본문 바로가기
KERD
논문KCI 등재

Development of a Simple Tool for Identifying Alcohol Use Disorder in Female Korean Drinkers from Previous Questionnaires

Sung Soo Kim|서원윤|김종성|Seok-Joon Yoon|Yu Ri Seo|Kwangmi Youn
대한가정의학회 (The Korean Academy Of Family Medicine)|2016.01|Korean Journal of Family Medicine|제37권 제1호|pp. 18-24

1

조회

0

다운로드

0

인용

0

참고문헌

키워드

FemaleSurveys and QuestionnairesAlcohol Drinking
주제분류가정의학

초록

Background: This study aimed to develop a simple tool for identifying alcohol use disorders in female Korean drinkers from previous questionnaires. Methods: This research was conducted on 400 women who consumed at least one alcoholic drink during the past month and visited the health promotion center at Chungnam National University Hospital between June 2013 to May 2014. Drinking habits and alcohol use disorders were assessed by structured interviews using the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition diagnostic criteria. The subjects were also asked to answer the Alcohol Use Disorders Identification Test (AUDIT), AUDIT-Consumption, CAGE (Cut down, Annoyed, Guilty, Eye-opener), TWEAK (Tolerance, Worried, Eye-opener, Amnesia, Kut down), TACE (Tolerance, Annoyed, Cut down, Eye-opener), and NET (Normal drinker, Eye-opener, Tolerance) questionnaires. The area under receiver operating characteristic (AUROC) of each question of the questionnaires on alcohol use disorders was assessed. After combining two questions with the largest AUROC, it was compared to other previous questionnaires. Results: Among the 400 subjects, 58 (14.5%) were identified as having an alcohol use disorder. Two questions with the largest AUROC were question no. 7 in AUDIT, “How often during the last year have you had a feeling of guilt or remorse after drinking?” and question no. 5 in AUDIT, “How often during the past year have you failed to do what was normally expected from you because of drinking?” with an AUROC (95% confidence interval [CI]) of 0.886 (0.850–0.915) and 0.862 (0.824–0.894), respectively. The AUROC (95% CI) of the combination of the two questions was 0.958 (0.934–0.976) with no significant difference as compared to the existing AUDIT with the largest AUROC. Conclusion: The above results suggest that the simple tool consisting of questions no. 5 and no. 7 in AUDIT is useful in identifying alcohol use disorders in Korean female drinkers.

Abstract

Background: This study aimed to develop a simple tool for identifying alcohol use disorders in female Korean drinkers from previous questionnaires. Methods: This research was conducted on 400 women who consumed at least one alcoholic drink during the past month and visited the health promotion center at Chungnam National University Hospital between June 2013 to May 2014. Drinking habits and alcohol use disorders were assessed by structured interviews using the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition diagnostic criteria. The subjects were also asked to answer the Alcohol Use Disorders Identification Test (AUDIT), AUDIT-Consumption, CAGE (Cut down, Annoyed, Guilty, Eye-opener), TWEAK (Tolerance, Worried, Eye-opener, Amnesia, Kut down), TACE (Tolerance, Annoyed, Cut down, Eye-opener), and NET (Normal drinker, Eye-opener, Tolerance) questionnaires. The area under receiver operating characteristic (AUROC) of each question of the questionnaires on alcohol use disorders was assessed. After combining two questions with the largest AUROC, it was compared to other previous questionnaires. Results: Among the 400 subjects, 58 (14.5%) were identified as having an alcohol use disorder. Two questions with the largest AUROC were question no. 7 in AUDIT, “How often during the last year have you had a feeling of guilt or remorse after drinking?” and question no. 5 in AUDIT, “How often during the past year have you failed to do what was normally expected from you because of drinking?” with an AUROC (95% confidence interval [CI]) of 0.886 (0.850–0.915) and 0.862 (0.824–0.894), respectively. The AUROC (95% CI) of the combination of the two questions was 0.958 (0.934–0.976) with no significant difference as compared to the existing AUDIT with the largest AUROC. Conclusion: The above results suggest that the simple tool consisting of questions no. 5 and no. 7 in AUDIT is useful in identifying alcohol use disorders in Korean female drinkers.

참고문헌 (34)

