Nanakorn S, Fukuda K, Tangseree T, Treethiptikhun S, Nakamura J, Ogimoto I, Inutsuka H
Faculty of Medicine, Khon Kaen University, Thailand.
Kurume Med J. 1998;45(4):313-9. doi: 10.2739/kurumemedj.45.313.
This study was aimed to validate the Michigan Alcoholism Screening Test-Thai version (MAST-T) which was compared to the psychiatric diagnosis based on DSM-III-R criteria, as a gold standard, among the northeast population of Thailand. Sixty-one pairs of male cases with alcohol use disorders (AUD) and controls were collected through routine examination of psychiatric outpatients, 18-65 years old, who visited the Khon Kaen Psychiatric Hospital or the Northeast Drug Dependence Treatment Center which is located in Khon Kaen province, northeast Thailand between November, 1996 and February, 1997. Controls were matched for each case by sex-age (+/- 5 years)--province--urbanization. They were interviewed using the MAST-T and a structured questionnaire. Receiver operating characteristic analysis revealed that the optimum cutoff point > or = 11 on the MAST-T yields the best sensitivity and specificity (98.4% for each), along with an area under the curve of 0.998, indicating that it was sensitive and specific in discriminating AUD from non-AUD patients. This validation study of the MAST-Thai version underlines its applicability as a screening test for AUD among the northeast male Thai population.
本研究旨在验证密歇根酒精中毒筛查测试泰语版（MAST-T），该测试与基于《精神疾病诊断与统计手册》第三版修订版（DSM-III-R）标准的精神病学诊断（作为金标准）相比较，在泰国东北部人群中进行验证。通过对18至65岁的精神病门诊患者进行常规检查，收集了61对患有酒精使用障碍（AUD）的男性病例和对照，这些患者于1996年11月至1997年2月期间前往泰国东北部孔敬省的孔敬精神病医院或东北药物依赖治疗中心就诊。对照按性别-年龄（±5岁）-省份-城市化程度与每个病例进行匹配。使用MAST-T和结构化问卷对他们进行访谈。受试者工作特征分析显示，MAST-T上≥11的最佳截断点产生了最佳的敏感性和特异性（各为98.4%），曲线下面积为0.998，表明其在区分AUD患者和非AUD患者方面具有敏感性和特异性。这项对MAST泰语版的验证研究强调了其作为泰国东北部男性人群中AUD筛查测试的适用性。
