Barry K L, Fleming M F
Department of Family Medicine and Practice, University of Wisconsin, Madison 53715.
Alcohol Alcohol. 1993 Jan;28(1):33-42.
This study was conducted to compare the validity of a new screening instrument developed by the World Health Organization, the Alcohol Use Disorders Identification Test (AUDIT), to the short version of the MAST in 287 primary care patients. Subjects were classified as meeting a lifetime or current DSM-III diagnosis of alcohol misuse and/or dependence based on the DIS-R interview schedule. Using the original WHO guidelines (score of 11 or more), 37 (13%) scored positive on the AUDIT and 103 (36%) had a weighted score of 5 or more on the SMAST-13. The internal reliability of the AUDIT was 0.86, compared to the SMAST-13 at 0.85. Cut-off scores in this sample for current alcohol problems, utilizing Receiver Operating Curves, were 7-8 for the AUDIT and 5 for the SMAST. This study confirms the utility of the AUDIT for current alcohol problems and the SMAST-13 for lifetime or past problems in a rural clinical sample.
本研究旨在比较世界卫生组织开发的一种新筛查工具——酒精使用障碍识别测试（AUDIT）与MAST简版在287名初级保健患者中的有效性。根据DIS-R访谈日程表，受试者被分类为符合酒精滥用和/或依赖的终生或当前DSM-III诊断标准。按照世界卫生组织的原始指南（得分11分及以上），37名（13%）受试者在AUDIT测试中呈阳性，103名（36%）受试者在SMAST-13测试中的加权得分达到5分及以上。AUDIT的内部信度为0.86，而SMAST-13的内部信度为0.85。利用受试者工作特征曲线，该样本中当前酒精问题的AUDIT截断分数为7至8分，SMAST截断分数为5分。本研究证实了AUDIT在农村临床样本中对当前酒精问题的效用，以及SMAST-13对终生或过去酒精问题的效用。
