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Screening Adolescents for Problem Drinking: Performance of Brief Screens against DSM-IV Alcohol ...
Tammy Chung, Suzanne M. Colby, ...

Alcohol Research Documentation, Inc., 2000 - 26 pages
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This digital document is an article from Journal of Studies on Alcohol, published by Alcohol Research Documentation, Inc. on July 1, 2000. The length of the article is 7632 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.

From the author: Objective: The performance of three brief screens, the CAGE, TWEAK and Alcohol Use Disorders Identification Test (AUDIT), was evaluated against a DSM-IV diagnosis of alcohol abuse or dependence in an adolescent sample. Method: Adolescents (13-19 years old) who presented to an emergency department for treatment of an injury, and who tested negative for blood alcohol concentration at time of admission, were administered a structured diagnostic interview and modified versions of the CAGE, TWEAK and AUDIT. Results: Of the 415 adolescents for whom complete data were available, 18% met criteria for a DSM-IV alcohol use disorder according to the Diagnostic Interview Schedule for Children (version 2.3). Teens who reported alcohol use in the last year (n = 261, 58% male, 71% white) were included in analyses that compared the performance of the three screening instruments. Receiver Operating Characteristic analysis indicated that the AUDIT demonstrated the best performance across the range of its cut-scores, with optimal performance at a cut-score of 4. The TWEAK performed optimally at a cut-score of 2 and the CAGE at a cut-score of 1. Conclusions: Routine alcohol screening among adolescents seen in a hospital setting is indicated. Two important directions for future research include the identification of adolescent-specific alcohol screening items, and the validation of an adolescent-specific definition of problem drinking that addresses limitations of DSM-IV alcohol diagnoses when applied to adolescents. (J. Stud. Alcohol 61: 579-587, 2000)

Citation Details
Title: Screening Adolescents for Problem Drinking: Performance of Brief Screens against DSM-IV Alcohol Diagnoses(*).(Statistical Data Included)
Author: Tammy Chung
Publication: Journal of Studies on Alcohol (Refereed)
Date: July 1, 2000
Publisher: Alcohol Research Documentation, Inc.
Volume: 61 Issue: 4 Page: 579

Article Type: Statistical Data Included

Distributed by Thomson Gale


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