Concurrent validity of the Alcohol Use Disorders Identification Test (AUDIT) in relation to Alcohol Use Disorder (AUD) severity levels according to the brief DSM-5 AUD diagnostic assessment screener

Background Although alcohol use disorders (AUDs) have enormous public health consequences, the rate of diagnosis of AUDs remains unsatisfactorily low. The primary aim of this study was to compare the detection of AUDs by anesthesiologists in a large preoperative assessment clinic to that by computerized self-assessment of the Alcohol Use Disorder Identification Test. Secondary outcome measures were to compare the actions taken by anesthesiologists upon a finding of an AUD. Methods One thousand five hundred fifty-six patients were included. Before preoperative assessment, patients were asked to complete the Alcohol Use Disorder Identification Test (positive scores: men > or = 8, women > or = 5) using a computer. The authors performed a retrospective chart analysis of the anesthesiologists' actions upon a finding of an AUD. The anesthesiologists were blinded to the results of the computer-based assessment and to the subsequent chart analysis. Results The prevalence rate of AUDs determined by the anesthesiologists was 6.9% (107 of 1,556), whereas the proportion of patients positive for an AUD using the computerised Alcohol Use Disorder Identification Test was 18.1% (282 of 1,556) (P < 0.001). The detection rate by the anesthesiologists of AUDs among men was significantly higher than among women (P < 0.001) as well as in the elderly compared with younger patients (P < 0.001). Action taken by anesthesiologists was mainly based on evaluating quantity of alcohol consumption. Conclusion The computer-based self-assessment increases detection rates of AUDs in busy settings such as a preoperative assessment clinic. Prevalence rates of AUDs are underestimated. Best-practice guidelines for detection of AUDs are not implemented in the daily clinical routine. Barrier analysis is urgently required.

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Integrative Approach to Alcohol Use Disorder

10.1093/med/9780190275334.003.0004 ◽

2018 ◽

Author(s):

Jeff Wilkens ◽

Shahla J. Modir

Keyword(s):

Alcohol Use ◽

Secondary Prevention ◽

Medical Treatment ◽

Alcohol Use Disorder ◽

Alcohol Use Disorders ◽

Integrative Approach ◽

Primary And Secondary Prevention ◽

Dsm 5 ◽

Heavy Alcohol Use ◽

The Brain

Integrative medicine has the potential to augment traditional medical treatment of alcohol use disorders (as defined by the DSM-5), while also providing a basis for primary and secondary prevention of alcohol-use disorders (AUD). The chapter provides the reader with a review of the effects of alcohol on the human brain and body—including how chronic heavy alcohol use produces disproportionate changes throughout the brain that may result in the development of AUD, the influence of genetics on an individual’s sensitivity or insensitivity to alcohol, how traditional medicine balances medications that reduce craving for alcohol with psychosocial therapies, and how exercise, healthy diet, meditation, yoga, mindfulness, acupuncture, and neurofeedback may augment traditional medical treatment and contribute to primary and secondary prevention of AUD.

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Concurrent validity of the alcohol use disorders identification test (AUDIT)

Alcohol and Alcoholism ◽

10.1093/alcalc/agm061 ◽

2007 ◽

Vol 43 (1) ◽

pp. 49-50 ◽

Cited By ~ 19

Author(s):

P. De Silva ◽

P. Jayawardana ◽

A. Pathmeswaran

Keyword(s):

Alcohol Use ◽

Concurrent Validity ◽

Alcohol Use Disorders ◽

Identification Test

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Adaptação e validação do Alcohol Use Disorder Identification Test (AUDIT) para população ribeirinha do interior da Amazônia, Brasil

Cadernos de Saúde Pública ◽

10.1590/s0102-311x2011000300010 ◽

2011 ◽

Vol 27 (3) ◽

pp. 497-509 ◽

Cited By ~ 28

Author(s):

Rodrigo Otávio Moretti-Pires ◽

Clarissa Mendonça Corradi-Webster

Keyword(s):

Alcohol Use ◽

Alcohol Use Disorder ◽

Alcohol Use Disorders ◽

Identification Test ◽

Disorder Identification

O objetivo deste artigo foi validar o Alcohol Use Disorders Identification Test (AUDIT) para a população do interior do Amazonas, Brasil. A versão original em Inglês foi traduzida para o Português, usando-se o procedimento recomendado pela Organização Mundial da Saúde. O texto foi, então, retraduzido e enviado para um tradutor inglês nativo, que aprovou a tradução. O AUDIT foi administrado a 361 habitantes, três vezes, em um período de duas semanas (teste e reteste). Os dados foram analisados para a confiabilidade e consistência interna. O alfa de Cronbach foi de 0,87 na primeira aplicação, 0,87 na segunda e 0,86 na terceira. A confiabilidade Teste/Reteste foi avaliada usando-se o coeficiente de correlação intraclasse, que para a pontuação total do AUDIT foi de 0,93. A área sob a curva ROC foi de 0,805 no ponto de corte sete (sensibilidade de 76,4% e especificidade 75%). Conclusões: a versão do AUDIT validada mostra-se internamente consistente e estável no contexto investigado, destacando-se a necessidade de avaliação de outras propriedades psicométricas.

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