Article

Validation and comparison of alcohol-screening instruments for identifying hazardous drinking in hospitalized patients in Taiwan.

Department of Psychiatry, Mackay Memorial Hospital, 45 Ming-Sheng Road, Tamshui, Taipei County 251, Taiwan.
Alcohol and Alcoholism (impact factor: 2.95). 06/2008; 43(5):577-82. DOI:10.1093/alcalc/agn036 pp.577-82
Source: PubMed

ABSTRACT The aim of this study was to validate the Mandarin Chinese version of different screening instruments and compare their performances for identifying hazardous drinkers in Taiwan.
We compared the performance of the Mandarin Chinese versions of AUDIT, AUDIT-C (AUDIT items 1, 2 and 3), AUDIT-4 (AUDIT items 1, 2, 3 and 10), AUDIT-3 (AUDIT item 3), TWEAK, SMAST and CAGE to detect hazardous drinking in hospitalized patients in Taiwan. The results of the test instruments were blindly compared with the reference standard Schedule for Clinical Assessments in Neuropsychiatry (SCAN).
Of 404 patients evaluated, 100 were identified as having a hazardous drinking pattern. All screening instruments showed acceptable sensitivities (ranging from 85 to 93%) and specificities (ranging from 72 to 92%), but AUDIT and its short forms performed consistently better than the other instruments.
The Mandarin Chinese versions of AUDIT and its derivatives perform well in screening hospitalized Taiwanese patients for hazardous drinking.

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Keywords

AUDIT item 3
 
AUDIT items 1
 
AUDIT-3
 
AUDIT-C
 
Clinical Assessments
 
different screening instruments
 
hazardous drinkers
 
hazardous drinking
 
hazardous drinking pattern
 
Mandarin Chinese version
 
Mandarin Chinese versions
 
performances
 
reference standard Schedule
 
SCAN
 
screening instruments
 
short forms
 
Taiwan
 
Taiwanese patients
 
test instruments
 
TWEAK