TY - JOUR
T1 - Diagnostic performance of the Alcohol Use Disorders Identification Test (AUDIT) in detecting DSM-5 alcohol use disorders in the General population
AU - Moehring, Anne
AU - Rumpf, Hans Juergen
AU - Hapke, Ulfert
AU - Bischof, Gallus
AU - John, Ulrich
AU - Meyer, Christian
N1 - Funding Information:
This work was part of the consortium “Addiction: Early Recognition and Intervention Across the Lifespan (AERIAL)” and was funded by the German Federal Ministry of Education and Research (grant no: 01EE1406 F ). The funding sources had no further role in the collection, analysis and interpretation of data. The data for the current work were derived from the Transitions in Alcohol Consumption and Smoking (TACOS) project and funded by the German Federal Ministry of Education and Research (grant no: 01 EB 9406 ).
Publisher Copyright:
© 2019
Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2019/11/1
Y1 - 2019/11/1
N2 - Objective: The Alcohol Use Disorders Identification Test (AUDIT) is an established screening questionnaire for the detection of at-risk drinking and possible alcohol use disorders (AUD) according to the Diagnostic and Statistical Manual of Mental Disorders – fourth edition (DSM-IV). But there are still no comparable results on the diagnostic performance regarding the new criteria for AUD in the Diagnostic and Statistical Manual of Mental Disorders – fifth edition (DSM-5), especially taking account of possible gender differences. We evaluated the performance of the full AUDIT and the consumption questions (AUDIT-C) in screening for DSM-5 AUD and at-risk drinking. Method: Data from the study Transitions in Alcohol Consumption and Smoking (TACOS) is used to analyze the area under the receiver-operating characteristic curve, sensitivity, and specificity of the AUDIT and the AUDIT-C in the general population of northern Germany. DSM-5 AUD and at-risk drinking were assessed with the Munich-Composite Diagnostic Interview and used as gold standards. Results: The best balance between sensitivity and specificity is achieved at a score of 5 for men and 4 for women. High severity, according to DSM-5, were associated with higher cut-offs. Conclusions: Both AUDIT versions are accurate in the screening for DSM-5 AUD. Since the proposed cut-offs do not differ from the optimal screening cut-offs for DSM-IV disorders, current screening procedures should not face major changes.
AB - Objective: The Alcohol Use Disorders Identification Test (AUDIT) is an established screening questionnaire for the detection of at-risk drinking and possible alcohol use disorders (AUD) according to the Diagnostic and Statistical Manual of Mental Disorders – fourth edition (DSM-IV). But there are still no comparable results on the diagnostic performance regarding the new criteria for AUD in the Diagnostic and Statistical Manual of Mental Disorders – fifth edition (DSM-5), especially taking account of possible gender differences. We evaluated the performance of the full AUDIT and the consumption questions (AUDIT-C) in screening for DSM-5 AUD and at-risk drinking. Method: Data from the study Transitions in Alcohol Consumption and Smoking (TACOS) is used to analyze the area under the receiver-operating characteristic curve, sensitivity, and specificity of the AUDIT and the AUDIT-C in the general population of northern Germany. DSM-5 AUD and at-risk drinking were assessed with the Munich-Composite Diagnostic Interview and used as gold standards. Results: The best balance between sensitivity and specificity is achieved at a score of 5 for men and 4 for women. High severity, according to DSM-5, were associated with higher cut-offs. Conclusions: Both AUDIT versions are accurate in the screening for DSM-5 AUD. Since the proposed cut-offs do not differ from the optimal screening cut-offs for DSM-IV disorders, current screening procedures should not face major changes.
UR - http://www.scopus.com/inward/record.url?scp=85071861525&partnerID=8YFLogxK
U2 - 10.1016/j.drugalcdep.2019.06.032
DO - 10.1016/j.drugalcdep.2019.06.032
M3 - Journal articles
C2 - 31505375
AN - SCOPUS:85071861525
SN - 0376-8716
VL - 204
JO - Drug and Alcohol Dependence
JF - Drug and Alcohol Dependence
M1 - 107530
ER -