가정의학회지 (Korean Journal of Family Medicine)

  • 제39권6호
  • /
  • Pages.333-339
  • /
  • 2018
  • /
  • 2005-6443(pISSN)
  • /
  • 2092-6715(eISSN)
대한가정의학회 (The Korean Academy of Family Medicine)
권호 표지
DOI QR코드

DOI QR Code

Usefulness of the Alcohol Use Disorders Identification Test-Korean Revised Version in Screening for Diagnostic and Statistical Manual of Mental Disorders 5th Edition Alcohol Use Disorder among College Students

  • Kim, Sun-Jin (Department of Family Medicine, Research Institute for Medical Sciences, Chungnam National University School of Medicine) ;
  • Kim, Jong-Sung (Department of Family Medicine, Research Institute for Medical Sciences, Chungnam National University School of Medicine) ;
  • Kim, Sung-Soo (Department of Family Medicine, Research Institute for Medical Sciences, Chungnam National University School of Medicine) ;
  • Jung, Jin-Kyu (Department of Family Medicine, Research Institute for Medical Sciences, Chungnam National University School of Medicine) ;
  • Yoon, Seok-Joon (Department of Family Medicine, Research Institute for Medical Sciences, Chungnam National University School of Medicine) ;
  • Lee, Jung-Yoon (Department of Family Medicine, Research Institute for Medical Sciences, Chungnam National University School of Medicine) ;
  • Kim, Ji-Han (Department of Family Medicine, Research Institute for Medical Sciences, Chungnam National University School of Medicine)
  • 투고 : 2017.03.14
  • 심사 : 2017.07.12
  • 발행 : 2018.11.20
⟨ 이전 논문 다음 논문 ⟩

초록

Background: There is a distinction in alcohol consumption behavior between adults and college students. This study aims to verify the usability and the optimal cutoff point of Alcohol Use Disorders Identification Test-Korean revised version (AUDIT-KR) for screening alcohol use disorder in college students when the diagnostic and statistical manual of mental disorders (DSM), 5th edition diagnostic criteria is applied. Methods: A total of 922 college students living in Daejeon were enrolled and divided into two groups based on how many items they corresponded to among DSM-5 alcohol use disorder diagnostic criteria: those who corresponded to ${\geq}2$ of the 11 items were classified into the patient group (107 males, 89 females) while the others into the control group (311 males, 415 females). The participants were evaluated using AUDIT-KR to find the optimal cutoff point for screening alcohol use disorder, sensitivity, and specificity. Results: The mean${\pm}$standard deviation scores in the AUDIT-KR were $12.76{\pm}7.27$, $10.72{\pm}4.62$ for males and females, respectively, in the patient group. In contrast, in the control group the scores were $6.26{\pm}5.23$ and $3.95{\pm}3.59$ in males and females, respectively. The area under the receiver operating characteristic curve (95% confidence interval) regarding alcohol use disorder screening by AUDIT-KR was 0.768 (0.715-0.821) and 0.883 (0.848-0.919) for males and females, respectively. The optimal cutoff point of alcohol use disorder for males was >9, sensitivity 64.49%, and specificity 76.85%. The optimal cutoff point for females was >6, sensitivity 82.02%, and specificity 80.48%. Conclusion: This study suggested that AUDIT-KR can be used as a screening tool for alcohol use disorder in groups of college students when DSM-5 diagnosis criteria are applied.

