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Alcohol use disorders: screening and diagnosis.

Stephen A Maisto1, Richard Saitz

  • 1Department of Psychology, Syracuse University, Syracuse, NY 13244, USA. samaisto@psych.syr.edu

The American Journal on Addictions
|February 20, 2004
PubMed
Summary
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This review covers validated self-report tools for screening and diagnosing alcohol use disorders (AUDs). The Alcohol Use Disorders Identification Test (AUDIT) and CAGE are recommended for primary care screening.

Area of Science:

  • Clinical Psychology
  • Psychiatry
  • Public Health

Background:

  • Alcohol use disorders (AUDs) represent a significant global health concern.
  • Accurate screening and diagnosis are crucial for effective intervention and treatment.
  • Existing diagnostic criteria (DSM-IV, ICD-10) guide clinical practice.

Purpose of the Study:

  • To provide an overview of empirically supported self-report methods for AUD screening and diagnosis.
  • To highlight validated instruments for use in primary care and treatment settings.
  • To identify future research directions for AUD assessment tools.

Main Methods:

  • Literature review of self-report screening and diagnostic instruments for AUDs.
  • Focus on instruments validated for primary care (screening) and treatment settings (diagnosis).

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  • Analysis of widely used and validated tools such as AUDIT and CAGE.

    • Main Results:

    • The Alcohol Use Disorders Identification Test (AUDIT) and CAGE questionnaire are highly validated for primary care screening of AUDs.
    • Several instruments are available for deriving DSM-IV and ICD-10 AUD diagnoses, meeting diverse clinical needs.
    • These tools demonstrate applicability across various clinical settings and patient populations.

    Conclusions:

    • Validated self-report instruments are readily available for screening and diagnosing AUDs.
    • The AUDIT and CAGE are recommended for primary care screening due to their validation and ease of use.
    • Further research should focus on developing brief screening methods and refining diagnostic instruments for broader application.