Center on Alcoholism, Substance Abuse, & Addictions, University of New Mexico , Albuquerque, NM, USA.
College of Education and Professional Studies, University of West Florida , Pensacola, FL, USA.
Am J Drug Alcohol Abuse. 2020 Sep 2;46(5):531-545. doi: 10.1080/00952990.2020.1712410. Epub 2020 Mar 16.
: The Alcohol Use Disorders Identification Test (AUDIT) and its consumption subscale (AUDIT-C) are international gold standard screeners for identifying at-risk drinkers. Items have been modified to reflect United States low-risk drinking guidelines in the USAUDIT and USAUDIT-C, which also perform well in identifying at-risk drinkers. The USAUDIT may also be used to screen for potential AUD, an important first step to identify individuals needing diagnostic testing and treatment referrals. : The present study sought to evaluate the sensitivity and specificity of each measure in predicting potential AUDs via diagnostic criteria from the in a college sample. : Participants were 382 college student drinkers ( = 20.2, = 1.5; 68.7% female) who completed online surveys assessing alcohol use, at-risk drinking, and AUD symptom endorsement. Receiver operating curves provide optimal cutoff scores for each measure in overall, male, and female samples. : Results indicated the AUDIT and USAUDIT are equally superior in detecting potential AUD in the current sample. Recommended cutoff scores for detecting likely AUD with the USAUDIT are 12 for males (sensitivity = 62.0%, specificity = 86.6%) and 8 for females (sensitivity = 65.3%, specificity = 87.7%). : Whereas prior work supports the USAUDIT-C in detecting at-risk drinking, the current study supports the AUDIT and USAUDIT in detecting potential AUD. Based on prior work, and in an effort to be consistent with standard US drinking guidelines, we recommend using the USAUDIT in screening and brief interventions across college campuses.
：酒精使用障碍识别测试（AUDIT）及其消费分量表（AUDIT-C）是识别高危饮酒者的国际金标准筛查工具。在美国酒精使用障碍识别测试（USAUDIT）和美国酒精使用障碍识别测试-C（USAUDIT-C）中，对项目进行了修改，以反映美国的低风险饮酒指南，这两种测试在识别高危饮酒者方面也表现良好。USAUDIT 也可用于筛查潜在的酒精使用障碍（AUD），这是识别需要进行诊断测试和治疗转介的个体的重要第一步。：本研究旨在评估每种测量方法在预测通过来自《精神障碍诊断与统计手册》的诊断标准在大学生样本中潜在 AUD 的敏感性和特异性。：参与者为 382 名大学生饮酒者（均龄=20.2，标准差=1.5；68.7%为女性），他们完成了在线调查，评估了酒精使用情况、高危饮酒情况和 AUD 症状的自我报告。受试者工作特征曲线为每种测量方法在总体样本、男性样本和女性样本中提供了最佳截断分数。：结果表明，在当前样本中，AUDIT 和 USAUDIT 在检测潜在 AUD 方面同样出色。推荐用于检测 USAUDIT 中可能 AUD 的临界值分数为男性 12 分（敏感性=62.0%，特异性=86.6%）和女性 8 分（敏感性=65.3%，特异性=87.7%）。：尽管先前的工作支持 USAUDIT-C 用于检测高危饮酒，但本研究支持 AUDIT 和 USAUDIT 用于检测潜在 AUD。基于先前的工作，并为了与美国标准饮酒指南保持一致，我们建议在大学校园的筛查和简短干预中使用 USAUDIT。
