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Titolo:
Variations on the CAGE alcohol screening questionnaire: Strengths and limitations in VA general medical patients
Autore:
Bradley, KA; Kivlahan, DR; Bush, KR; McDonell, MB; Fihn, SD;
Indirizzi:
VA Puget Sound Hlth Care Syst, HSR&D 152, NW Hlth Serv Res & Dev Ctr Excellence, Seattle, WA 98108 USA VA Puget Sound Hlth Care Syst Seattle WA USA 98108 Seattle, WA 98108 USA VA Puget Sound Hlth Care Syst, Primary & Specialty Med Care Serv, Seattle,WA 98108 USA VA Puget Sound Hlth Care Syst Seattle WA USA 98108 , Seattle,WA 98108 USA VA Puget Sound Hlth Care Syst, Ctr Excellence Subst Abuse Treatment & Educ, Seattle, WA 98108 USA VA Puget Sound Hlth Care Syst Seattle WA USA 98108 Seattle, WA 98108 USA
Titolo Testata:
ALCOHOLISM-CLINICAL AND EXPERIMENTAL RESEARCH
fascicolo: 10, volume: 25, anno: 2001,
pagine: 1472 - 1478
SICI:
0145-6008(200110)25:10<1472:VOTCAS>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
PRIMARY-CARE; PROBLEM DRINKING; USE DISORDERS; CONSUMPTION QUESTIONS; BRIEF INTERVENTIONS; PROBLEM DRINKERS; BINGE-DRINKING; AUDIT; BIAS; FREQUENCY;
Keywords:
alcohol screening;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
40
Recensione:
Indirizzi per estratti:
Indirizzo: Bradley, KA VA Puget Sound Hlth Care Syst, HSR&D 152, NW Hlth Serv Res & Dev Ctr Excellence, 1660 S Columbian Way, Seattle, WA 98108 USA VA Puget Sound Hlth Care Syst 1660 S Columbian Way Seattle WA USA 98108
Citazione:
K.A. Bradley et al., "Variations on the CAGE alcohol screening questionnaire: Strengths and limitations in VA general medical patients", ALC CLIN EX, 25(10), 2001, pp. 1472-1478

Abstract

Background: Several variations on the CAGE alcohol screening questionnairehave been recommended. This report evaluates modifications and additions to the CAGE. Methods: Alcohol screening questionnaires were evaluated in male VA general medicine patients (n=227; mean age, 65.8). Mailed questionnaires includedtwo scoring options for the CAGE (standard and last-year time frames), questions about quantity and frequency of drinking, two questions about episodic heavy drinking, and the question "Have you ever had a drinking problem? "Main analyses compared alcohol screening questions, at various cut-points,to a gold standard of hazardous drinking during the past year (greater than or equal to 14 drinks/week or greater than or equal to5 drinks on an occasion) and/or DSM-III-R alcohol abuse or dependence, based on standardized interviews. Results: The CAGE questionnaire with a past-year time frame was much less sensitive (0.57 vs. 0.77) but more specific (0.82 vs. 0.59) than the standard CAGE for detecting hazardous drinking during the past year and/or DSM-III-R alcohol abuse or dependence. An eight-item questionnaire that included the standard CAGE was most sensitive (0.92) but had low specificity (0.50). A single question about the frequency of drinking greater than or equal to6 drinks on an occasion, included in the eight-item questionnaire, was bothrelatively sensitive (0.77), and specific (0.83). Conclusion: The CAGE questionnaire with a past-year time frame was an insensitive alcohol-screening test. An eight-item augmented version of the standard CAGE was the most sensitive. A question about the frequency of drinking greater than or equal to6 drinks on an occasion performed better than thestandard CAGE, which made it the optimal brief screening test for at-risk drinking.

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Documento generato il 04/04/20 alle ore 14:59:14