Kim Jueun, Hendershot Christian S
Department of Psychology, Chungnam National University, Daejeon, South Korea.
Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Ontario, Canada; Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Ontario, Canada; Department of Psychiatry, University of Toronto, Ontario, Canada; Department of Psychology, University of Toronto, Ontario, Canada.
J Subst Abuse Treat. 2020 Apr;111:73-85. doi: 10.1016/j.jsat.2020.01.006. Epub 2020 Jan 20.
Screening and brief intervention (SBI) for unhealthy alcohol use is recommended as a routine clinical procedure for adults in primary care settings. However, implementation of SBI remains suboptimal, in part reflecting time constraints in clinical settings. Single Item Screening Questions (SISQ) have increasingly been studied as a means of minimizing assessment burden. Although the ability of SISQ to accurately detect unhealthy alcohol use (i.e., at-risk drinking or alcohol use disorder) has been studied in various clinical and population settings, results have not been summarized in aggregate. This descriptive summarizes SISQ performance metrics across various clinical settings and populations. Based on results from 40 identified studies, there is consistent support that SISQ have good sensitivity as screeners for unhealthy drinking, with performance generally being comparable to longer validated instruments. Collectively, these results justify further efforts to evaluate SISQ as a means of maximizing SBI uptake and efficiency in various clinical settings.
对不健康饮酒进行筛查和简短干预（SBI）被推荐作为基层医疗环境中成人的常规临床程序。然而，SBI的实施仍未达到最佳状态，部分原因是临床环境中的时间限制。单项筛查问题（SISQ）作为一种减轻评估负担的手段，受到了越来越多的研究。尽管在各种临床和人群环境中已经对SISQ准确检测不健康饮酒（即危险饮酒或酒精使用障碍）的能力进行了研究，但结果尚未进行汇总总结。本描述性研究总结了SISQ在各种临床环境和人群中的性能指标。基于40项已确定研究的结果，有一致的证据支持SISQ作为不健康饮酒筛查工具具有良好的敏感性，其性能通常与经过验证的较长工具相当。总体而言，这些结果证明有必要进一步努力评估SISQ，以提高其在各种临床环境中的接受度和效率。
