Abstract

Aims

The current study aimed to evaluate the factorial structure of the Lithuanian version of the Alcohol Use Disorders Identification Test (AUDIT) in patients with anxiety and mood disorders (AMD).

Methods

The AUDIT was completed by 199 consecutive outpatients with AMD (21% men, mean age 39 ± 12 years), as defined by AMD criteria in DSM-5. The MINI International Neuropsychiatric Interview was used for current diagnosis of alcohol use disorder (AUD). Sociodemographic and clinical data were also collected.

Results

In patients with AMD, the AUDIT showed high internal consistency (Cronbach’s alpha = 0.88) and good psychometric characteristics for identifying current AUD at a cut-off value of ≥9 (positive predictive value = 83.7%, sensitivity = 94.7%, specificity = 95.7%). The confirmatory factor analysis suggested a three-factor (‘consumption’, ‘dependence’ and ‘related consequences’) structure and indicated adequate fit to the model (comparative fit index = 0.966, normed fit index = 0.936, root mean square error of approximation = 0.072).

Conclusions

The findings are in line with increasing evidence suggesting that the AUDIT measures three separate factors related to alcohol misuse level of consumption, dependence and alcohol-related consequences and support the utility of AUDIT as a screening instrument for AUD in AMD patients in Lithuania.

中文翻译：

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酒精使用障碍识别测试的多维结构：立陶宛焦虑和情绪障碍患者的因子有效性和可靠性

摘要

宗旨

目前的研究旨在评估立陶宛版酒精使用障碍识别测试 (AUDIT) 在焦虑和情绪障碍 (AMD) 患者中的因子结构。

方法

根据 DSM-5 中 AMD 标准的定义，由 199 名 AMD 连续门诊患者（21% 男性，平均年龄 39 ± 12 岁）完成了审计。MINI International Neuropsychiatric Interview 用于当前酒精使用障碍 (AUD) 的诊断。还收集了社会人口学和临床数据。

结果

在 AMD 患者中，AUDIT 显示出高度的内部一致性（Cronbach's alpha = 0.88）和良好的心理测量特征，用于识别当前 AUD 的临界值 ≥ 9（阳性预测值 = 83.7%，敏感性 = 94.7%，特异性 = 95.7 %）。验证性因素分析提出了一个三因素（“消费”、“依赖”和“相关后果”）结构，并表明模型充分拟合（比较拟合指数 = 0.966，归一拟合指数 = 0.936，近似的均方根误差= 0.072）。

结论

研究结果与越来越多的证据一致，表明 AUDIT 衡量与酒精滥用水平、依赖和酒精相关后果相关的三个独立因素，并支持 AUDIT 作为立陶宛 AMD 患者 AUD 筛查工具的效用。