Screening for alcohol use disorder among individuals with comorbid psychiatric disorders : diagnostic accuracy in a sample of young swiss men

Baggio, Stéphanie (Division of Prison Health, Geneva University Hospitals and University of Geneva, Chemin du Petit Bel Air 2, 1226 Thônex, Switzerland ; Department of Forensic Psychiatry, Institute of Forensic Medicine, University of Bern, Falkenplatz 16, 3012 Bern, Switzerland ; Office of Corrections, Zurich, Switzerland) ; Baudat, Sophie (Division of Prison Health, Geneva University Hospitals and University of Geneva, Chemin du Petit Bel Air 2, 1226 Thônex, Switzerland ; Family and Development Research Center, Institute of Psychology, University of Lausanne, Geopolis Building, 1015 Lausanne, Switzerland) ; Daeppen, Jean-Bernard (Addiction Medicine, Department of Psychiatry, Lausanne University Hospital, Rue du Bugnon 23, 1011 Lausanne, Switzerland) ; Gmel, Gerhard (Addiction Medicine, Department of Psychiatry, Lausanne University Hospital, Rue du Bugnon 23, 1011 Lausanne, Switzerland ; Addiction Switzerland, Avenue Louis-Ruchonnet 14, 1003 Lausanne, Switzerland ; Centre for Addiction and Mental Health, 1001 Queen Street West, Toronto, ON M6J 1H4, Canada ; University of the West of England, Coldharbour Ln, Stoke Gifford, Bristol BS16 1QY, UK) ; Heller, Patrick (Division of Prison Health, Geneva University Hospitals and University of Geneva, Chemin du Petit Bel Air 2, 1226 Thônex, Switzerland ; Adult Psychiatry Division, Department of Mental Health and Psychiatry, Geneva University Hospitals, Chemin du Petit Bel Air 2, 1226 Thônex, Switzerland) ; Perroud, Nader (Department of Mental Health and Psychiatry, Service of Psychiatric Specialties, University Hospitals of Geneva, Geneva, Switzerland ; Department of Psychiatry, University of Geneva, Geneva, Switzerland ; Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada) ; Rothen, Stéphane (Addiction Division, Geneva University Hospitals and University of Geneva, rue Grand-Pré 70C, 1202 Geneva, Switzerland) ; Sporkert, Frank (Centre of Legal Medicine, Forensic Toxicology and Chemistry Unit, Lausanne and Geneva Universities, Chemin de la Vulliette 4, 1000 Lausanne, Switzerland) ; Studer, Joseph (Addiction Medicine, Department of Psychiatry, Lausanne University Hospital, Rue du Bugnon 23, 1011 Lausanne, Switzerland) ; Wolff, Hans (Division of Prison Health, Geneva University Hospitals and University of Geneva, Chemin du Petit Bel Air 2, 1226 Thônex, Switzerland) ; Iglesias, Katia (School of Health Sciences, HES-SO University of Applied Sciences and Arts of Western Switzerland, Route des Arsenaux 16a, 1700 Fribourg, Switzerland)

Alcohol use disorder (AUD) is frequently comorbid with other psychiatric disorders. However, few studies investigated the psychometric properties of AUD screening tools in presence of co-occurring disorders. This study examined the diagnostic accuracy of a short AUD screening tool among young adults, in the presence of high vs. low or moderate symptomatology of other common psychiatric disorders. Data were collected among young Swiss men (n = 233) between 2016 and 2018. Measures included a diagnostic interview for AUD and screening tools for AUD and other psychiatric disorders (attention deficit hyperactivity disorder, antisocial personality disorder, bipolar disorder, borderline personality disorder, major depressive disorder, and social anxiety disorder). We computed receiver operating characteristic curves to test whether the AUD screening tool was an accurate indicator of AUD for groups with high vs. low or moderate symptomatology of each psychiatric disorder. The results showed that the optimal cut-off score was ≥3 (the original cut-off of the scale) for participants with a low or moderate symptomatology and ≥4 for participants with a high symptomatology. Our findings highlighted the urgent need for an integrated approach to screening. Psychiatric comorbidities should be included in the screen for AUD to obtain accurate results.


Keywords:
Translated Title:
Addictive Behaviors
Article Type:
scientifique
Faculty:
Santé
School:
HEdS-FR
Institute:
Recherche appliquée et développement Santé HEDS-FR
Date:
2020-07
Pagination:
7 p.
Published in:
Addictive Behaviors
Numeration (vol. no.):
2020, vol. 106, 106354
DOI:
ISSN:
0306-4603
Appears in Collection:



 Record created 2021-01-21, last modified 2021-01-21

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