Elsevier

Medicina Clínica

Volume 125, Issue 19, November 2005, Pages 727-730
Medicina Clínica

Originales
Validez del cuestionario AUDIT para la detección de problemas relacionados con el consumo de alcohol en mujeresValidity of AUDIT test for detection of disorders related with alcohol consumption in women

https://doi.org/10.1016/S0025-7753(05)72170-9Get rights and content

Fundamento y objetivo

Es necesario disponer en la práctica clínica de cuestionarios breves para identificar tempranamente a pacientes con problemas relacionados con el consumo de alcohol. El cuestionario AUDIT (Alcohol use Disorders identification Test) es un instrumento que ha demostrado su validez, sobre todo entre la población masculina. El objetivo del presente estudio es validar su utilidad en las mujeres y el punto de corte más eficaz para esta población.

Pacientes y método

Se incluyó a 414 mujeres reclutadas en 2 centros de salud y un centro de drogodependencias. Se administró el test AUDIT y se les realizó la entrevista semiestructurada SCAN (prueba de referencia). Se estimó la consistencia interna y la validez del criterio.

Resultados

El alfa de Cronbach fue de 0,93 (intervalo de confianza [IC] del 95%, 0,921-0,941). El punto de corte más eficaz del test fue el de 6 puntos, con una sensibilidad del 89,6% (IC del 95%, 76,11-96,02) y una especificidad del 95,07% (IC del 95%, 92,18-96,97), tomando como referencia la DSM-IV. Si tomamos como criterio la CIE-10, la sensibilidad fue del 89,58% (IC del 95%;76,56-96,10) y la especificidad del 95,33% (IC del 95%,92,48-97,17).

Conclusiones

El AUDIT es un cuestionario con unas buenas propiedades psicométricas y válido para la detección del consumo de riesgo y dependencia en las mujeres.

Background and objective

Early detection of patients with alcohol problems is important in clinical practice. The AUDIT (Alcohol Use Disorders Identification Test) questionnaire is a valid tool for this aim, especially in the male population. The objective of this study was to validate how useful is this questionnaire in females patients and to assess their test cutt-off point for the diagnosis of alcohol problems in women.

Patients and method

414 woman were recruited in 2 health center and specialized center for addiction treatment. The AUDIT test and a semistructrured interview (SCAN as gold standard) were performed to all patients. Internal consistence and criteria validity was assessed.

Results

Cronbach alpha was 0.93 (95% confidence interval [CI], 0.921-0.941). When the DSM-IV was taken as reference the most useful cutt-off point was 6 points, with 89.6% (95% CI, 76.11-96.02) sensitivity and 95.07% (95% CI, 92.18-96.97) specificity. When CIE-10 was taken as reference the sensitivity was 89.58% (95% CI, 76.56-96.10) and the specificity was 95.33% (95% CI, 92.48-97.17).

Conclusions

AUDIT is a questionnaire with good psychometrics properties and is valid for detecting dependence and risk alcohol consumption in women.

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Proyecto financiado por la Consejería de Salud de la Junta de Andalucía y por la Sociedad Andaluza de Medicina Familiar y Comunitaria. Los autores forman parte del nodo COGRAMA, de la red de Investigación de Actividades Preventivas –redIAPP–, financiado por el Instituto de Salud Carlos III.

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