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Concurrent and prospective screening for problem drinking among college students

M J Werner1, L S Walker, J W Greene

  • 1Division of Adolescent Medicine, Vanderbilt University, Nashville, Tennessee, USA.

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
|April 1, 1996
PubMed
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A composite screening measure combining the CAGE questionnaire, Perceived Benefit of Drinking Scale (PBDS), tobacco use, and best friend

Area of Science:

  • Addiction research
  • Adolescent psychology
  • Public health

Background:

  • Problem drinking is a significant concern among college students.
  • Previous research indicates a composite screening measure may be effective.
  • This study prospectively evaluates such a measure.

Purpose of the Study:

  • To assess the predictive validity of a composite screening measure for problem drinking in late adolescents.
  • To evaluate the measure's ability to predict alcohol use and related problems over 3 years of college.

Main Methods:

  • A longitudinal study of 452 college freshmen was conducted.
  • Participants completed questionnaires on alcohol use, CAGE, PBDS, tobacco use, and friend's drinking.
  • Follow-up measures were taken 32 months later.

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Main Results:

  • The composite measure explained 33-37% of variance in alcohol use/problems at college entry.
  • It predicted high-risk drinking with 73% sensitivity and 70% specificity.
  • The measure demonstrated better predictive accuracy than individual components alone.

Conclusions:

  • The composite screening measure is a consistent and valid predictor of problem drinking in college students.
  • It effectively identifies current and future risk for alcohol-related issues.
  • This tool offers a promising approach for early intervention and prevention strategies.