  1. "Korea alcohol consumption habits 2012" (2012)[URL]
  2. "Korea health statistics 2012: Korea National Health and Nutrition Examination Survey (KNHANES V-3)" (2012)[URL]
  3. Kahan M, "Effectiveness of physician-based interventions with problem drinkers: a review", CMAJ, 152, pp.851~859 (1995)
  4. Fleming MF, "Brief physician advice for problem alcohol drinkers: a randomized controlled trial in community-based primary care practices", JAMA, 277, pp.1039~1045 (1997)
  5. Roche AM, "Doctors’ willingness to intervene in patients’drug and alcohol problems", Soc Sci Med, 33, pp.1053~1061 (1991)
  6. Saunders JB, "Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II", Addiction, 88, pp.791~804 (1993)
  7. Mayfield D, "The CAGE questionnaire: validation of a new alcoholism screening instrument", Am J Psychiatry, 131, pp.1121~1123 (1974)
  8. Sokol RJ, "The T-ACE questions: practical prenatal detection of risk-drinking", Am J Obstet Gynecol, 160, pp.863~868 (1989)
  9. Sarkar M, "Comparing the effectiveness of TWEAK and T-ACE in determining problem drinkers in pregnancy", Alcohol Alcohol, 45, pp.356~360 (2010)
  10. Chang G, "Alcohol-screening instruments for pregnant women", Alcohol Res Health, 25, pp.204~209 (2001)
  11. Russell M, "Screening for pregnancy risk-drinking", Alcohol Clin Exp Res, 18, pp.1156~1161 (1994)
  12. Fiellin DA, "Screening for alcohol problems in primary care: a systematic review", Arch Intern Med, 160, pp.1977~1989 (2000)
  13. Bohn MJ, "The Alcohol Use Disorders Identification Test (AUDIT): validation of a screening instrument for use in medical settings", J Stud Alcohol, 56, pp.423~432 (1995)
  14. Canagasaby A, "Screening for hazardous or harmful drinking using one or two quantity-frequency questions", Alcohol Alcohol, 40, pp.208~213 (2005)
  15. Williams R, "Validation of a single screening question for problem drinking", J Fam Pract, 50, pp.307~312 (2001)
  16. "Helping patients who drink too much: a clinician’s guide" (2007)[URL]
  17. American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" (2013), American Psychiatric Press
  18. Kim JS, "Essentials of family medicine for medical student" (2010), Chungnam National University Publishers
  19. Chang-Gi Kim, "Reliability and Validity of Alcohol Use Disorder Identification Test-Korean Revised Version for Screening At-risk Drinking and Alcohol Use Disorders", Korean Journal of Family Medicine, 35(1), pp.2~10 (2014), 대한가정의학회
  20. Bush K, "The AUDIT alcohol consumption questions (AUDIT-C): an effective brief screening test for problem drinking. Ambulatory Care Quality Improvement Project (ACQUIP). Alcohol Use Disorders Identification Test", Arch Intern Med, 158, pp.1789~1795 (1998)
  21. Dawson DA, "Effectiveness of the derived Alcohol Use Disorders Identification Test (AUDIT-C) in screening for alcohol use disorders and risk drinking in the US general population", Alcohol Clin Exp Res, 29, pp.844~854 (2005)
  22. Bottoms SF, "Refinements in screening for risk drinking in reproductive-aged women: the “NET” results", Alcohol Clin Exp Res, 13, pp.339~ (1989)
  23. Lee E, "Women’s alcohol dependence: clinical characteristics and treatment", J Korean Acad Addict Psychiatry, 10, pp.86~90 (2006)
  24. 임선영, "여성 알코올중독자의 중독과정에 대한 사례연구", Korean Journal of Clinical Psychology, 24(4), pp.869~886 (2005), 한국임상심리학회
  25. Timko C, "The 8-year course of alcohol abuse:gender differences in social context and coping", Alcohol Clin Exp Res, 29, pp.612~621 (2005)
  26. Wallace P, "Randomised controlled trial of general practitioner intervention in patients with excessive alcohol consumption", BMJ, 297, pp.663~668 (1988)
  27. Bradley KA, "Two brief alcohol-screening tests From the Alcohol Use Disorders Identification Test (AUDIT): validation in a female Veterans Affairs patient population", Arch Intern Med, 163, pp.821~829 (2003)
  28. Smith PC, "Primary care validation of a single-question alcohol screening test", J Gen Intern Med, 24, pp.783~788 (2009)
  29. 남택우, "폭음에 대한 한 가지 질문을 통한 문제 음주자 선별의 유용성 검토", Korean Journal of Family Medicine, 30(10), pp.777~783 (2009), 대한가정의학회
  30. 박희랑, "여성음주문화 실태 연구: 여성이 술을 마실 때", 한국심리학회지:여성, 9(2), pp.39~52 (2004), 한국여성심리학회
  31. Aertgeerts B, "Screening properties of questionnaires and laboratory tests for the detection of alcohol abuse or dependence in a general practice population", Br J Gen Pract, 51, pp.206~217 (2001)
  32. Bradley KA, "AUDIT-C as a brief screen for alcohol misuse in primary care", Alcohol Clin Exp Res, 31, pp.1208~1217 (2007)
  33. Hasin DS, "Prevalence, correlates, disability, and comorbidity of DSM-IV alcohol abuse and dependence in the United States: results from the National Epidemiologic Survey on Alcohol and Related Conditions", Arch Gen Psychiatry, 64, pp.830~842 (2007)
  34. "The 2011 epidemiological survey of mental disorders among Korean adults" (2011)[URL]

이 간행물의 다른 논문 (13건)

Authorship김수영pp. 1-1Drinking Amount Associated with Abnormal Gamma-Glutamyl Transpeptidase Expression in WomenSir-Chae Paik, Jun-Seok Yang, 서원윤, 김종성pp. 2-6Effect of Coffee Consumption on the Progression of Type 2 Diabetes Mellitus among Prediabetic IndividualsJun-Tae Lim, Haa-Gyoung Kim, Won Joon Lee, Ji-Ho Lee, Mi-Kyeong Ohpp. 7-13Development of a Modified Korean East Asian Student Stress Inventory by Comparing Stress Levels in Medical Students with Those in Non-Medical Students신희곤, 채성욱, 양정희, 임선혜, 강석훈pp. 14-17Correlation between Overactive Bladder Syndrome and Obsessive Compulsive Disorder in Women최재경, 조동영, 권혁중, Ah-Leum Ahn, Eun-Jung Oh, Keun-Soo Ahn, Hyun-Pyo Hongpp. 25-30
원문 보기