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Screening Questionnaires for Problem Drinking in Adolescents: Performance of AUDIT, AUDIT-C, CRAFFT and POSIT

  • Background/Aims: Only rather few data on the validity of screening questionnaires to detect problem drinking in adolescents exist. The aim of this study was to compare the performance of the Alcohol Use Disorders Identification Test (AUDIT), its short form AUDIT-C, the Substance Module of the Problem Oriented Screening Instrument for Teenagers (POSIT), and CRAFFT (acronym for car, relax, alone, forget, family, and friends). Methods: The questionnaires were filled in by 9th and 10th graders from two comprehensive schools. All students received an interview using the alcohol section of the Composite International Diagnostic Interview. Alcohol abuse and alcohol dependence according to DSM-IV as well as episodic heavy drinking served as criteria to validate the screening instruments. Results: All 9th and 10th graders (n = 225) of both schools participated. No significant differences were found for areas under the receiver operating characteristic curves ranging from 0.810 to 0.872. Cronbach’s alpha was satisfactory (0.77–0.80) but poor for CRAFFT (0.64). Different cut-offs are discussed. Conclusions: Considering validity as well as reliability, AUDIT, AUDIT-C and POSIT performed well; however, the POSIT is quite lengthy. AUDIT-C showed good psychometric properties and has clear advantages because of its brevity.

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Metadaten
Author: Hans-Jürgen Rumpf, Tim Wohlert, Jennis Freyer-Adam, Janina Grothues, Gallus Bischof
URN:urn:nbn:de:gbv:9-opus-31355
URL:http://www.karger.com/ear
DOI:https://doi.org/10.1159/000342331
ISSN:1022-6877
ISSN:1421-9891
Pubmed Id:http://www.ncbi.nlm.nih.gov/pubmed?term=23183686
Parent Title (English):European Addiction Research
Publisher:S. Karger AG
Place of publication:Basel, Switzerland
Document Type:Article
Language:English
Date of first Publication:2012/11/23
Release Date:2020/09/29
Tag:AUDIT, AUDIT-C, Alcohol abuse, Alcohol dependence, At-risk drinking, CRAFFT, Diagnostics, POSIT, Screening, adolescents
GND Keyword:-
Volume:19
Issue:3
First Page:121
Last Page:127
Faculties:Universitätsmedizin / Institut für Epidemiologie u. Sozialmedizin
Licence (German):License LogoUrheberrechtlich geschützt