Validity of Alcohol Use Disorder Identification Test-Korean Revised Version for Screening Alcohol Use Disorder according to Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition Criteria.
10.4082/kjfm.2016.37.6.323
- Author:
Jung Wei CHANG
1
;
Jong Sung KIM
;
Jin Gyu JUNG
;
Sung Soo KIM
;
Seok Joon YOON
;
Hak Sun JANG
Author Information
1. Department of Family Medicine, Research Institute for Medical Sciences, Chungnam National University School of Medicine, Daejeon, Korea. jskim@cnuh.co.kr
- Publication Type:Original Article
- Keywords:
Alcohol Drinking;
Surveys and Questionnaires;
Drinking;
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition
- MeSH:
Alcohol Drinking;
Chungcheongnam-do;
Diagnostic and Statistical Manual of Mental Disorders*;
Drinking;
Female;
Humans;
Male;
Mass Screening*;
Reproducibility of Results;
ROC Curve;
Sensitivity and Specificity;
Surveys and Questionnaires
- From:Korean Journal of Family Medicine
2016;37(6):323-328
- CountryRepublic of Korea
- Language:English
-
Abstract:
BACKGROUND: The Alcohol Use Disorder Identification Test (AUDIT) has been widely used to identify alcohol use disorder (AUD). This study evaluated the validity of the AUDIT-Korean revised version (AUDIT-KR) for screening AUD according to Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) criteria. METHODS: This research was conducted with 443 subjects who visited the Chungnam National University Hospital for a comprehensive medical examination. All subjects completed the demographic questionnaire and AUDIT-KR without assistance. Subjects were divided into two groups according to DSM-5 criteria: an AUD group, which included patients that fit the criteria for AUD (120 males and 21 females), and a non-AUD group, which included 146 males and 156 females that did not meet AUD criteria. The appropriate cut-off values, sensitivity, specificity, and positive and negative predictive values of the AUDIT-KR were evaluated. RESULTS: The mean±standard deviation AUDIT-KR scores were 10.32±7.48 points in males and 3.23±4.42 points in females. The area under the receiver operating characteristic curve (95% confidence interval, CI) of the AUDIT-KR for identifying AUD was 0.884 (0.840–0.920) in males and 0.962 (0.923–0.985) in females. The optimal cut-off value of the AUDIT-KR was 10 points for males (sensitivity, 81.90%; specificity, 81.33%; positive predictive value, 77.2%; negative predictive value, 85.3%) and 5 points for females (sensitivity, 100.00%; specificity, 88.54%; positive predictive value, 52.6%; negative predictive value, 100.0%). CONCLUSION: The AUDIT-KR has high reliability and validity for identifying AUD according to DSM-5 criteria.
