Powers J S, Spickard A
South Med J. 1984 Jul;77(7):852-6. doi: 10.1097/00007611-198407000-00016.
General medical patients can be easily screened for alcohol dependence on a routine basis. The Michigan Alcoholism Screening Test (MAST) is a 24-item yes-no questionnaire concerning alcohol-related behavior. When it was included in the history self-administered to new patients in an internal medicine faculty-resident outpatient practice, it uncovered unsuspected alcohol dependence. The combined questionnaire (health history plus MAST) was given to 351 consecutive new outpatients. Thirteen (4%) were found to have positive MAST scores (greater than 7), indicating alcohol dependence. Nine patients were in the mild dependence range (7 to 20), two in the moderate range (20 to 30), and two in the severe range (30 to 53). All patients with significant MAST scores had complaints related to active drinking. The MAST score directed the physicians' therapeutic efforts in nine of 13 patients; in four the significant MAST score was ignored. The MAST is useful to detect unsuspected alcohol dependence in office practice. When used by faculty and residents trained in recognizing alcohol-related behavior, the test will properly direct therapeutic and rehabilitative efforts for those patients with the primary diagnosis of alcohol dependence.
普通内科患者可以在常规检查中轻松接受酒精依赖筛查。密歇根酒精ism筛查测试（MAST）是一份包含24个是或否问题的问卷，涉及与酒精相关的行为。当它被纳入内科住院医师门诊新患者自行填写的病史中时，发现了未被怀疑的酒精依赖情况。将综合问卷（健康史加MAST）分发给了351名连续就诊的新门诊患者。发现有13名（4%）患者MAST评分呈阳性（大于7），表明存在酒精依赖。9名患者处于轻度依赖范围（7至20），2名处于中度范围（20至30），2名处于重度范围（30至53）。所有MAST评分显著的患者都有与当前饮酒相关的主诉。MAST评分指导了13名患者中9名医生的治疗工作；在4名患者中，显著的MAST评分被忽视了。MAST有助于在门诊实践中发现未被怀疑的酒精依赖。当由接受过识别与酒精相关行为培训的教员和住院医师使用时，该测试将为那些初步诊断为酒精依赖的患者正确指导治疗和康复工作。
