Rubio Valladolid G, Bermejo Vicedo J, Caballero Sánchez-Serrano M C, Santo-Domingo Carrasco J
Departamento de Psiquiatría. Universidad Autónoma de Madrid.
Rev Clin Esp. 1998 Jan;198(1):11-4.
The results of the validation for the AUDIT (Alcohol Use Disorders Identification Test) in Primary Care are here reported. A total of 326 patients who attended two primary care centers were interviewed. In a first interview they answered the AUDIT questions and later were classified on the basis of disturbances caused by alcohol use: abuse or dependency. The diagnosis of abuse or dependency was obtained with the structured interview for DSM-III-R. Reliability was determined by the test-retest correlation and internal consistency by Cronbach's alpha coefficient. Efficacy was calculated by means of the area under the curve (receiver operating characteristics). A quarter of the interviewed patients were diagnosed of some disturbance caused by alcohol use. The internal reliability of the test was acceptable (Cronbach's alpha coefficient 0.86). The test-retest correlation coefficient was 0.90. All the questions acceptably correlated with the total in the scale. A cut-off point of 8 was the most efficient for the whole sample (90% sensitivity and 90% specificity). For females, the most efficient cut-off point was 6. For patients aged over 60 years, the most efficient cut-off point was 5 for both sexes. This study confirms the usefulness of AUDIT for screening alcohol-related problems in Primary Care.
本文报告了初级保健中酒精使用障碍识别测试（AUDIT）的验证结果。共有326名到两个初级保健中心就诊的患者接受了访谈。在第一次访谈中，他们回答了AUDIT问题，随后根据酒精使用引起的障碍进行分类：滥用或依赖。通过针对《精神疾病诊断与统计手册》第三版修订本（DSM-III-R）的结构化访谈来确定滥用或依赖的诊断。通过重测相关性确定信度，通过克朗巴赫α系数确定内部一致性。通过曲线下面积（受试者工作特征）计算效能。四分之一的受访患者被诊断出存在酒精使用引起的某种障碍。该测试的内部信度可以接受（克朗巴赫α系数为0.86）。重测相关系数为0.90。所有问题与量表总分的相关性均可接受。对于整个样本而言，8分的截断点最为有效（灵敏度为90%，特异度为90%）。对于女性，最有效的截断点是6分。对于60岁以上的患者，男女最有效的截断点均为5分。本研究证实了AUDIT在初级保健中筛查酒精相关问题的有用性。
