Alcohol Abuse and Dependence in Latinos Living in the United States

Saitz, Richard; Lepore, Mark F.; Sullivan, Lisa M.; Amaro, Hortensia; Samet, Jeffrey H.

doi:10.1001/archinte.159.7.718

Cited by 77 publications

(54 citation statements)

References 70 publications

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“…The Patient Health Questionnaire depression scale (PHQ-9) was used because it provides both a dichotomous diagnosis of major depression as well as a continuous severity score [30] and measures a common concept of depression across racial and ethnic groups [31]. If patients met criteria for major depression (one of the 2 cardinal depression symptoms plus a PHQ-9 score of ≥ 10), an additional screening protocol was administered to exclude patients with severe mental illness (including schizophrenia or bipolar disorder), evidence of cognitive impairment or current suicidal ideation, a score of 8 or greater on the AUDIT alcohol assessment [32], recent use of lithium or antipsychotic medication and a self-reported Karnofsky Performance Status Scale score of 2 or less on a 10 point representing severe functional impairment in cancer patients [33].…”

Section: Methods Study Site Sample Recruitment and Randomizationmentioning

confidence: 99%

Improving treatment of depression among low-income patients with cancer: the design of the ADAPt-C study

Ell¹,

Quon²,

Quinn³

et al. 2007

General Hospital Psychiatry

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Objective-This paper describes the randomized clinical trial methodology for a population based study of oncology patients receiving cancer care in a public sector medical center. The primary goal is to test the effectiveness of socioculturally tailored collaborative care intervention in improving depression and quality of life outcomes among low-income ethnic minority patients with major depression and cancer.Methods-The PHQ-9 depression scale was used to identify patients meeting criteria for major depression (1 cardinal depression symptom + a PHQ-9 score of ≥ 10). Study eligible patients were ≥90 days from cancer diagnosis who were receiving acute cancer treatment or follow-up care in oncology clinics. Patients with advanced disease limiting life expectancy to <6 months, acutely suicidal or on antipsychotic medication were excluded. Allowing for attrition due to death or loss to follow-up, the study was powered at the 80% level to detect a 20% difference between study arms in the proportion of patients with ≥50% reduction in PHQ-9 symptoms at 12 months.Results-Of 2,330 patients screened, 23.2% met criteria. An 82.4% enrollment rate resulted in 447 primarily women being recruited and randomized to intervention or usual care. Conclusion-The study applies methods used in primary care depression trials with adaptations for oncology care clinics and for low-income minority patients.

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Section: Methods Study Site Sample Recruitment and Randomizationmentioning

confidence: 99%

Improving treatment of depression among low-income patients with cancer: the design of the ADAPt-C study

Ell¹,

Quon²,

Quinn³

et al. 2007

General Hospital Psychiatry

View full text Add to dashboard Cite

show abstract

“…Response options again used a declining graduated format with more frequent options introduced early (i.e., 1 ¼ ''everyday or nearly everyday'' to 8 ¼ ''did not drink 5 or more drinks on a single occasion in the past year''). Finally, the four item CAGE was used to screen for alcohol abuse and dependence as defined by the DSM-IV [Cherpitel, 1999;Saitz et al, 1999].…”

Section: Methodsmentioning

confidence: 99%

Alcohol use among immigrant Latino farmworkers in North Carolina

Grzywacz

Quandt

Isom

et al. 2007

American J Industrial Med

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There is substantial variation in alcohol use among Latino farmworkers. Although a substantial proportion of farmworkers abstain from alcohol, an equally substantial proportion report alcohol use that poses significant risk for injury on and off the job. More research is needed to document the potential threat to Latino farmworkers by their alcohol use. Interventions targeting alcohol are needed to minimize the risk of injury in an already dangerous occupation.

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“…Other studies have subsequently assessed the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of CAGE as a screening tool for alcohol abuse/dependence 2,25,[26][27][28][29][30][31][32][33] . Positive predictive value is important clinically, as it gives information about those who have disease among those who are screened.…”

Section: Validitymentioning

confidence: 99%

The CAGE Questionnaire for Alcohol Misuse: A Review of Reliability and Validity Studies

Dhalla

Kopeć

2007

CIM

396

253

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Purpose: To review the reliability and validity of the CAGE questionnaire across different patient populations and discuss its role in the detection of alcohol-related problems. Methods: The Cochrane Database for Systematic Reviews, Medline, Embase, and Psychinfo were searched. No systematic reviews were found on the Cochrane Database. Search of the other databases yielded one systematic review and one meta-analysis, on different aspects of CAGE. Three articles on reliability and 16 on validity of CAGE were found and used. Studies generally yielded Level II evidence. Results: CAGE has demonstrated high test-retest reliability (0.80-0.95), and adequate correlations (0.48-0.70) with other screening instruments. The questionnaire is a valid tool for detecting alcohol abuse and dependence in medical and surgical inpatients, ambulatory medical patients, and psychiatric inpatients (average sensitivity 0.71, specificity 0.90). Its performance in primary care patients has been varied, while it has not performed well in white women, prenatal women, and college students. Furthermore, it is not an appropriate screening test for less severe forms of drinking. Conclusions: CAGE is short, feasible to use, and easily applied in clinical practice. However, users should be aware of its limitations when interpreting the results. A positive screen should be followed by a proper diagnostic evaluation using standard clinical criteria.

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Alcohol Abuse and Dependence in Latinos Living in the United States

Cited by 77 publications

References 70 publications

Improving treatment of depression among low-income patients with cancer: the design of the ADAPt-C study

Improving treatment of depression among low-income patients with cancer: the design of the ADAPt-C study

Alcohol use among immigrant Latino farmworkers in North Carolina

The CAGE Questionnaire for Alcohol Misuse: A Review of Reliability and Validity Studies

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