Willenbring M L, Christensen K J, Spring W D, Rasmussen R
J Am Geriatr Soc. 1987 Sep;35(9):864-9. doi: 10.1111/j.1532-5415.1987.tb02339.x.
Alcoholism in the elderly is often underidentified because of the differences in the presentation and symptom patterns compared to younger individuals. One way to address this problem is through routine use of screening instruments, but up to this time, none of the instruments used to identify alcoholism in younger populations have been shown to be valid in the elderly. We studied the validity of the Michigan Alcoholism Screening Test, scored both with weighted (MAST) and unit scoring (UMAST), and two short versions: the Brief MAST (BMAST) and Short MAST (SMAST) in 52 hospitalized elderly male alcoholics and 33 nonalcoholic controls. The MAST and UMAST showed excellent sensitivity and specificity, while the SMAST was less specific, and the BMAST less sensitive and less specific. Factor structure of the two brief versions was similar to that found in younger alcoholics, suggesting that symptom constellation is not necessarily different in the elderly. We recommend the use of the MAST or UMAST for screening for alcoholism in the elderly.
由于与年轻人相比，老年人酒精中毒的表现和症状模式存在差异，所以往往未被充分识别。解决这一问题的一种方法是常规使用筛查工具，但截至目前，用于识别年轻人群体中酒精中毒的工具均未被证明在老年人中有效。我们研究了密歇根酒精中毒筛查测试的有效性，该测试采用加权计分（MAST）和单位计分（UMAST），以及两个简短版本：简易MAST（BMAST）和简短MAST（SMAST），研究对象为52名住院老年男性酒精中毒患者和33名非酒精中毒对照者。MAST和UMAST显示出极佳的敏感性和特异性，而SMAST的特异性较低，BMAST的敏感性和特异性均较低。两个简短版本的因子结构与年轻酒精中毒患者相似，这表明老年人的症状组合不一定不同。我们建议使用MAST或UMAST对老年人酒精中毒进行筛查。
