PMID: 16639872Apr 28, 2006Paper

Alcohol use frequency as a screen for alcohol use disorders in adolescents

International Journal of Adolescent Medicine and Health
Duncan B ClarkChristopher S Martin

Abstract

While screening tools have been developed to identify adolescents likely to have alcohol use disorders (AUDs), none of the available methods are optimal for general medical settings. This study explored the sensitivity and specificity of the frequency of drinking episodes in the prior month as an initial screen for AUDs. The subjects were 219 adolescents (ages 12 through 18) systematically recruited from the community, who participated in a baseline assessment as well as 1-year, 3-year, and 5-year follow-up visits. Subjects completed a self-report form indicating their frequency of use of different substances in the month prior to the assessment. DSM-IV AUD diagnoses were determined by SCID. At baseline, 10 of 219 subjects met DSM-IV criteria for an AUD. At a threshold of 3 or more drinking episodes in the past month, the screen was 90% sensitive, correctly classifying 9 of 10 AUD cases, and 83.7% specific, correctly classifying 175 of 209 cases without AUDs. The diminishing specificity of this screen over the follow-up assessments indicated that this method may be useful for adolescents, but not for young adults. These results indicate that an assessment of the frequency of alcohol use in the prior month provides an initial sc...Continue Reading

References

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Oct 19, 2004·Addiction·Duncan B Clark
Nov 3, 2004·Pediatrics·Celeste R WilsonJohn R Knight
Mar 1, 2005·Drug and Alcohol Dependence·Duncan B ClarkSaul Shiffman

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Citations

Jun 27, 2008·Pediatric Emergency Care·Holly Sindelar-ManningAnthony Spirito
Dec 2, 2009·Qualitative Health Research·Gretchen A ClumUNKNOWN Adolescent Medicine Trials Network for HIV/AIDS Interventions
Jan 6, 2012·Pediatrics·Tammy ChungChristopher S Martin
Apr 3, 2010·Mayo Clinic Proceedings·Duncan B ClarkHoward B Moss
May 15, 2016·Drug and Alcohol Dependence·R HuangT H Lam
Jul 8, 2017·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Sharon M KellyRobert P Schwartz

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