{"id":240,"date":"2014-03-01T10:04:00","date_gmt":"2014-03-01T14:04:00","guid":{"rendered":"http:\/\/jaydub.cms-devl.bu.edu\/aodhealth\/2014\/01\/01\/single-screening-questions-can-be-used-to-assess-for-substance-dependence-in-primary-care\/"},"modified":"2017-01-31T11:45:10","modified_gmt":"2017-01-31T16:45:10","slug":"single-screening-questions-can-be-used-to-assess-for-substance-dependence-in-primary-care","status":"publish","type":"post","link":"https:\/\/www.bu.edu\/aodhealth\/2014\/03\/01\/single-screening-questions-can-be-used-to-assess-for-substance-dependence-in-primary-care\/","title":{"rendered":"Single Screening Questions Can be Used to Assess for Substance  Dependence in Primary Care"},"content":{"rendered":"<div class=\"research-summary-body\">\n                    <!-- InstanceBeginEditable name=\"contents\" --><\/p>\n<p>Single screening questions  (SSQs) can help identify individuals with unhealthy alcohol or other drug use,  but their utility in providing more information about severity is less clear.  In this study, 303 primary care patients were asked SSQs followed by  the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C), the Drug  Abuse Screening Test (DAST-10), and lastly the Composite International Diagnostic  Interview (CIDI), to establish a diagnosis of alcohol or other drug dependence. The SSQs  were: \u201cHow many times in the past year have you had X or more drinks in a day?\u201d  and \u201cHow many times in the past year have you used an illegal drug or used a  prescription medication for nonmedical reasons?\u201d<\/p>\n<ul>\n<li>The alcohol SSQ had a sensitivity of 88% and  specificity of 84% for dependence and performed better than the AUDIT-C.<\/li>\n<li>The SSQ for other drugs had a  sensitivity of 97% and specificity of 79% for dependence; this was similar to  the performance of the DAST.<\/li>\n<li>The optimal cutoffs for dependence were 8 or  more times for alcohol and 3 or more times for other drugs in the past year.<\/li>\n<\/ul>\n<p><!-- InstanceEndEditable --><\/p>\n<div class=\"research-summary-footnotes-1\">\n\t\t\t\t\t\t<!-- InstanceBeginEditable name=\"footnotes-1\" --><!-- InstanceEndEditable -->\n\t\t\t\t\t<\/div>\n<h2 class=\"research-summary-comments\">Comments:<\/h2>\n<p>\t\t\t\t\t<!-- InstanceBeginEditable name=\"comments\" -->This study shows that SSQs can be an effective  tool in primary care for identifying alcohol and drug  dependence, not just at-risk use. Like longer screening tools, they can provide  an initial severity assessment that should be confirmed with more extensive  interviews. One caution, however, is that participants in the study  were interviewed anonymously by research staff and these questions may not  perform as well when used by clinicians who record the results in medical  records.<!-- InstanceEndEditable --><br \/>\n                    <cite><br \/>\n\t\t\t\t\t\t<!-- InstanceBeginEditable name=\"name\" -->Darius A. Rastegar, MD<!-- InstanceEndEditable --><br \/>\n\t\t\t\t\t<\/cite><\/p>\n<div class=\"research-summary-footnotes\">\n\t\t\t\t\t<!-- InstanceBeginEditable name=\"footnotes\" --><!-- InstanceEndEditable -->\n\t\t\t\t\t<\/div>\n<h2>Reference:<\/h2>\n<p>\t\t\t\t\t<!-- InstanceBeginEditable name=\"reference\" -->Saitz R, Cheng D, Allensworth-Davies D, et al.  <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/24411807\">The Ability of  Single Screening Questions  for Unhealthy Alcohol and  Other Drug Use to  Identify Substance  Dependence in Primary Care<\/a>. <em>J Stud Alcohol Drugs<\/em>. 2014;75(1):153\u2013157.<!-- InstanceEndEditable -->\n\t\t\t\t<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Single screening questions (SSQs) can help identify individuals with unhealthy alcohol or other drug use, but their utility in providing more information about severity is less clear. In this study, 303 primary care patients were asked SSQs followed by the Alcohol Use Disorders Identification Test-Consumption (AUDIT-C), the Drug Abuse Screening Test (DAST-10), and lastly the [&hellip;]<\/p>\n","protected":false},"author":11272,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[33],"tags":[76],"_links":{"self":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/240"}],"collection":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/users\/11272"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/comments?post=240"}],"version-history":[{"count":1,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/240\/revisions"}],"predecessor-version":[{"id":2160,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/posts\/240\/revisions\/2160"}],"wp:attachment":[{"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/media?parent=240"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/categories?post=240"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bu.edu\/aodhealth\/wp-json\/wp\/v2\/tags?post=240"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}