PMID- 11314930
OWN - NLM
STAT- MEDLINE
DCOM- 20010809
LR  - 20220310
IS  - 0893-8652 (Print)
IS  - 0893-8652 (Linking)
VI  - 14
IP  - 2
DP  - 2001 Mar-Apr
TI  - A two-item conjoint screen for alcohol and other drug problems.
PG  - 95-106
AB  - BACKGROUND: Although nonmedical use of illicit and prescription drugs is not 
      uncommon among American adults, the currently recommended screens for substance 
      use disorders focus only on alcohol. This study reports on the criterion validity 
      of a two-item conjoint screen (TICS) for alcohol and other drug abuse or 
      dependence for a split sample of primary care patients. METHODS: Two random 
      samples of primary care patients aged 18 to 59 years responded to several 
      screening items that emanated from a focus group process. The DSM-III-R criteria 
      for substance use disorders, as codified by the Composite International 
      Diagnostic Interview-Substance Abuse Module, served as the criterion standard. 
      RESULTS: At least one positive response to the TICS (In the last year, have you 
      ever drunk or used drugs more than you meant to? and Have you felt you wanted or 
      needed to cut down on your drinking or drug use in the last year?) detected 
      current substance use disorders with nearly 80% sensitivity and specificity. The 
      TICS was particularly sensitive to polysubstance use disorders. Respondents who 
      gave 0, 1, and 2 positive responses had a 7.3%, 36.5%, and 72.4% chance of a 
      current substance use disorder, respectively; likelihood ratios were 0.27, 1.93, 
      and 8.77. The results were consistent across split samples of 434 and 702 
      participants. CONCLUSIONS: Current alcohol or other drug problems can be detected 
      in nearly 80% of young and middle-aged patients by asking two questions that are 
      easily integrated into a clinical interview.
FAU - Brown, R L
AU  - Brown RL
AD  - Department of Family Medicine, University of Wisconsin-Madsion Medical School, 
      53715, USA.
FAU - Leonard, T
AU  - Leonard T
FAU - Saunders, L A
AU  - Saunders LA
FAU - Papasouliotis, O
AU  - Papasouliotis O
LA  - eng
GR  - DA-07334/DA/NIDA NIH HHS/United States
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, P.H.S.
PT  - Validation Study
PL  - United States
TA  - J Am Board Fam Pract
JT  - The Journal of the American Board of Family Practice
JID - 8807505
RN  - 0 (Illicit Drugs)
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Alcoholism/*diagnosis
MH  - Female
MH  - Humans
MH  - Illicit Drugs
MH  - Male
MH  - Middle Aged
MH  - Primary Health Care
MH  - Random Allocation
MH  - Reproducibility of Results
MH  - Sensitivity and Specificity
MH  - Substance Abuse Detection/*methods
MH  - Substance-Related Disorders/*diagnosis
MH  - Wisconsin
EDAT- 2001/04/21 10:00
MHDA- 2001/08/10 10:01
CRDT- 2001/04/21 10:00
PHST- 2001/04/21 10:00 [pubmed]
PHST- 2001/08/10 10:01 [medline]
PHST- 2001/04/21 10:00 [entrez]
PST - ppublish
SO  - J Am Board Fam Pract. 2001 Mar-Apr;14(2):95-106.