The alcohol use disorders identification test: an update of research findings.

BACKGROUND The Alcohol Use Disorders Identification Test (AUDIT) has been extensively researched to determine its capability to accurately and practically screen for alcohol problems. METHODS During the 5 years since our previous review of the literature, a large number of additional studies have been published on the AUDIT, abbreviated versions of it, its psychometric properties, and the applicability of the AUDIT for a diverse array of populations. The current article summarizes new findings and integrates them with results of previous research. It also suggests some issues that we believe are particularly in need of further study. RESULTS A growing body of research evidence supports the criterion validity of English version of the AUDIT as a screen for alcohol dependence as well as for less severe alcohol problems. Nevertheless, the cut-points for effective detection of hazardous drinking as well as identification of alcohol dependence or harmful use in women need to be lowered from the originally recommended value of 8 points. The AUDIT-C, the most popular short version of the AUDIT consisting solely of its 3 consumption items, is approximately equal in accuracy to the full AUDIT. Psychometric properties of the AUDIT, such as test-retest reliability and internal consistency, are quite favorable. Continued research is urged to establish the psychometric properties of non-English versions of the AUDIT, use of the AUDIT with adolescents and with older adults, and selective inclusion of alcohol biomarkers with the AUDIT in some instances. CONCLUSIONS Research continues to support use of the AUDIT as a means of screening for the spectrum of alcohol use disorders in various settings and with diverse populations.

[1]  K. Bush,et al.  Screening for problem drinking , 1998, Journal of general internal medicine.

[2]  J. Isaacson,et al.  Screening with the alcohol use disorders identification test (AUDIT) in an inner-city population , 1994, Journal of General Internal Medicine.

[3]  Robert L. Cook,et al.  Alcohol screening in young persons attending a sexually transmitted disease clinic , 2007, Journal of General Internal Medicine.

[4]  S. Shellenberger,et al.  Primary care validation of a single screening question for drinkers. , 2006, Journal of studies on alcohol.

[5]  A. Broocks,et al.  The reliability and validity of the Alcohol Use Disorders Identification Test (AUDIT) in a German general practice population sample. , 2006, Journal of studies on alcohol.

[6]  R. Friedman,et al.  Automated telephone screening for problem drinking. , 2006, Journal of studies on alcohol.

[7]  T. Peters,et al.  Opportunistic screening for alcohol use disorders in primary care: comparative study , 2010 .

[8]  C. Cherpitel,et al.  Screening for alcohol problems in two emergency service samples in Poland: comparison of the RAPS4, CAGE and AUDIT. , 2005, Drug and alcohol dependence.

[9]  B. Grant,et al.  The AUDIT-C: screening for alcohol use disorders and risk drinking in the presence of other psychiatric disorders. , 2005, Comprehensive psychiatry.

[10]  Philippe Michaud,et al.  The Alcohol Use Disorders Identification Test (AUDIT) as a screening tool for excessive drinking in primary care: reliability and validity of a French version. , 2005, Alcoholism, clinical and experimental research.

[11]  A. Adewuya.  Validation of the alcohol use disorders identification test (audit) as a screening tool for alcohol-related problems among Nigerian university students. , 2005, Alcohol and alcoholism.

[12]  N. Hawkes,et al.  Combining the audit questionnaire and biochemical markers to assess alcohol use and risk of alcohol withdrawal in medical inpatients. , 2005, Alcohol and alcoholism.

[13]  M. Farrell,et al.  Concurrent and construct validity of the audit in an urban brazilian sample. , 2005, Alcohol and alcoholism.

[14]  G. Bischof,et al.  Effects of item sequence on the performance of the AUDIT in general practices. , 2005, Drug and alcohol dependence.

[15]  G. Leonardson,et al.  Validity and Reliability of the Audit and Cage-Aid in Northern Plains American Indians , 2005, Psychological reports.

[16]  B. Grant,et al.  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. , 2005, Alcoholism, clinical and experimental research.

