Colligan R C, Davis L J, Morse R M, Offord K P
Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota 55905.
J Clin Psychol. 1988 May;44(3):452-6. doi: 10.1002/1097-4679(198805)44:3<452::aid-jclp2270440323>3.0.co;2-3.
Although the MacAndrew scale (MAC) is the most widely used of the MMPI alcoholism screening scales, evidence to support its continued use is equivocal, and recent data raise serious questions about its efficacy in the screening of medical patients. In comparison, the Institutionalized Chronic Alcoholic Scale (ICAS), an 8-item scale, has an equivalent correct classification rate among male alcoholics and is significantly better than the MAC scale at identifying female alcoholics. Furthermore, misclassification rates among medical patients and normal persons are substantially lower for the ICAS than for the MAC scale, although the ICAS overidentifies potential alcoholism among normal women and female medical patients. However, reliability coefficients across the criterion and contrast samples are disappointingly low, and the use of the ICAS cannot be defended on that basis.
尽管麦克安德鲁量表（MAC）是明尼苏达多相人格调查表（MMPI）中使用最广泛的酒精中毒筛查量表，但支持其继续使用的证据并不明确，而且近期数据对其在筛查内科患者方面的有效性提出了严重质疑。相比之下，机构化慢性酒精中毒量表（ICAS）是一个包含8个条目的量表，在男性酒精中毒者中具有相同的正确分类率，并且在识别女性酒精中毒者方面明显优于MAC量表。此外，内科患者和正常人中的误分类率，ICAS量表比MAC量表要低得多，尽管ICAS量表过度识别了正常女性和女性内科患者中的潜在酒精中毒情况。然而，在标准样本和对比样本中的信度系数低得令人失望，因此基于这一点，ICAS量表的使用无法得到辩护。