키워드

참고문헌

  1. Lee JG, Kim JS, Jung JG, Choi TK, Ryou YI. Usefulness of the alcohol use disorders identification test in screening for problem drinkers among college students. Korean J Fam Med 2011;32:29-36. https://doi.org/10.4082/kjfm.2011.32.1.29
  2. Wechsler H, Lee JE, Nelson TF, Kuo M. Underage college students' drinking behavior, access to alcohol, and the influence of deterrence policies: findings from the Harvard School of Public Health College Alcohol Study. J Am Coll Health 2002;50:223-36. https://doi.org/10.1080/07448480209595714
  3. Suh KH, Kim BY. The concept and measurement of alcohol use as coping of college students. Korean J Health Psychol 2011;16:815-25. https://doi.org/10.17315/kjhp.2011.16.4.011
  4. Babor TF, Higgins-Biddle JC, Saunders JB, Grant M. AUDIT: alcohol use disorders identification test: guidelines for use in primary health care [Internet]. Geneva: World Health Organization; 2001 [cited 2016 Oct 4]. Available from: http://www.who.int/substance_abuse/activities/sbi/en/.
  5. Hodgson R, Alwyn T, John B, Thom B, Smith A. The FAST alcohol screening test. Alcohol Alcohol 2002;37:61-6. https://doi.org/10.1093/alcalc/37.1.61
  6. Saunders JB, Aasland OG, Babor TF, de la Fuente JR, Grant M. Development of the alcohol use disorders identification test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption--II. Addiction 1993;88:791-804. https://doi.org/10.1111/j.1360-0443.1993.tb02093.x
  7. Rumpf HJ, Hapke U, Hill A, John U. Development of a screening questionnaire for the general hospital and general practices. Alcohol Clin Exp Res 1997;21:894-8. https://doi.org/10.1111/j.1530-0277.1997.tb03854.x
  8. Kim CG, Kim JS, Jung JG, Kim SS, Yoon SJ, Suh HS. Reliability and validity of Alcohol Use Disorder Identification Test-Korean revised version for screening at-risk drinking and alcohol use disorders. Korean J Fam Med 2014;35:2-10. https://doi.org/10.4082/kjfm.2014.35.1.2
  9. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Arlington (VA): American Psychiatric Association; 2013.
  10. Courtney KE, Polich J. Binge drinking in young adults: data, definitions, and determinants. Psychol Bull 2009;135:142-56. https://doi.org/10.1037/a0014414
  11. Kim JS. Alcohol drinking guidelines for Korean. Korean J Fam Pract 2015;5:S117-9.
  12. Dawson DA, Goldstein RB, Grant BF. Differences in the profiles of DSM-IV and DSM-5 alcohol use disorders: implications for clinicians. Alcohol Clin Exp Res 2013;37 Suppl 1:E305-13. https://doi.org/10.1111/j.1530-0277.2012.01930.x
  13. Hagman BT. Performance of the AUDIT in detecting DSM-5 alcohol use disorders in college students. Subst Use Misuse 2016;51:1521-8. https://doi.org/10.1080/10826084.2016.1188949
  14. Kokotailo PK, Egan J, Gangnon R, Brown D, Mundt M, Fleming M. Validity of the alcohol use disorders identification test in college students. Alcohol Clin Exp Res 2004;28:914-20. https://doi.org/10.1097/01.ALC.0000128239.87611.F5
  15. Chun SS, Sohn AR. Correlates of problem drinking by the alcohol use disorders identification test on Korean college campus. J Prev Med Public Health 2005;38:307-14.
  16. Gliksman L, Adlaf EM, Demers A, Newton-Taylor B. Heavy drinking on Canadian campuses. Can J Public Health 2003;94:17-21. https://doi.org/10.1007/BF03405045
  17. Dawson DA, Grant BF, Stinson FS, Chou PS. Another look at heavy episodic drinking and alcohol use disorders among college and noncollege youth. J Stud Alcohol 2004;65:477-88. https://doi.org/10.15288/jsa.2004.65.477
  18. Naimi TS, Brewer RD, Mokdad A, Denny C, Serdula MK, Marks JS. Binge drinking among US adults. JAMA 2003;289:70-5. https://doi.org/10.1001/jama.289.1.70
  19. Kim YS. Epidemiological survey for screening alcohol use disorder in Korean adult. Korean J Soc Welf 1999;37:67-88.
  20. Weitzman ER, Wechsler H. Alcohol use, abuse, and related problems among children of problem drinkers: findings from a national survey of college alcohol use. J Nerv Ment Dis 2000;188:148-54. https://doi.org/10.1097/00005053-200003000-00004

피인용 문헌

  1. Concurrent validity of the Alcohol Use Disorders Identification Test (AUDIT) in relation to Alcohol Use Disorder (AUD) severity levels according to the brief DSM-5 AUD diagnostic assessment screener vol.73, pp.7, 2018, https://doi.org/10.1080/08039488.2019.1642382
  2. Effects of Familial Alcohol Consumption on Alcohol Use Disorder, Depression, Anxiety, and Stress of University Students vol.11, pp.1, 2018, https://doi.org/10.21215/kjfp.2021.11.1.67
  3. Determinants of Alcohol Consumption among Medical Students: Results from POLLEK Cohort Study vol.18, pp.11, 2018, https://doi.org/10.3390/ijerph18115872