[17]  P. Hauser,et al.  Addressing tri-morbidity (hepatitis C, psychiatric disorders, and substance use): the importance of routine mental health screening as a component of a comanagement model of care. , 2005, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[18]  D. Lieberman.  Clinical characteristics of individuals using an online alcohol evaluation program. , 2005, The American journal on addictions.

[19]  A. Gómez,et al.  Diagnostic usefulness of brief versions of Alcohol Use Disorders Identification Test (AUDIT) for detecting hazardous drinkers in primary care settings. , 2005, Journal of studies on alcohol.

[20]  Y. Tsai,et al.  Alcohol Use Disorders Identification Test (AUDIT): establishment of cut-off scores in a hospitalized Chinese population. , 2005, Alcoholism, clinical and experimental research.

[21]  Karl Mann,et al.  Gender differences in the performance of a computerized version of the alcohol use disorders identification test in subcritically injured patients who are admitted to the emergency department. , 2004, Alcoholism, clinical and experimental research.

[22]  Kypros Kypri,et al.  Web-based screening and brief intervention for hazardous drinking: a double-blind randomized controlled trial. , 2004, Addiction.

[23]  H. Pal,et al.  Validation of the Alcohol Use Disorders Identification Test (AUDIT) in urban community outreach and de-addiction center samples in north India. , 2004, Journal of studies on alcohol.

[24]  Anara Guard,et al.  Web-based screening and brief intervention for the spectrum of alcohol problems. , 2004, Preventive medicine.

[25]  Ronald Gangnon,et al.  Validity of the alcohol use disorders identification test in college students. , 2004, Alcoholism, clinical and experimental research.

[26]  B. Nalpas,et al.  VARIATION IN AUDIT (ALCOHOL USED DISORDER IDENTIFICATION TEST) SCORES WITHIN THE FIRST WEEKS OF IMPRISONMENT , 2004 .

[27]  R. Cook,et al.  Alcohol use disorders among emergency department-treated older adolescents: a new brief screen (RUFT-Cut) using the AUDIT, CAGE, CRAFFT, and RAPS-QF. , 2004, Alcoholism, clinical and experimental research.

[28]  T. O’Hare,et al.  Validating the Alcohol Use Disorders Identification Test with Persons Who Have a Serious Mental Illness , 2004 .

[29]  A. Shields,et al.  An Examination of the Factor Structure of the Alcohol Use Disorders Identification Test in Two High-Risk Samples , 2004, Substance use & misuse.

[30]  Daniel Z. Lieberman,et al.  Determinants of Satisfaction with an Automated Alcohol Evaluation Program , 2003, Cyberpsychology Behav. Soc. Netw..

[31]  R. Newcombe,et al.  Fast screening for alcohol misuse. , 2003, Addictive behaviors.

[32]  C. Cherpitel,et al.  Screening for alcohol problems: comparison of the audit, RAPS4 and RAPS4-QF among African American and Hispanic patients in an inner city emergency department. , 2003, Drug and alcohol dependence.

[33]  C. Koopman,et al.  Assessment of binge drinking of alcohol in highly educated employees. , 2003, Addictive behaviors.

[34]  Klara Hradilova Selin.  Test-retest reliability of the alcohol use disorder identification test in a general population sample. , 2003, Alcoholism, clinical and experimental research.

[35]  K. Carey,et al.  Psychometric evaluation of the alcohol use disorders identification test and short drug abuse screening test with psychiatric patients in India. , 2003, The Journal of clinical psychiatry.

[36]  A. Shields,et al.  Reliability Generalization of the Alcohol Use Disorders Identification Test , 2003 .

[37]  E. Chiauzzi,et al.  Computer-Assisted Screening and Intervention for Alcohol Problems in Primary Care , 2003 .

[38]  J. Béria,et al.  Prevalence of alcohol use disorders and associated factors: a population-based study using AUDIT in southern Brazil. , 2003, Addiction.

[39]  J. Concato,et al.  Measuring alcohol consumption among older adults: a comparison of available methods. , 2003, The American journal on addictions.

