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Related Experiment Videos

Screening for problem drinking: does a single question work?

N Taj1, A Devera-Sales, D C Vinson

  • 1Department of Family Medicine, University of Missouri-Columbia 65212, USA.

The Journal of Family Practice
|May 16, 1998
PubMed
Summary
This summary is machine-generated.

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A single question effectively screens for problem drinking and alcohol use disorders. This simple screening tool can help physicians identify individuals needing intervention, improving patient outcomes.

Area of Science:

  • Clinical Medicine
  • Public Health
  • Addiction Psychiatry

Background:

  • Physicians often overlook alcohol use assessment, hindering brief interventions for problem drinkers.
  • A simple screening question could facilitate early identification and intervention.

Purpose of the Study:

  • To evaluate the clinical utility of a single question for screening problem drinking.
  • To determine the accuracy of this question in identifying at-risk drinking and alcohol use disorders.

Main Methods:

  • A cross-sectional study administered a single question about alcohol consumption to 1435 patients.
  • Validated instruments, including the Alcohol Use Disorders Identification Test and DSM-IV criteria, were used for comparison.
  • Problem drinking was defined as at-risk drinking or an alcohol use disorder.

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Main Results:

  • The single question demonstrated a positive predictive value of 74% and a negative predictive value of 88%.
  • It achieved a sensitivity of 62% and a specificity of 93% for problem drinking.
  • The question accurately identified all patients with both at-risk drinking and alcohol use disorders.

Conclusions:

  • A single question is a clinically useful tool for detecting at-risk drinking and current alcohol use disorders.
  • This screening method offers valuable positive and negative predictive values for identifying problem drinkers.