Department of General Practice, University of Tours, France; University of Tours, EA7505 Education Ethique Santé, France.
Department of General Practice, University of Tours, France; University of Tours, EA7505 Education Ethique Santé, France.
Addict Behav. 2022 Mar;126:107180. doi: 10.1016/j.addbeh.2021.107180. Epub 2021 Nov 20.
Substance use disorders and non-substance addictive behaviors are major, growing health concerns. Efficient screening primary care settings encouraged but its widespread implementation is restricted without an appropriate screening approach for clinical practice or guidance for practitioners choose an appropriate screening test. This study aims to identify addictive disorder screening tests which are validated in primary care and suggest steps to help practitioners select the appropriate test.
A systematic review of the literature through Pubmed, PsycINFO and The Cochrane Library was performed from database inception to December 21, 2020. The search strategy included three research topics: screening, addictive disorders, and primary care. Selection criteria included published studies evaluating the validity of an addictive disorder screening test in primary care settings.
8638 papers were selected, and 50 studies were included. Seventeen questionnaires validated in primary care covered the main substance use disorders, but none screened for non-substance addictive behaviors. Tests such as ASSIST, S2BI, SUBS and TAPS screen for a variety of substance use disorders while others such as TICS and CAGE-AID only have a few questions to improve feasibility. However, some shorter tests had weaker psychometric properties.
Seventeen addictive disorder screening tests validated in primary care are available. The feasibility and acceptability in primary care of the shorter tests needs to be assessed. A transversal screening test, adapted to the constraints of primary care, that enables clinicians to detect substance use disorders and non-substance addictive behaviors is needed.
物质使用障碍和非物质成瘾行为是主要的、日益严重的健康问题。虽然鼓励在初级保健环境中进行有效的筛查，但如果没有适合临床实践的筛查方法或指导医生选择适当筛查测试的指南，其广泛实施就会受到限制。本研究旨在确定已在初级保健中验证的成瘾障碍筛查测试，并提出帮助医生选择适当测试的步骤。
通过 Pubmed、PsycINFO 和 The Cochrane Library 对文献进行了系统回顾，检索时间从数据库建立到 2020 年 12 月 21 日。搜索策略包括三个研究主题：筛查、成瘾障碍和初级保健。入选标准包括评估在初级保健环境中进行成瘾障碍筛查测试的有效性的已发表研究。
共筛选出 8638 篇论文，其中 50 项研究入选。在初级保健中验证的 17 种问卷涵盖了主要的物质使用障碍，但没有一种问卷可以筛查非物质成瘾行为。ASSIST、S2BI、SUBS 和 TAPS 等测试可筛查多种物质使用障碍，而 TICS 和 CAGE-AID 等测试则只有几个问题以提高可行性。然而，一些较短的测试具有较弱的心理测量特性。
目前有 17 种已在初级保健中验证的成瘾障碍筛查测试。需要评估较短测试在初级保健中的可行性和可接受性。需要一种适应初级保健限制的横向筛查测试，使临床医生能够检测物质使用障碍和非物质成瘾行为。