[40]  M. Philpot,et al.  Screening for problem drinking in older people referred to a mental health service: A comparison of CAGE and AUDIT , 2003, Aging & mental health.

[41]  T. M. Davis,et al.  Two brief alcohol-screening tests From the Alcohol Use Disorders Identification Test (AUDIT): validation in a female Veterans Affairs patient population. , 2003, Archives of internal medicine.

[42]  T. M. Davis,et al.  Screening for substance abuse and psychiatric disorders among women patients in a VA Health Care System. , 2003, Psychiatric services.

[43]  John R Knight,et al.  Validity of brief alcohol screening tests among adolescents: a comparison of the AUDIT, POSIT, CAGE, and CRAFFT. , 2003, Alcoholism, clinical and experimental research.

[44]  Antoni Gual,et al.  Audit-3 and audit-4: effectiveness of two short forms of the alcohol use disorders identification test. , 2002, Alcohol and alcoholism.

[45]  D. Kivlahan,et al.  The Alcohol Use Disorders Identification Test (AUDIT) Predicts Alcohol Withdrawal Symptoms During Inpatient Detoxification , 2002, Journal of addictive diseases.

[46]  J. Donovan,et al.  A comparison of alcohol screening instruments among under-aged drinkers treated in emergency departments. , 2002, Alcohol and alcoholism.

[47]  R. Hays,et al.  Beyond alcoholism: identifying older, at-risk drinkers in primary care. , 2002, Journal of studies on alcohol.

[48]  H. Bergman,et al.  Alcohol use among Swedes and a psychometric evaluation of the alcohol use disorders identification test. , 2002, Alcohol and alcoholism.

[49]  Ulrich John,et al.  Screening for alcohol use disorders and at-risk drinking in the general population: psychometric performance of three questionnaires. , 2002, Alcohol and alcoholism.

[50]  John P. Allen,et al.  The Alcohol Use Disorders Identification Test (AUDIT): a review of recent research. , 2002, Alcoholism, clinical and experimental research.

[51]  J. Sheehan,et al.  Alcohol Abuse: Prevalence and Detection in a General Hospital , 2002, Journal of the Royal Society of Medicine.

[52]  Nancy P Barnett,et al.  Alcohol use disorders identification test: factor structure in an adolescent emergency department sample. , 2002, Alcoholism, clinical and experimental research.

[53]  R. Hodgson,et al.  The FAST Alcohol Screening Test. , 2002, Alcohol and alcoholism.

[54]  K. Kraemer,et al.  Three questions can detect hazardous drinkers. , 2001, The Journal of family practice.

[55]  F. Buntinx,et al.  Screening properties of questionnaires and laboratory tests for the detection of alcohol abuse or dependence in a general practice population. , 2001, The British journal of general practice : the journal of the Royal College of General Practitioners.

[56]  C. Cherpitel.  Screening for alcohol problems: a comparison of instrument performance among black emergency department and primary care patients , 2001 .

[57]  Thomas Babor,et al.  Brief intervention for hazardous and harmful drinking: a manual for use in primary care. , 2001 .

[58]  S A Maisto,et al.  An empirical investigation of the factor structure of the AUDIT. , 2000, Psychological assessment.

[59]  P. Monti,et al.  Screening adolescents for problem drinking: performance of brief screens against DSM-IV alcohol diagnoses. , 2000, Journal of studies on alcohol.

[60]  R. Hays,et al.  Using a criterion standard to validate the Alcohol-Related Problems Survey (ARPS): A screening measure to identify harmful and hazardous drinking in older persons , 2000, Aging.

[61]  Patricia L. Obst,et al.  The use of AUDIT as a screening tool for alcohol use in the police work‐place , 2000 .

[62]  A. Helander,et al.  The Alcohol Use Disorders Identification Test (AUDIT) and carbohydrate-deficient transferrin (CDT) in a routine workplace health examination. , 2000, Alcoholism, clinical and experimental research.

