Substance-Related and Addictive Disorders comprehensive nursing paper example
DSM: Alcohol Use Disorder
Instrument: The Alcohol Use Disorder Identification Test (The AUDIT)
Article: Diagnostic performance of the alcohol use disorders identification test (AUDIT) in detecting DSM-5 alcohol use disorders in the general population. (Substance-Related and Addictive Disorders comprehensive nursing paper example)
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Appropriateness for Dx: The AUDIT is an appropriate screening tool for individuals with alcohol use disorders (AUD). The AUDIT is widely used in various countries and different languages as a screening tool for potentially risky, harmful, or hazardous drinking patterns underlined by the DSM-V criteria (Moehring et al., 2019). Significantly, the AUDIT has shown high appropriateness as a screening tool for alcohol used dependence (Meneses-Gaya et al., 2009). In addition, this instrument is a self-administered test and is quick to complete (Moehring et al., 2019).(Substance-Related and Addictive Disorders comprehensive nursing paper example)
Response to Therapy/Treatment: The AUDIT has a more robust response to changes in alcohol use patterns in individuals. In this regard, the AUDIT is sensitive to alcohol-related problems and abuse (Moehring et al., 2019). Moreover, the AUDIT instrument is unique because it is used in primary care settings and other health care and community contexts (Meneses-Gaya, Zuardi, Loureiro, & Crippa, 2009).(Substance-Related and Addictive Disorders comprehensive nursing paper example)
Psychometrics: The AUDIT has strong psychometric properties. It is a 10-item questionnaire, which correlates with dangerous alcohol use. Of the ten items, three questions about frequency of alcohol consumption, the other three on alcohol dependency, while the last items have questions on existing alcohol abuse problems. Moreover, the AUDIT has high accuracy in all validity measurements and has high test-retest reliability, internal consistency, and reliability (Beard et al., 2018).(Substance-Related and Addictive Disorders comprehensive nursing paper example)
Limitations: The most significant limitation of the AUDIT tool is its inability to perform equally in different groups of people (Moehring et al., 2019; Baggio & Iglesias, 2020). Therefore, the AUDIT instrument’s procedure can prove challenging to use in population-based screening. In this sense, individual patient’s physiognomies and characteristics should be factored in when assessing them for AUD.(Substance-Related and Addictive Disorders comprehensive nursing paper example)
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References
Baggio, S., & Iglesias, K. (2020). On the limitations of the alcohol use disorders identification test (AUDIT). Drug and alcohol dependence, 206, 107662. 10.1016/j.drugalcdep.2019.107662
Beard, E., Brown, J., West, R., Drummond, C., Kaner, E., & Michie, S. (2019). Predictive validity, diagnostic accuracy, and test-retest reliability of the strength of urges to drink (SUTD) scale. International journal of environmental research and public health, 16(19), 3714. 10.3390/ijerph16193714 (Substance-Related and Addictive Disorders comprehensive nursing paper example)
Meneses-Gaya, C. D., Zuardi, A. W., Loureiro, S. R., & Crippa, J. A. S. (2009). Alcohol Use Disorders Identification Test (AUDIT): An updated systematic review of psychometric properties. Psychology & Neuroscience, 2(1), 83-97.(Substance-Related and Addictive Disorders comprehensive nursing paper example) http://dx.doi.org/10.3922/j.psns.2009.1.12
Moehring, A., Rumpf, H. J., Hapke, U., Bischof, G., John, U., & Meyer, C. (2019). Diagnostic performance of the alcohol use disorders identification test (AUDIT) in detecting DSM-5 alcohol use disorders in the general population. Drug and alcohol dependence, 204, 107530. (Substance-Related and Addictive Disorders comprehensive nursing paper example)https://doi.org/10.1016/j.drugalcdep.2019.06.032
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