Alcohol Use Disorders Identification Test

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Alcohol Use Disorders Identification Test
Medical diagnostics
Purposescreen individuals for alcoholism

The Alcohol Use Disorders Identification Test (AUDIT) is a ten-question self-report survey developed by the World Health Organization to screen patients for possible alcoholism (alcohol abuse problems).[1][2]

The test was designed to be used internationally, and was validated in a study drawing patients from six countries. Several research studies have found that the AUDIT screening tool is a reliable and valid measure in identifying alcohol abuse problem behaviors and it has been found to be a valid indicator for severity of alcohol dependence.[3][4] There is some evidence that the AUDIT works in adolescents and young adults; it appears less accurate in older adults. It appears well-suited for use with college students, and also with women and members of minority groups.[5] There has also been significant evidence for its use in the trauma patient population to screen for possible alcohol use disorders.[6] In the trauma patient population, AUDIT has been shown to be more effective at identifying possible alcohol abuse than physician judgement and the blood alcohol content (BAC) test.[7]

AUDIT is composed of 3 subsections comprising: hazardous alcohol use (3 questions), symptoms of dependence (3 questions), and harmful alcohol use (4 questions). Each question is scored on a 4-point scale, for a total of 40 points, with higher ratings related to higher risk for alcohol related problems. Scores ranging between 8 and 15 (medium risk for alcohol related problems) are usually targeted by a brief intervention. Scores of 16 to 19 may be indicative of hazardous use of alcohol, while scores above 20 are concerning for alcohol dependence.[8]

A shorter version of the Alcohol Use Disorders Identification Test (AUDIT-C) has been created for rapid use, and is composed of the first 3-question of the full length AUDIT pertaining specifically to quantity of alcohol consumed. It is appropriate for screening for problem drinking in a doctor's office.[9]

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References[edit]

  1. ^ Bohn, MJ; Babor, TF; Kranzler, HR (July 1995). "The Alcohol Use Disorders Identification Test (AUDIT): validation of a screening instrument for use in medical settings". Journal of Studies on Alcohol. 56 (4): 423–32. doi:10.15288/jsa.1995.56.423. PMID 7674678.
  2. ^ Kitchens, JM (14 December 1994). "Does this patient have an alcohol problem?". JAMA. 272 (22): 1782–7. doi:10.1001/jama.1994.03520220076034. PMID 7966928.
  3. ^ Donovan, DM; Kivlahan, DR; Doyle, SR; Longabaugh, R; Greenfield, SF (December 2006). "Concurrent validity of the Alcohol Use Disorders Identification Test (AUDIT) and AUDIT zones in defining levels of severity among out-patients with alcohol dependence in the COMBINE study". Addiction. 101 (12): 1696–704. doi:10.1111/j.1360-0443.2006.01606.x. PMID 17156168.
  4. ^ Fiellin, DA; Reid, MC; O'Connor, PG (10 July 2000). "Screening for alcohol problems in primary care: a systematic review". Archives of Internal Medicine. 160 (13): 1977–89. doi:10.1001/archinte.160.13.1977. PMID 10888972.
  5. ^ "Screening for alcohol use and alcohol related problems". NIAAA Publications. Retrieved 23 September 2015.
  6. ^ Neumann, Tim; Gentilello, Larry M.; Neuner, Bruno; Weiss-Gerlach, Edith; Schürmann, Hajo; Schröder, Torsten; Müller, Christian; Haas, Norbert P.; Spies, Claudia D. (June 2009). "Screening trauma patients with the alcohol use disorders identification test and biomarkers of alcohol use". Alcoholism, Clinical and Experimental Research. 33 (6): 970–976. doi:10.1111/j.1530-0277.2009.00917.x. ISSN 1530-0277. PMID 19302090.
  7. ^ Plackett, Timothy P.; Ton-That, Hieu H.; Mueller, Jeanne; Grimley, Karen M.; Kovacs, Elizabeth J.; Esposito, Thomas J. (June 2015). "Screening for at-risk drinking behavior in trauma patients". The Journal of the American Osteopathic Association. 115 (6): 376–382. doi:10.7556/jaoa.2015.078. ISSN 1945-1997. PMID 26024331.
  8. ^ Organization, World Health (2001). "AUDIT : the Alcohol Use Disorders Identification Test : guidelines for use in primary health care". hdl:10665/67205. Cite journal requires |journal= (help)
  9. ^ Bush, K; Kivlahan, DR; McDonell, MB; Fihn, SD; Bradley, KA (14 September 1998). "The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test". Archives of Internal Medicine. 158 (16): 1789–95. doi:10.1001/archinte.158.16.1789. PMID 9738608.

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