[63]  G. Borges,et al.  Performance of Screening Instruments for Alcohol Problems in the ER: A Comparison of Mexican- Americans and Mexicans in Mexico* , 2000, The American journal of drug and alcohol abuse.

[64]  K. Carey,et al.  Use of the AUDIT and the DAST-10 to identify alcohol and drug use disorders among adults with a severe and persistent mental illness. , 2000, Psychological assessment.

[65]  T. Simpson,et al.  Reliability and validity of screening instruments for drug and alcohol abuse in adults seeking evaluation for attention-deficit/hyperactivity disorder. , 2000, The American journal on addictions.

[66]  M. Roelants,et al.  The value of CAGE, CUGE, and AUDIT in screening for alcohol abuse and dependence among college freshmen. , 2000, Alcoholism, clinical and experimental research.

[67]  E. Chan-Pensley.  Alcohol-Use Disorders Identification Test: a comparison between paper and pencil and computerized versions. , 1999, Alcohol and alcoholism.

[68]  C. Cherpitel.  Gender, injury status and acculturation differences in performance of screening instruments for alcohol problems among US Hispanic emergency department patients. , 1999, Drug and alcohol dependence.

[69]  D. Kivlahan,et al.  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. , 1998, Archives of internal medicine.

[70]  S. Cantor,et al.  Ethnic and Sex Bias in Primary Care Screening Tests for Alcohol Use Disorders , 1998, Annals of Internal Medicine.

[71]  R. Clements.  A critical evaluation of several alcohol screening instruments using the CIDI-SAM as a criterion measure. , 1998, Alcoholism, clinical and experimental research.

[72]  C. Cherpitel.  Differences in performance of screening instruments for problem drinking among blacks, whites and Hispanics in an emergency room population. , 1998, Journal of studies on alcohol.

[73]  C. Cherpitel.  Comparison of screening instruments for alcohol problems between black and white emergency room patients from two regions of the country. , 1997, Alcoholism, clinical and experimental research.

[74]  H. Kranzler,et al.  Utility of the AUDIT for identification of hazardous or harmful drinking in drug-dependent patients. , 1997, Drug and alcohol dependence.

[75]  M Tansella,et al.  Efficacy of the alcohol use disorders identification test as a screening tool for hazardous alcohol intake and related disorders in primary care: a validity study , 1997, BMJ.

[76]  S. Cantor,et al.  The Alcohol Use Disorders Identification Test (AUDIT) as a screen for at-risk drinking in primary care patients of different racial/ethnic backgrounds. , 1997, Addiction.

[77]  D MacKenzie,et al.  Identifying hazardous or harmful alcohol use in medical admissions: a comparison of audit, cage and brief mast. , 1996, Alcohol and alcoholism.

[78]  J. Fleming.  The epidemiology of alcohol use in Australian women: findings from a national survey of women's drinking. , 1996, Addiction.

[79]  C. Cherpitel.  Analysis of cut points for screening instruments for alcohol problems in the emergency room. , 1995, Journal of studies on alcohol.

[80]  S. Maisto,et al.  Self-report screening tests for alcohol problems in primary care. , 1995, Archives of internal medicine.

[81]  C. Cherpitel,et al.  Ethnic differences in performance of screening instruments for identifying harmful drinking and alcohol dependence in the emergency room. , 1995, Alcoholism, clinical and experimental research.

[82]  H. Kranzler,et al.  The Alcohol Use Disorders Identification Test (AUDIT): validation of a screening instrument for use in medical settings. , 1995, Journal of studies on alcohol.

[83]  O. Aasland,et al.  Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO Collaborative Project on Early Detection of Persons with Harmful Alcohol Consumption--II. , 1993, Addiction.

[84]  Linda C. Sobell,et al.  Timeline Follow-Back A Technique for Assessing Self-Reported Alcohol Consumption , 1992 .

[85]  J. R. Landis,et al.  The measurement of observer agreement for categorical data. , 1977, Biometrics.