Screening for Drug and Alcohol Abuse Among Older Adults Using a Modified Version of the CAGE

American Journal on Addictions - Tập 10 Số 4 - Trang 319-326 - 2001
Charles H. Hinkin1,2, Steven A. Castellon1, Elizabeth Dickson‐Fuhrman1,2, Garrett Daum1,2, Jerome H. Jaffe3, Lissy F. Jarvik1,2
1From the Department of Psychiatry & Biobehavioral Sciences, UCLA School of Medicine, Los Angeles, Calif.
2The VA Greater Los Angeles Health Care System, Los Angeles, Calif.
3the Department of Psychiatry, University of Maryland, Baltimore

Tóm tắt

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 sensitivity, specificity, and ROC curves revealed the CAGE to demonstrate excellent sensitivity but poor specificity. Omitting 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 alcohol and drug abuse, these data suggest that the modified CAGE is well suited as a screening instrument for geriatric drug and alcohol abuse.

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Thông tin
Thông tin xuất bản

American Journal on Addictions

Tập 10 Số 4

319-326

Thông tin tác giả