Michigan Physician Ebook Continuing Education

______________________________________________________________ Alcohol and Alcohol Use Disorder

4. How often during the past year have you found that you were not able to stop drinking once you had started? 0 Never 1 Less than monthly 2 Monthly 3 Weekly 4 Daily or almost daily 5. How often during the past year have you failed to do what was normally expected from you because of drinking? 0 Never 1 Less than monthly 2 Monthly 3 Weekly 4 Daily or almost daily 6. How often during the past year have you needed a first drink in the morning to get yourself going after a heavy drinking session? 0 Never 1 Less than monthly 2 Monthly 3 Weekly 4 Daily or almost daily 7. How often during the past year have you had a feeling of guilt or remorse after drinking? 0 Never 1 Less than monthly 2 Monthly 3 Weekly 4 Daily or almost daily 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.

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MDMI1826

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