Acerca de la «Noticia sobre publicación redundante» / Concerning the “information on redundant publication”

No disponible

No disponible

[Validation of the AUDIT test for identifying risk consumption and alcohol use disorders in women]. / Validación del cuestionario AUDIT para la identificación del consumo de riesgo y de los trastornos por el uso de alcohol en mujeres.

OBJECTIVE: To validate the AUDIT test for identifying women with excess alcohol consumption and/or dependency syndrome (DS). DESIGN: Descriptive study to validate a test. SETTING: Two primary care centres and a county drug-dependency centre. PARTICIPANTS: 414 women from 18 to 75 recruited at the clinic. Interventions. Social and personal details were obtained through personal interview, their alcohol consumption was quantified and the AUDIT and MALT questionnaires were filled in. Then the semi-structured SCAN interview was conducted (gold standard; DSM-IV and CIE-10 criteria), and analyses were requested (GGT, GOT, GPT, VCM). 186 patients were given a follow-up appointment three-four weeks later (retest). MAIN MEASUREMENTS: Intra-observer reliability was evaluated with the Kappa index, internal consistency with Cronbach s alpha, and the validity of criteria with indexes of sensitivity and specificity, predictive values and probability quotients. To evaluate the diagnostic performance of the test and the most effective cut-off point, a ROC analysis was run. RESULTS: 11.4% (95% CI, 8.98-13.81) were diagnosed with alcohol abuse (0.5%) or DS (10.9%). The Kappa coefficients of the AUDIT items ranged between 0.685 and 0.795 (P<.001). Internal reliability, with Cronbach s alpha, was 0.932 (95% CI, 0.921-0.941). Test sensitivity was 89.6% (95% CI,76.11-96.02) and specificity was 95.07% (95% CI, 92.18-96.97). The most effective cut-off point was at 6 points. CONCLUSIONS: The AUDIT is a questionnaire with good psycho-measurement properties. It is reliable and valid for the detection of risk consumption and DS in women.

Validación del cuestionario AUDIT para la identificación del consumo de riesgo y de los trastornos por el uso de alcohol en mujeres / Validation of the audit test for identifying risk consumption and alcohol use disorders in women

Objetivo. Validar el cuestionario AUDIT para identificar a las mujeres con un consumo excesivo de alcohol y/o síndrome de dependencia (SDA). Diseño. Estudio descriptivo de validación de un test. Emplazamiento. Dos centros de atención primaria y un centro comarcal de drogodependencias. Participantes. Participaron 414 mujeres de 18 a 75 años captadas en la consulta. Intervenciones. Mediante entrevista personal se obtuvieron datos sociodemográficos, se cuantificó el consumo de alcohol y se aplicaron los cuestionarios AUDIT y MALT. Posteriormente se les realizó la entrevista semiestructurada SCAN (patrón de referencia, criterios DSM-IV y CIE-10) y se solicitaron determinaciones analíticas (GGT, GOT, GPT, VCM). Se volvió a citar a 186 pacientes a las 3-4 semanas (retest). Mediciones principales. La fiabilidad intraobservador se evaluó con el índice kappa, la consistencia interna con el alfa de Cronbach, la validez criterial con los índices de sensibilidad, especificidad, valores predictivos y cocientes de probabilidades, y para evaluar el rendimiento diagnóstico del test y el punto de corte más eficaz se hizo un análisis ROC. Resultados. El 11,4% (intervalo de confianza [IC] del 95%, 8,98-13,81) fue diagnosticado de abuso del alcohol (0,5%) o SDA (10,9%). Los coeficientes kappa de los ítems del AUDIT oscilaron entre 0,685 y 0,795 (p < 0,001). La fiabilidad interna, con el alfa de Cronbach, fue 0,932 (IC del 95%, 0,921-0,941). La sensibilidad del test fue del 89,6% (IC del 95%, 76,11-96,02) y la especificidad del 95,07% (IC del 95%, 92,18-96,97). El punto de corte más eficaz fue el de 6 puntos. Conclusiones. El AUDIT es un cuestionario con unas buenas propiedades psicométricas y es fiable y válido para la detección del consumo de riesgo y SDA en mujeres

Objective. To validate the AUDIT test for identifying women with excess alcohol consumption and/or dependency syndrome (DS). Design. Descriptive study to validate a test. Setting. Two primary care centres and a county drug-dependency centre. Participants. 414 women from 18 to 75 recruited at the clinic. Interventions. Social and personal details were obtained through personal interview, their alcohol consumption was quantified and the AUDIT and MALT questionnaires were filled in. Then the semi-structured SCAN interview was conducted (gold standard; DSM-IV and CIE-10 criteria), and analyses were requested (GGT, GOT, GPT, VCM). 186 patients were given a follow-up appointment three-four weeks later (retest). Main measurements. Intra-observer reliability was evaluated with the Kappa index, internal consistency with Cronbach´s alpha, and the validity of criteria with indexes of sensitivity and specificity, predictive values and probability quotients. To evaluate the diagnostic performance of the test and the most effective cut-off point, a ROC analysis was run. Results. 11.4% (95% CI, 8.98-13.81) were diagnosed with alcohol abuse (0.5%) or DS (10.9%). The Kappa coefficients of the AUDIT items ranged between 0.685 and 0.795 (P<.001). Internal reliability, with Cronbach´s alpha, was 0.932 (95% CI, 0.921-0.941). Test sensitivity was 89.6% (95% CI,76.11-96.02) and specificity was 95.07% (95% CI, 92.18-96.97). The most effective cut-off point was at 6 points. Conclusions. The AUDIT is a questionnaire with good psycho-measurement properties. It is reliable and valid for the detection of risk consumption and DS in women