Svikis D S, McCaul M E, Haug N A, Boney T Y
Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Am J Drug Alcohol Abuse. 1996 Nov;22(4):563-75. doi: 10.3109/00952999609001681.
Alcohol problems frequently go undetected in drug-dependent individuals. In women of childbearing age, the consequences of unrecognized alcohol problems can be severe. Unfortunately, many drug treatment programs lack resources to conduct formal diagnostic interviews with all program admissions. Using the Structured Clinical Interview for DSM-III-R (SCID) as the "gold standard," the present study compared four clinical tools for assessing alcohol problems in a drug-dependent population. Rates of detecting alcohol problems varied widely (15-76%). The Addiction Severity Index (ASI) and the Family Alcohol and Drug Survey (FADS) yielded the highest sensitivities (96% and 83%, respectively) and specificities (94% and 92%, respectively). Since these instruments require less staff training and background education than the SCID, they offer cost-effective alternatives for efficient screening and assessment of alcohol problems in drug-dependent populations.
酒精问题在药物依赖个体中常常未被察觉。在育龄女性中，未被识别的酒精问题可能会产生严重后果。不幸的是，许多药物治疗项目缺乏资源对所有项目入院者进行正式的诊断性访谈。本研究以《精神疾病诊断与统计手册第三版修订版》（DSM-III-R）的结构化临床访谈（SCID）作为“金标准”，比较了四种用于评估药物依赖人群酒精问题的临床工具。检测酒精问题的比率差异很大（15%-76%）。成瘾严重程度指数（ASI）和家庭酒精与药物调查（FADS）的敏感性最高（分别为96%和83%），特异性也最高（分别为94%和92%）。由于这些工具比SCID所需的工作人员培训和背景教育更少，它们为药物依赖人群中酒精问题的有效筛查和评估提供了具有成本效益的替代方案。
