Historique
Article de Périodique
Validity of the CRAFFT substance abuse screening test among adolescent clinic patients (2002)
(Validité du test de dépistage d'abus de substances CRAFFT parmi des patients adolescents reçus en clinique)
Auteur(s) :
KNIGHT, J. R. ;
SHERRITT, L. ;
SHRIER, L. A. ;
HARRIS, S. K. ;
CHANG, G.
Année
2002
Page(s) :
607-614
Langue(s) :
Anglais
Refs biblio. :
42
Domaine :
Plusieurs produits / Several products
Discipline :
PRO (Produits, mode d'action, méthode de dépistage / Substances, action mode, screening methods)
Thésaurus mots-clés
SENSIBILITE
;
ADOLESCENT
;
JEUNE
;
TEST
;
QUESTIONNAIRE
;
EVALUATION
;
EFFICACITE
;
CRAFFT
;
VALIDITE
;
ETUDE CLINIQUE
Thésaurus géographique
ETATS-UNIS
Résumé :
OBJECTIVE: To determine the accuracy of the CRAFFT substance abuse screening test.
DESIGN: Criterion standard validation study comparing the score on the 6-item CRAFFT test with screening categories determined by a concurrently administered substance-use problem scale and a structured psychiatric diagnostic interview. Screening categories were "any problem" (ie, problem use, abuse, or dependence), "any disorder" (ie, abuse or dependence), and "dependence."
SETTING: A large, hospital-based adolescent clinic.
PARTICIPANTS: Patients aged 14 to 18 years arriving for routine health care.
MAIN OUTCOME MEASURES: The CRAFFT receiver operating characteristic curve, sensitivity, specificity, positive predictive value, and negative predictive value.
RESULTS: Of the 538 participants, 68.4% were female, and 75.8% were from racial and ethnic minority groups. Diagnostic classifications for substance use during the past 12 months were no use (49.6%), occasional use (23.6%), problem use (10.6%), abuse (9.5%), and dependence (6.7%). Classifications were strongly correlated with the CRAFFT score (Spearman rho, 0.72; P<.001). A CRAFFT score of 2 or higher was optimal for identifying any problem (sensitivity, 0.76; specificity, 0.94; positive predictive value, 0.83; and negative predictive value, 0.91), any disorder (sensitivity, 0.80; specificity, 0.86; positive predictive value, 0.53; and negative predictive value, 0.96) and dependence (sensitivity, 0.92; specificity, 0.80; positive predictive value, 0.25; and negative predictive value 0.99). Approximately one fourth of participants had a CRAFFT score of 2 or higher. Validity was not significantly affected by age, sex, or race.
CONCLUSION: The CRAFFT test is a valid means of screening adolescents for substance-related problems and disorders, which may be common in some general clinic populations.
DESIGN: Criterion standard validation study comparing the score on the 6-item CRAFFT test with screening categories determined by a concurrently administered substance-use problem scale and a structured psychiatric diagnostic interview. Screening categories were "any problem" (ie, problem use, abuse, or dependence), "any disorder" (ie, abuse or dependence), and "dependence."
SETTING: A large, hospital-based adolescent clinic.
PARTICIPANTS: Patients aged 14 to 18 years arriving for routine health care.
MAIN OUTCOME MEASURES: The CRAFFT receiver operating characteristic curve, sensitivity, specificity, positive predictive value, and negative predictive value.
RESULTS: Of the 538 participants, 68.4% were female, and 75.8% were from racial and ethnic minority groups. Diagnostic classifications for substance use during the past 12 months were no use (49.6%), occasional use (23.6%), problem use (10.6%), abuse (9.5%), and dependence (6.7%). Classifications were strongly correlated with the CRAFFT score (Spearman rho, 0.72; P<.001). A CRAFFT score of 2 or higher was optimal for identifying any problem (sensitivity, 0.76; specificity, 0.94; positive predictive value, 0.83; and negative predictive value, 0.91), any disorder (sensitivity, 0.80; specificity, 0.86; positive predictive value, 0.53; and negative predictive value, 0.96) and dependence (sensitivity, 0.92; specificity, 0.80; positive predictive value, 0.25; and negative predictive value 0.99). Approximately one fourth of participants had a CRAFFT score of 2 or higher. Validity was not significantly affected by age, sex, or race.
CONCLUSION: The CRAFFT test is a valid means of screening adolescents for substance-related problems and disorders, which may be common in some general clinic populations.
Affiliation :
Department of Pediatrics, Harvard Medical School, Center for Adolescent Substance Abuse Research, Children's Hospital Boston, Boston, MA, USA
Cote :
A01239