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Psychometric Properties of Brief Screening Tests for Alcohol Use Disorders during Pregnancy in Argentina
Background Considering the physical, mental and behavioral problems related to fetal alcohol exposure, prenatal clinical guides suggest a brief evaluation of alcohol consumption during pregnancy to detect alcohol intake and to adjust interventions, if required. Even if any alcohol use should be cons...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Thieme Revinter Publicações Ltda
2017
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10416172/ https://www.ncbi.nlm.nih.gov/pubmed/28609804 http://dx.doi.org/10.1055/s-0037-1603744 |
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author | López, Mariana Beatriz Lichtenberger, Aldana Conde, Karina Cremonte, Mariana |
author_facet | López, Mariana Beatriz Lichtenberger, Aldana Conde, Karina Cremonte, Mariana |
author_sort | López, Mariana Beatriz |
collection | PubMed |
description | Background Considering the physical, mental and behavioral problems related to fetal alcohol exposure, prenatal clinical guides suggest a brief evaluation of alcohol consumption during pregnancy to detect alcohol intake and to adjust interventions, if required. Even if any alcohol use should be considered risky during pregnancy, identifying women with alcohol use disorders is important because they could need a more specific intervention than simple advice to abstain. Most screening tests have been developed and validated in male populations and focused on the long-term consequences of heavy alcohol use, so they might be inappropriate to assess consumption in pregnant women. Objective To analyze the internal reliability and validity of the alcohol screening instruments Alcohol Use Disorders Identification Test (AUDIT), Alcohol Use Disorders Identification Test – Consumption (AUDIT-C), Tolerance, Worried, Eye-Opener, Amnesia and Cut-Down (TWEAK), Rapid Alcohol Problems Screen – Quantity Frequency (RAPS-QF) and Tolerance, Annoyed, Cut-Down and Eye-Opener (T-ACE) to identify alcohol use disorders in pregnant women. Methods A total of 641 puerperal women were personally interviewed during the 48 hours after delivery. The receiver operating characteristics (ROC) curves and the sensitivity and specificity of each instrument using different cut-off points were analyzed. Results All instruments showed areas under the ROC curves above 0.80. Larger areas were found for the TWEAK and the AUDIT. The TWEAK, the T-ACE and the AUDIT-C showed higher sensitivity, while the AUDIT and the RAPS-QF showed higher specificity. Reliability (internal consistency) was low for all instruments, improving when optimal cut-off points were used, especially for the AUDIT, the AUDIT-C and the RAPS-QF. Conclusions In other cultural contexts, studies have concluded that T-ACE and TWEAK are the best instruments to assess pregnant women. In contrast, our results evidenced the low reliability of those instruments and a better performance of the AUDIT in this population. |
format | Online Article Text |
id | pubmed-10416172 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Thieme Revinter Publicações Ltda |
record_format | MEDLINE/PubMed |
spelling | pubmed-104161722023-08-12 Psychometric Properties of Brief Screening Tests for Alcohol Use Disorders during Pregnancy in Argentina López, Mariana Beatriz Lichtenberger, Aldana Conde, Karina Cremonte, Mariana Rev Bras Ginecol Obstet Background Considering the physical, mental and behavioral problems related to fetal alcohol exposure, prenatal clinical guides suggest a brief evaluation of alcohol consumption during pregnancy to detect alcohol intake and to adjust interventions, if required. Even if any alcohol use should be considered risky during pregnancy, identifying women with alcohol use disorders is important because they could need a more specific intervention than simple advice to abstain. Most screening tests have been developed and validated in male populations and focused on the long-term consequences of heavy alcohol use, so they might be inappropriate to assess consumption in pregnant women. Objective To analyze the internal reliability and validity of the alcohol screening instruments Alcohol Use Disorders Identification Test (AUDIT), Alcohol Use Disorders Identification Test – Consumption (AUDIT-C), Tolerance, Worried, Eye-Opener, Amnesia and Cut-Down (TWEAK), Rapid Alcohol Problems Screen – Quantity Frequency (RAPS-QF) and Tolerance, Annoyed, Cut-Down and Eye-Opener (T-ACE) to identify alcohol use disorders in pregnant women. Methods A total of 641 puerperal women were personally interviewed during the 48 hours after delivery. The receiver operating characteristics (ROC) curves and the sensitivity and specificity of each instrument using different cut-off points were analyzed. Results All instruments showed areas under the ROC curves above 0.80. Larger areas were found for the TWEAK and the AUDIT. The TWEAK, the T-ACE and the AUDIT-C showed higher sensitivity, while the AUDIT and the RAPS-QF showed higher specificity. Reliability (internal consistency) was low for all instruments, improving when optimal cut-off points were used, especially for the AUDIT, the AUDIT-C and the RAPS-QF. Conclusions In other cultural contexts, studies have concluded that T-ACE and TWEAK are the best instruments to assess pregnant women. In contrast, our results evidenced the low reliability of those instruments and a better performance of the AUDIT in this population. Thieme Revinter Publicações Ltda 2017-06-13 2017-07 /pmc/articles/PMC10416172/ /pubmed/28609804 http://dx.doi.org/10.1055/s-0037-1603744 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | López, Mariana Beatriz Lichtenberger, Aldana Conde, Karina Cremonte, Mariana Psychometric Properties of Brief Screening Tests for Alcohol Use Disorders during Pregnancy in Argentina |
title | Psychometric Properties of Brief Screening Tests for Alcohol Use Disorders during Pregnancy in Argentina |
title_full | Psychometric Properties of Brief Screening Tests for Alcohol Use Disorders during Pregnancy in Argentina |
title_fullStr | Psychometric Properties of Brief Screening Tests for Alcohol Use Disorders during Pregnancy in Argentina |
title_full_unstemmed | Psychometric Properties of Brief Screening Tests for Alcohol Use Disorders during Pregnancy in Argentina |
title_short | Psychometric Properties of Brief Screening Tests for Alcohol Use Disorders during Pregnancy in Argentina |
title_sort | psychometric properties of brief screening tests for alcohol use disorders during pregnancy in argentina |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10416172/ https://www.ncbi.nlm.nih.gov/pubmed/28609804 http://dx.doi.org/10.1055/s-0037-1603744 |
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