快速酒精筛查测试能否准确区分有害和严重依赖酒精滥用的层次？
Does the Fast Alcohol Screening Test Accurately Distinguish Between Harmful and Severely Dependent Tiers of Alcohol Misuse?
机构信息
Addictions Research Group, School of Psychology & Therapeutic Studies, University of South Wales, Pontypridd CF37 1DL, UK.
Brain & Mind Centre, School of Psychology, Science Faculty, University of Sydney, Sydney, NSW 2050, Australia.
出版信息
Alcohol Alcohol. 2021 Oct 29;56(6):737-745. doi: 10.1093/alcalc/agab015.
AIMS
Primary aim: to determine the efficacy of FAST (the Fast Alcohol Screening Test) for detecting harmful and dependent levels of alcohol use. Secondary aim: to compare the performance of the FAST to two short forms of the Alcohol Use Disorder Identification Test (AUDIT): the AUDIT-C and AUDIT-3.
METHODS
Data from 3336 individuals in South Wales, compiled from full AUDIT datasets, were examined. AUROC analysis, alongside measures of sensitivity and specificity of the FAST, AUDIT-C and AUDIT-3 were utilized for the identification of harmful and dependent alcohol use.
RESULTS
The FAST demonstrated efficacy in the identification of harmful and dependent levels of alcohol use, with superior performance to both the AUDIT-C and AUDIT-3.
CONCLUSION
The present paper demonstrates the potential of the FAST as a cost- and time-effective method for appropriate screening and signposting in the stepped care model utilized by many health care and treatment services. Further studies are needed to ensure validity, both within the general population and for specific services and populations.
目的
主要目的：确定快速酒精筛查测试（FAST）在检测有害和依赖酒精使用水平方面的功效。次要目的：比较 FAST 与酒精使用障碍识别测试（AUDIT）的两种简短形式（AUDIT-C 和 AUDIT-3）的性能。
方法
对来自南威尔士的 3336 名个体的完整 AUDIT 数据集的数据进行了检查。使用 AUROC 分析以及 FAST、AUDIT-C 和 AUDIT-3 的灵敏度和特异性来识别有害和依赖酒精使用。
结果
FAST 在识别有害和依赖酒精使用水平方面具有功效，其性能优于 AUDIT-C 和 AUDIT-3。
结论
本研究表明，FAST 具有作为成本效益高且时间有效的方法的潜力，可用于许多医疗保健和治疗服务中使用的阶梯式护理模型进行适当的筛查和引导。需要进一步的研究来确保其有效性，包括在一般人群中以及在特定服务和人群中。
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