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以复合性国际诊断访谈-酒精模块(CIDI-SAM)作为标准测量工具,对几种酒精筛查工具进行批判性评估。

A critical evaluation of several alcohol screening instruments using the CIDI-SAM as a criterion measure.

作者信息

Clements R

机构信息

Department of Psychology, Indiana University Northwest, Gary 46408-1197, USA.

出版信息

Alcohol Clin Exp Res. 1998 Aug;22(5):985-93. doi: 10.1111/j.1530-0277.1998.tb03693.x.

DOI:10.1111/j.1530-0277.1998.tb03693.x
PMID:9726267
Abstract

Four alcohol screening instruments (the AUDIT, CAGE, MAST, and Svanum's scale) were administered to a sample of 306 undergraduate students at a Midwestern university and were compared with regard to several test characteristics, using the alcohol section of the CIDI-SAM (DSM-IV version) as the criterion measure. The performance of these instruments was evaluated using two subsets of subjects: (1) students who currently met diagnostic criteria for alcohol dependence (n = 35); and (2) students who met diagnostic criteria for alcohol dependence in the past and/or at present (i.e., lifetime diagnosis; n = 50). The AUDIT performed significantly better than the other three instruments in identifying students who were currently alcohol dependent, providing a moderate degree of clinical utility with this group. The four instruments did not differ significantly in their ability to identify students with a lifetime diagnosis; each measure provided only a modest degree of clinical utility with this group.

摘要

对美国中西部一所大学的306名本科生样本使用了四种酒精筛查工具(酒精使用障碍识别测试、CAGE问卷、密歇根酒精ism筛查测试和斯瓦努姆量表),并以复合性国际诊断交谈检查表-酒精与药物模块(DSM-IV版本)的酒精部分作为标准测量,比较了这几种测试工具的多项特征。使用两组受试者评估了这些工具的性能:(1)目前符合酒精依赖诊断标准的学生(n = 35);(2)过去和/或目前符合酒精依赖诊断标准的学生(即终生诊断;n = 50)。在识别目前酒精依赖的学生方面,酒精使用障碍识别测试的表现明显优于其他三种工具,对该组学生具有一定程度的临床实用性。这四种工具在识别终生诊断学生的能力上没有显著差异;每种测量方法对该组学生的临床实用性都仅为中等程度。

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