Cited by 1,356Substance Abuse Treatment and OutcomesAlcohol Consumption and Health EffectsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

The Alcohol Use Disorders Identification Test (AUDIT): validation of a screening instrument for use in medical settings

Bohn, M J, Babor, T F, Kranzler, H R·1995·Journal of Studies on Alcohol

Abstract

OBJECTIVE: The concurrent, construct, and discriminant validity of the Alcohol Use Disorders Identification Test (AUDIT) were evaluated. AUDIT consists of a 10-item Core questionnaire and an 8-item Clinical procedure. AUDIT was designed to identify hazardous drinkers (whose drinking increases their risk of alcohol-related problems, though alcohol-associated harm has not yet occurred); harmful drinkers (who have had recent physical or mental harm from their drinking, but who are not alcohol-dependent); and people with alcohol dependence. METHOD: Known alcoholics (n = 65) and general medical patients (n = 187) completed self-report questionnaires and underwent a diagnostic interview, physical examination and laboratory testing. RESULTS: AUDIT scores correlated significantly with scores on the MAST and MacAndrew alcoholism screening tests, and with ALAT, ASAT, GGT and MCV levels, which reflect recent heavy drinking. AUDIT scores were correlated with measures of alcoholism vulnerability (e.g., familial alcoholism and sociopathy), and with somatic and affective consequences of drinking. Receiver operating characteristic and discriminant function analyses indicated that the AUDIT Core and Clinical Instruments were sensitive and specific in discriminating alcoholics from medical patients, most of whom were nonalcoholics. The AUDIT Core was superior to the MAST and the AUDIT Clinical in discriminating hazardous drinkers from nonhazardous drinkers. It was also superior to the AUDIT Clinical in discriminating harmful from nonharmful drinkers. CONCLUSIONS: The AUDIT Core Instrument is useful for early detection of hazardous or harmful drinking, while the AUDIT Clinical Instrument is better applied to identification and/or confirmation of cases of alcohol dependence.

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Crossref · 10.15288/jsa.1995.56.423

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Authors
Bohn, M. J., Babor, T. F., & Kranzler, H. R.
Affiliations
University of Wisconsin–Madison (US)
Venue
Journal of Studies on Alcohol
Published
1995-07
Volume
56
Issue
4
Pages
423-432
ISSN
  • 0096-882X (ISSN-L)
  • 1934-2683
OpenAlex
W2103318471
Cited by
1,356
References
34
Citations by year
2026: 44 · 2025: 86 · 2024: 75 · 2023: 79 · 2022: 93 · 2021: 91 · 2020: 73 · 2019: 76 · 2018: 75 · 2017: 76 · 2016: 47 · 2015: 41 · 2014: 42 · 2013: 46 · 2012: 47
FWCI
7.93
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Studies on Alcohol (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (5p50aa003510-27, 5r29aa009948-02)
  • National Institute on Alcohol Abuse and Alcoholism (T32AA07290, R29-AA09948, T32AA007290, P50- AA03510)
Topics
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
Alcohol Use Disorders Identification Test, auditing, alcohol screening, alcoholism, hazardous drinking, screening tool validation, medical patients, alcohol-related harm
MeSH terms
Adolescent, Adult, Alcohol Drinking, Alcoholism, Family Practice, Female, Humans, Liver Function Tests, Male, Mass Screening, Middle Aged, Patient Care Team, Personality Inventory, Psychometrics, Risk Factors, ROC Curve, Reproducibility of Results

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