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Developing a screening questionnaire for problem drinking in college students.

E J Heck1

  • 1University Counseling Center, University of Kansas, Lawrence.

Journal of American College Health : J of ACH
|March 1, 1991
PubMed
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This study identified key indicators for detecting problem drinking in college students, improving upon existing screening tools. The findings offer a more accurate method for identifying at-risk students and intervening early.

Area of Science:

  • Psychology
  • Public Health
  • Epidemiology

Background:

  • Existing alcoholism screening tools like the CAGE questionnaire lack sufficient validity for college student populations.
  • Problem drinking patterns in students often represent a less severe form of alcohol misuse.
  • There is a need for improved screening instruments tailored to the unique drinking behaviors of college students.

Purpose of the Study:

  • To identify specific survey items with adequate test operating characteristics for screening problem drinkers among college students.
  • To develop a more valid screening method for detecting less severe problem drinking patterns.
  • To enhance the early identification and intervention for at-risk student drinkers.

Main Methods:

  • Analysis of survey data, including CAGE questions, from a college student population.

Related Experiment Videos

  • Definition of problem and normal drinking patterns based on quantity-frequency and alcohol-related problems.
  • Chi-square analyses to compare response frequencies to a 17-item alcohol-use survey between problem and normal drinkers.
  • Main Results:

    • Five highly significant items were identified for screening problem drinkers.
    • These items include modified CAGE criteria, beverage choice, driving under the influence frequency, and age of regular alcohol use initiation.
    • The selected items demonstrated a sensitivity of 88%, specificity of 87%, and a positive predictive value of 52% at the recommended cutoff.

    Conclusions:

    • The identified items offer improved validity for screening problem drinking in college students compared to traditional instruments.
    • The screening method can identify 88% of problem drinkers while correctly classifying 87% of non-problem drinkers.
    • Further application in similar populations may misclassify 12% of problem drinkers and 13% of normal drinkers, necessitating careful interpretation.