking is common on college campuses and is associated with myriad hazardous outcomes. The Young Adult Alcohol Consequences Questionnaire (YAACQ; Read et al., 2006) was developed to provide comprehensive and expedient assessment of negative consequences of young adult drinking and has been used in a number of research and clinical settings. To date, no empirically derived cutoffs for the YAACQ have been available for use in the identification of those drinkers at greatest risk. This was the objective of the present study. In a large (N = 1,311) and demographically heterogeneous multisite sample, we identified cutoff scores for the YAACQ, and the contrasted detection of hazardous drinking using these cutoffs with those recommended for the Alcohol Use Disorders Identification Test (AUDIT). We also examined whether cutoffs differed by gender. Results of receiver operating characteristic (ROC) analysis yielded cutoffs that delineate 3 levels (or zones) of hazardous drinking risk: low, moderate, and high. A cutoff of 8 differentiated those at low risk from those at moderate risk or greater, and a cutoff of 16 differentiated between moderate and high risk. These zones corresponded to other indices of risky drinking, including heavy episodic "binge" drinking, more frequent alcohol consumption, and engagement in alcohol risk behaviors. Scores differentiating low to moderate risk differed for men (8) and women (10), whereas the cutoff for high risk was the same (16) across the sexes. Findings suggest that the YAACQ can be used to reliably assess level of drinking risk among college students. Furthermore, these cut scores may be used to refer to interventions varying in intensity level, based on level of indicated alcohol risk. (PsycINFO Database Record
重度及问题饮酒在大学校园中很常见，且与无数有害后果相关。青年成人酒精后果问卷（YAACQ；Read等人，2006年）旨在全面、便捷地评估青年成人饮酒的负面后果，已在多项研究和临床环境中使用。迄今为止，尚无基于实证得出的YAACQ临界值可用于识别风险最高的饮酒者。这是本研究的目的。在一个规模较大（N = 1311）且人口统计学特征多样的多地点样本中，我们确定了YAACQ的临界值，并将使用这些临界值检测有害饮酒的结果与为酒精使用障碍识别测试（AUDIT）推荐的临界值进行对比。我们还研究了临界值是否因性别而异。受试者工作特征（ROC）分析结果得出了划分有害饮酒风险三个水平（或区域）的临界值：低、中、高。临界值8将低风险者与中度或更高风险者区分开来，临界值16区分中度和高风险。这些区域与其他危险饮酒指标相对应，包括重度间歇性“暴饮”、更频繁饮酒以及参与酒精风险行为。区分低到中度风险的分数在男性（8）和女性（10）中有所不同，而高风险的临界值在两性中相同（16）。研究结果表明，YAACQ可用于可靠评估大学生的饮酒风险水平。此外，这些临界分数可用于根据所表明的酒精风险水平推荐不同强度的干预措施。（PsycINFO数据库记录
