Jeong Hyeonseok S, Park Shinwon, Lim Soo Mee, Ma Jiyoung, Kang Ilhyang, Kim Jungyoon, Kim Eui-Jung, Choi Yejee J, Lim Jae-Ho, Chung Yong-An, Lyoo In Kyoon, Yoon Sujung, Kim Jieun E
a Department of Radiology , Incheon St. Mary's Hospital, The Catholic University of Korea , Incheon , South Korea.
b Ewha Brain Institute , Ewha Womans University , Seoul , South Korea.
Subst Use Misuse. 2017 Jul 3;52(8):1069-1075. doi: 10.1080/10826084.2016.1271986. Epub 2017 Mar 21.
Problematic alcohol consumption is prevalent among first responders because alcohol is commonly used to cope with occupational stress and frequent exposure to traumatic incidents, making them an at-risk population for alcohol use disorders (AUD). This study investigated the psychometric properties of the Korean version of the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) among public first responders. The Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders-IV-Text Revision (SCID), AUDIT-C, AUDIT, and CAGE were administered to 222 public first responders, who were recruited by convenience sampling. One-week test-retest reliability was evaluated in a subsample (n = 24). Receiver operating characteristic (ROC) curve analyses were conducted to evaluate the diagnostic accuracy and estimate the optimal cut-off scores for any AUD and alcohol dependence. Three different analytic criteria were utilized to calculate the cut-off scores. The AUDIT-C demonstrated good test-retest reliability (intraclass correlation coefficient for test-retest reliability = 0.91) and satisfactory convergent validity. The areas under the ROC curves for any AUD and alcohol dependence of the AUDIT-C were 0.87 and 0.93, respectively. For any AUD, all three criteria suggested a cut-off score of 7.5 (sensitivity = 81.8%, specificity = 79.8%), whereas for alcohol dependence, a cut-off score of 8.5 (sensitivity = 85.7%, specificity = 86.1%) was derived from two criteria. In conclusion, the AUDIT-C demonstrated good reliability and validity and proved to be a brief and effective screening test for AUD among first responders.
问题性饮酒在急救人员中很普遍，因为酒精通常被用来应对职业压力和频繁接触创伤性事件，这使他们成为酒精使用障碍（AUD）的高危人群。本研究调查了韩国版酒精使用障碍识别测试-消费量（AUDIT-C）在公共急救人员中的心理测量特性。对通过便利抽样招募的222名公共急救人员进行了《精神障碍诊断与统计手册》第四版文本修订版（SCID）、AUDIT-C、AUDIT和CAGE测试。在一个子样本（n = 24）中评估了一周重测信度。进行了受试者工作特征（ROC）曲线分析，以评估诊断准确性并估计任何AUD和酒精依赖的最佳截断分数。使用三种不同的分析标准来计算截断分数。AUDIT-C显示出良好的重测信度（重测信度的组内相关系数 = 0.91）和令人满意的收敛效度。AUDIT-C对于任何AUD和酒精依赖的ROC曲线下面积分别为0.87和0.93。对于任何AUD，所有三个标准都建议截断分数为7.5（敏感性 = 81.8%，特异性 = 79.8%），而对于酒精依赖，两个标准得出的截断分数为8.5（敏感性 = 85.7%，特异性 = 86.1%）。总之，AUDIT-C显示出良好的信度和效度，被证明是急救人员中AUD的一种简短而有效的筛查测试。
