______________________________________________________________ Alcohol and Alcohol Use Disorder
8. How often during the past year have you been unable to remember what happened the night before because you had been drinking? 0 Never 1 Less than monthly 2 Monthly 3 Weekly 4 Daily or almost daily 9. Have you or someone else been injured as a result of your drinking? 0 No 2 Yes, but not in the past year 4 Yes, during the past year 10. Has a relative or friend or a doctor or other health worker been concerned about your drinking or suggested you cut down? 0 No 2 Yes, but not in the past year 4 Yes, during the past year The minimum score is 0 and the maximum possible score is 40. A score of 8 or more indicates a strong likelihood of hazardous or harmful alcohol consumption [203]. AUDIT-C Questionnaire The AUDIT-C is a 3-question screening tool that can help identify persons who are at-risk drinkers (who may not be alcohol dependent) or who have active alcohol use disorders, including alcohol abuse or dependence [273]. 1. How often do you have a drink containing alcohol? 0 Never 1 Monthly or less 2 2 to 4 times a month 3 2 to 3 times a week 4 4 or more times a week 2. How many standard drinks containing alcohol do you have on a typical day? 0 1 or 2 1 3 or 4 2 5 or 6 3 7 or 8 4 10 or more 3. How often do you have six or more drinks on one occasion? 0 Never 1 Less than monthly 2 Monthly 3 Weekly
A score of 4 or more in men and 3 or more in women (when not all points are from question 1) is considered positive for hazardous drinking or alcohol use disorder [273]. Single Alcohol Screening Question (SASQ) The SASQ consists of one question: “How many times in the past year have you had X or more drinks in a day?” [263]. The question is individualized based on sex, with X being five for men and four for women. A response of more than one is considered positive and requires additional assessment. ADDITIONAL STANDARDIZED QUESTIONS OR TESTS Michigan Alcohol Screening Test (MAST) The Michigan Alcohol Screening Test (MAST) continues to be a good screening test for alcohol abuse and dependence, but for optimal results it should be used with a questionnaire that asks about the amount and frequency of alcohol consumption. The following questions are from the 13-item Short MAST (SMAST) regarding the respondent’s involvement with alcohol during the past 12 months [274]: 1. Do you think you are a normal drinker? (By normal we mean you drink less than or as much as most other people.) No = 1 Yes = 0 2. Does your wife, husband, a parent, or other near relative ever worry or complain about your drinking? No = 0 Yes = 1 3. Do you feel guilty about your drinking? No = 0 Yes = 1 4. Do friends or relatives think you are a normal drinker? No = 1 Yes = 0 5. Are you able to stop drinking when you want to? No = 1 Yes = 0 6. Have you ever attended a meeting of Alcoholics Anonymous? No = 0 Yes = 1 7. Has drinking ever created problems between you and your wife, husband, a parent, or other near relative? No = 0 Yes = 1Have you ever gotten into trouble at work because of your drinking? No = 0 Yes = 1 8. Have you ever neglected your obligations, your family, or your work for two or more days in a row because you were drinking? No = 0 Yes = 1
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MDMI1826
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