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Psychometric Properties of the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) in Public First Responders

Title
Psychometric Properties of the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) in Public First Responders
Authors
Jeong H.S.Park S.Lim S.M.Ma J.Kang I.Kim J.Kim E.-J.Choi Y.J.Lim J.-H.Chung Y.-A.Lyoo I.K.Yoon S.Kim J.E.
Ewha Authors
임수미김의정김지은류인균윤수정김정윤
SCOPUS Author ID
임수미scopus; 김의정scopus; 김지은scopus; 류인균scopus; 윤수정scopus; 김정윤scopus
Issue Date
2017
Journal Title
Substance Use and Misuse
ISSN
1082-6084JCR Link
Citation
vol. 52, no. 8, pp. 1069 - 1075
Keywords
Alcohol use disorderfirst responderreceiver operating characteristic curvereliabilityvalidity
Publisher
Taylor and Francis Ltd
Indexed
SCI; SCIE; SSCI; SCOPUS WOS scopus
Abstract
Problematic alcohol consumption is prevalent among first responders because alcohol is commonly used to cope with occupational stress and frequent exposure to traumatic incidents, making them an at-risk population for alcohol use disorders (AUD). This study investigated the psychometric properties of the Korean version of the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C) among public first responders. The Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders-IV-Text Revision (SCID), AUDIT-C, AUDIT, and CAGE were administered to 222 public first responders, who were recruited by convenience sampling. One-week test–retest reliability was evaluated in a subsample (n = 24). Receiver operating characteristic (ROC) curve analyses were conducted to evaluate the diagnostic accuracy and estimate the optimal cut-off scores for any AUD and alcohol dependence. Three different analytic criteria were utilized to calculate the cut-off scores. The AUDIT-C demonstrated good test–retest reliability (intraclass correlation coefficient for test–retest reliability = 0.91) and satisfactory convergent validity. The areas under the ROC curves for any AUD and alcohol dependence of the AUDIT-C were 0.87 and 0.93, respectively. For any AUD, all three criteria suggested a cut-off score of 7.5 (sensitivity = 81.8%, specificity = 79.8%), whereas for alcohol dependence, a cut-off score of 8.5 (sensitivity = 85.7%, specificity = 86.1%) was derived from two criteria. In conclusion, the AUDIT-C demonstrated good reliability and validity and proved to be a brief and effective screening test for AUD among first responders. © 2017 Taylor & Francis Group, LLC.
DOI
10.1080/10826084.2016.1271986
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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