Alcohol Screening Tests (AST)

Description

Alcohol screening tests are essential assessment tools used in clinical settings to identify individuals at risk for alcohol-related problems. Among these tools, the CAGE test, T-ACE test, RAPS4 test, AUDIT, FAST test, and TWEAK test stand out due to their structured approach and focus on various aspects of alcohol consumption behaviors. These screenings not only aim to pinpoint potential alcohol abuse but also facilitate early intervention and support for those exhibiting harmful drinking patterns. The tests are typically brief, allowing for easy implementation in various healthcare scenarios, making them valuable assets for clinicians in their efforts to address alcohol use disorders and promote overall health and well-being.

Authors and Contact Email

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Purpose

To diagnose potential alcohol use disorders and assist clinicians in identifying individuals who may benefit from further evaluation and intervention regarding their drinking habits.

Test Year

The tests were developed in various years, notably the AUDIT was created in 1982.

Administration Method and Scoring

The tests are administered through self-report questionnaires, where individuals provide answers to specific questions about their drinking behaviors, thoughts, and feelings. Each test assigns points based on the responses, with total scores indicating the level of risk associated with alcohol consumption. For example, the AUDIT considers responses across ten questions, with a total score of 8 or more indicating harmful drinking behavior, while the FAST test indicates hazardous drinking with a score of 3 or more.

Reliability and Validity

Each of these tests has demonstrated reliability and validity within various populations, including both genders and multiple ethnic groups, ensuring their effectiveness in identifying alcohol use disorders across diverse demographics.

Factors and Subscales

Information not available

Keywords

Alcohol screening, CAGE test, T-ACE test, RAPS4 test, AUDIT, FAST test, TWEAK test, alcohol use disorder, self-report questionnaire, clinical assessment.

Items of ‘CAGE Test’

1. C – Have you ever felt you should cut down on your drinking?
2. A – Have people annoyed you by criticizing your drinking?
3. G – Have you ever felt bad or guilty about your drinking?
4. E – Eye-opener: Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover?

Items of ‘T-ACE Test’

1. T – Does it take more than three drinks to make you feel high?
2. A – Have you ever been annoyed by people’s criticism of your drinking?
3. C – Are you trying to cut down on drinking?
4. E – Have you ever used alcohol as an eye opener in the morning?

Items of ‘RAPS4 Test’

1. Have you had a feeling of guilt or remorse after drinking?
2. Has a friend or a family member ever told you about things you said or did while you were drinking that you could not remember?
3. Have you failed to do what was normally expected of you because of drinking?
4. Do you sometimes take a drink when you first get up in the morning?

Items of ‘AUDIT’

1. How often do you have a drink containing alcohol?
2. How many drinks containing alcohol do you have on a typical day when you are drinking?
3. How often do you have six or more drinks on one occasion?
4. How often during the last year have you found that you were not able to stop drinking once you had started?
5. How often during the last year have you failed to do what was normally expected from you because of drinking?
6. How often during the last year have you been unable to remember what happened the night before because you had been drinking?
7. How often during the last year have you needed an alcoholic drink first thing in the morning to get yourself going after a night of heavy drinking?
8. How often during the last year have you had a feeling of guilt or remorse after drinking?
9. Have you or someone else been injured as a result of your drinking?
10. Has a relative, friend, doctor, or another health professional expressed concern about your drinking or suggested you cut down?

Items of ‘FAST Test’

1. How often do you have eight or more drinks on one occasion?
2. How often during the last year have you been unable to remember what happened the night before because you had been drinking?
3. How often during the last year have you failed to do what was normally expected of you because of your drinking?
4. Has a relative or friend, a doctor or other health worker been concerned about your drinking or suggested you cut down?

Items of ‘TWEAK Test’

1. How many drinks does it take to make you feel high?
2. Have close friends or relatives worried or complained about your drinking in the past year?
3. Do you sometimes take a drink in the morning when you first get up?
4. Has a friend or family member ever told you about things you said or did while you were drinking that you could not remember?
5. Do you sometimes feel the need to cut down on your drinking?

References

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