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   TEST Sensitivity*
Specificity*
   Features
% true cases % all cases

CAGE

All items positive
3 items positive
2 items positive
1 item positive

 

100
 99
 89
 80

 

37
66
81
98

  • 4 questions
  • Clinical interview
  • To detect alcoholism
  • No cutoff point to differentiate dependence and abuse

Trauma Scale


 81

 68

  • 5 questions
  • Clinical interview
  • To detect alcohol problems, not alcoholism

MAST

Score of 5 or more

 

 95

 

 98

 

  • 25 questions
  • Self-administered or interview
  • To detect alcoholism

AUDIT

Score of 12
Score of  8
Score of  2

 

 97
 90
 25

 

 28
 61
 97

 

  • 10 questions
  • Self-administered or interview
  • To assess harmful use
  • Developed by WHO
  • Cross-cultural validity

DAST

Score of 6 or more

 

 96

 

 79

 

  • 28 questions
  • Self-administered or interview
  • To detect drug problems
  • Adapted from MAST

TWEAK

Score of 2 [high risk]
Score of 1
       [moderate risk]

 

 73
 70

 

 64
 66

 

  • 5 questions
  • Clinical interview
  • Pregnant women; women
  • To detect high risk use
  • Adapted from CAGE

T-ACE

Score of 2 or more

 

 86

 

 67

 

  • 4 questions
  • Clinical interview
  • Designed for pregant women; women
  • To identify high risk use
  • Adapted from CAGE

CRAFFT

Score of 2 or more

 

 94

 

 76

 

  • 6 questions
  • Clinical interview
  • Designed for adolescents
  • To identify high risk use

* For the general population.
  Values for specific sub-populations can differ. For example, tests differ in the efficacy with specific populations -- be it adolescents, or the elderly, or women, those with pscyhiatric illness, or members of specific ethnic/cultural groups.


Adapted from Kinney J. Medical consequences of alcohol use. IN: Alcohol Use, Abuse and Dependence. Timonium MD: Milner-Fenwick, 1989.