Historique
Périodique
Screening for drug and alcohol abuse among older adults using a modified version of the CAGE
(Dépistage de l'abus de drogues et d'alcool chez des adultes âgés à l'aide d'une version modifiée du CAGE.)
Auteur(s) :
HINKIN, C. H. ;
CASTELLON, S. A. ;
DICKSON-FUHRMAN, E. ;
DAUM, G. ;
JAFFE, J. ;
JARVIK, L.
Année
2001
Page(s) :
319-326
Langue(s) :
Anglais
Refs biblio. :
22
Domaine :
Drogues illicites / Illicit drugs
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus mots-clés
SENSIBILITE
;
DIAGNOSTIC
;
DEPENDANCE
;
PERSONNE AGEE
;
TEST
;
VALIDITE
;
ETUDE RETROSPECTIVE
;
ECHELLE D'EVALUATION
Note générale :
American Journal on Addictions, 2001, 10, (4), 319-326, tabl.
Résumé :
This study examined the sensitivity, specificity, and receiver operating characteristics (ROC) curves of a modified version of the CAGE, a screening measure used in the detection of older alcohol- and drug-abusing individuals. In a retrospective review of clinical records of 976 patients screened by a geriatric substance abuse program, the authors examined patients' responses on a modified version of the CAGE that included queries regarding drug use. The CAGE was administered to individuals age 50 or over drawn from three diagnostic groups: alcohol abuse/dependence, drug abuse/dependence, and normal controls. Analysis of variance and discriminant function analyses revealed that the modified CAGE was able to discriminate both alcohol and drug abusers from controls. Analyses examining test sensivity, specificity, and ROC curves revealed the CAGE to demonstrate excellent sensitivity but poor specificity. 0mitting the "cut down" item from the CAGE significantly improved specificity with only a modest drop in sensitivity. Given the ease of administration and sensitivity to both alcobol and drug abuse, these data suggest that the modified CAGE is well suited as a screening instrument for geriatric drug and alcohol abuse. (Author' s abstract)
Affiliation :
Department of Psychiatry and Biobehavioral Sciences, UCLA School of Medicine, 760 Westwood Plaza, Room C8-747, Los Angeles, CA 90024.
Etats-Unis. United States.
Etats-Unis. United States.
Cote :
A01652