Screening for problem drinking: does a single question work?

摘要: BACKGROUND: Brief interventions with problem drinkers have been shown to be effective, but physicians often do not ask about alcohol use. If a single question could effectively screen for drinking, it might facilitate intervention drinkers. METHODS: A cross-sectional study was undertaken address the clinical utility of question, "On any occasion during past 3 months, you had more than 5 drinks containing alcohol?" Placing between questions tobacco and seat-belt use, we presented three in writing 1435 patients; 95.3% answered them. With systematic sample 101 patients who yes 99 no, administered Alcohol Use Disorders Identification Test followed by two gold-standard interview instruments: (1) calendar-based review at-risk drinking defined as 4 on one or 14 per week men, 7 women; (2) Composite International Diagnostic Interview, alcohol-use disorders Statistical Manual Mental (DSM-IV) criteria. We either previous month an disorder 12 months. RESULTS: The positive predictive value 74% negative 88% sensitivity 62% specificity 93%. question's similar detecting current disorders; correctly identified all 29 both. CONCLUSIONS: can detect clinically useful values. Language: en