Screening for Substance Abuse Among Adolescents Validity of the CAGE-AID in Youth Mental Health Care

被引：33

作者：

Couwenbergh, Christianne ^{[1
,2
]}

Van Der Gaag, Rutger J. ^{[1
,2
]}

Koeter, Maarten ^{[3
,4
]}

De Ruiter, Corine ^{[5
]}

Van den Brink, Wim ^{[3
,4
]}

机构：

[1] Radboud Univ Nijmegen, Dept Psychiat, Med Ctr, NL-6525 ED Nijmegen, Netherlands

[2] Karakter Univ, Ctr Child & Adolescent Psychiat, Nijmegen, Netherlands

[3] Univ Amsterdam, Acad Med Ctr, Dept Psychiat, NL-1105 AZ Amsterdam, Netherlands

[4] Amsterdam Inst Addict Res, Amsterdam, Netherlands

[5] Maastricht Univ, Dept Clin Psychol Sci, Maastricht, Netherlands

来源：

SUBSTANCE USE & MISUSE | 2009年 / 44卷 / 06期

关键词：

substance use and misuse; mental health sample; CAGE-AID; adolescents; screening; USE DISORDERS; CLINICAL CHARACTERISTICS; SELF-REPORT; PREVALENCE; OUTCOMES; ANXIETY; VERSION; TESTS;

D O I：

10.1080/10826080802484264

中图分类号：

R194 [卫生标准、卫生检查、医药管理];

学科分类号：

摘要：

Objective: To examine the diagnostic accuracy of the four-item self-report and parent-report versions of the CAGE-AID as a screen for substance-use disorders (SUD) among adolescents in mental health care. Method: Patients were 190 Dutch treatment-seeking adolescents (12-18 years old, mean age 15.5 years, 53% boys) and their parents who completed the CAGE-AID questionnaire during intake. DSM-IV clinical diagnoses were used as gold standard in receiver operating characteristic analyses to determine psychometric properties. Results: Psychometric properties for both the self-report and the parent-report versions showed the CAGE-AID's excellent diagnostic accuracy in predicting SUD. Conclusions: The CAGE-AID seems to be a brief and valid instrument for detecting SUD among adolescents in mental health care. However, denial may play a role in both the CAGE-AID and the clinical interviews. More research is needed to further establish the CAGE-AID's usefulness in other settings. The study's limitations have been noted.

引用

页码：823 / 834

页数：12

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