Document Detail


Identifying harmful drinking using a single screening question in a psychiatric consultation-liaison population.
MedLine Citation:
PMID:  21777719     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Harmful drinking is common in medical inpatients, yet commonly missed due in part to time pressures. A screening question about past year heavy drinking recommended by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) has been validated in primary care and emergency room settings. We tested the psychometric properties of a modified single screening question (SSQ) in hospitalized patients referred to a consultation-liaison service.
METHODS: A psychiatry attending (n = 40), a psychiatry resident (n = 30) and a medical student (n = 30) administered the SSQ, followed by a self-report 10-item Alcohol Use Disorders Identification Test (AUDIT) to a sample of 100 consultation-liaison patients who were able to give informed consent for participation.
RESULTS: Using the AUDIT as a reference, the sensitivity and specificity of the SSQ to detect harmful drinking in this sample were .96 and .82, respectively. Gender differences in specificity were not found. The single question also had a strong correlation with dependence (r(b) = .457, p < .001), and harmful use (r(b) = .620, p < .001) subscales of the AUDIT.
CONCLUSION: The SSQ about past year heavy drinking can rapidly identify harmful drinking in alert nonpsychotic consultation-liaison patients.
Authors:
Suena H Massey; Lorenzo Norris; Melissa Lausin; Chinyere Nwaneri; Daniel Z Lieberman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Psychosomatics     Volume:  52     ISSN:  1545-7206     ISO Abbreviation:  Psychosomatics     Publication Date:    2011 Jul-Aug
Date Detail:
Created Date:  2011-07-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376506     Medline TA:  Psychosomatics     Country:  England    
Other Details:
Languages:  eng     Pagination:  362-6     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 The Academy of Psychosomatic Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Dept. of Psychiatry and Behavioral Sciences, George Washington University School of Medicine and Health Sciences.
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