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Screening for problem drinking in older people referred to a mental health service
 — a comparison of CAGE and AUDIT
Author(s)M Philpot, N Pearson, V Petratou
Journal titleAging & Mental Health, vol 7, no 3, May 2003
Pagespp 171-175
Sourcehttp://www.tandfonline.com
KeywordsAlcoholism ; Screening ; Referrals ; Psychiatric treatment ; Lambeth ; Lewisham ; Southwark.
AnnotationThe validity is evaluated of the Alcohol Use Disorders Identification Test (AUDIT), the 5-item version (AUDIT-5), and the CAGE as screening tests for problem drinking in mentally ill older people. The study was of prospective cross-sectional design with questionnaire survey, and included all consecutive community referrals to an old-age psychiatry service from under-privileged electoral wards in the area covered by Lambeth, Southwark and Lewisham Health Authority. Sensitivity, specificity and positive predictive values and areas under the receiver operating curve (AUROC) for the AUDIT, AUDIT-5 and CAGE were the primary outcome measures. Of the three scales, the AUDIT-5 performed best, with a sensitivity of 75%, specificity of 97.2% and positive predictive value of 83.3% when using a 4.5 cut-point. The AUDIT-5 performed as well as the AUDIT, and better than the CAGE in identifying problem drinking in the sample. The AUDIT-5 may be a useful addition to the specialist mental health assessment of older people. (RH).
Accession NumberCPA-030806210 A
ClassmarkETA: 3V: L5R: LP: 82LN: 82LO: 82LT

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