Screening for Substance Abuse Among Adolescents Validity of the CAGE-AID in Youth Mental Health Care

Couwenbergh, Christianne; Gaag, Rutger Jan van der; Koeter, Maarten W. J.; Ruiter, Corine de; Brink, Wim van den

doi:10.1080/10826080802484264

Cited by 34 publications

(25 citation statements)

References 29 publications

(38 reference statements)

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“…With a lower threshold (cut-off 2) Family CAGE-AID was found to be highly sensitive and with higher threshold (cut-off 3) it was 100 per cent specific for the diagnosis of substance dependence. A study conducted in an adolescent mental health care centre has also demonstrated excellent diagnostic accuracy of CAGE-AID in predicting substance use disorders22. Our study has replicated similar findings in the adult population, extending the generalizability of the previous result.…”

Section: Discussionsupporting

confidence: 84%

“…In our sample, most of the individuals were brought to the de-addiction centre by their family members. This coincides with the usual trend and emphasizes the salience of the family members in the treatment of substance use22. The Family CAGE-AID questionnaire was correlated with the ICD-10 symptom score and with the traditional CAGE-AID questionnaire.…”

Section: Discussionsupporting

confidence: 81%

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Use of Family CAGE-AID questionnaire to screen the family members for diagnosis of substance dependence

et al. 2016

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Background & objectives:CAGE-AID questionnaire is a short, useful screening tool for substance dependence. Assessment of one family member for the screening of substance dependence in the family could be useful in clinical practice and research. In this study, we aimed to assess the validity of the Family CAGE-AID questionnaire for the diagnosis of substance dependence.Methods:Cross-sectional assessments using CAGE-AID and Family CAGE-AID questionnaires were conducted both for the study participants (n = 210) and their family members. The participants were recruited from two different treatment settings: a treatment seeking population from a de-addiction centre, and non-treatment seekers for substance use disorders from the psychiatry outpatient department. ICD-10 criteria and subsequent detailed clinical interview by a trained psychiatrist were used for the final diagnosis of substance dependence.Results:In the psychiatry outpatient group, the scores on CAGE-AID and Family CAGE-AID questionnaires were significantly correlated with the ICD-10 symptom score (r=0.81 and 0.70, respectively). In the same group, inter-rater agreement of the Family CAGE-AID was good with CAGE-AID and moderate with ICD-10 diagnosis of substance dependence (Cohen's kappa 0.78 and 0.61, respectively). A cut-off score of three on Family CAGE-AID was found to be 95·8 per cent sensitive and 100 per cent specific.Interpretation & conclusions:Family CAGE-AID questionnaire is a valid screening instrument for the diagnosis of substance dependence, with acceptable sensitivity and specificity of a cut-off score of three. The simplicity and the brevity of such an instrument can be valuable in the clinical settings of developing countries and also for epidemiological studies.

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Section: Discussionsupporting

confidence: 84%

Section: Discussionsupporting

confidence: 81%

Use of Family CAGE-AID questionnaire to screen the family members for diagnosis of substance dependence

et al. 2016

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“…The following response categories were available for marijuana use: 1 = none, 2 = 1-2 times, 3 = 3-9 times, 4 = 10-19 times, 5 = 20-39 times, and 6 = more than 40 times. Despite the fact that we are using more objective (e.g., laboratory-based information) or multiple-item substance use scales, there are definitely better choices for the diagnosis of substance abuse (Couwenbergh, Van Der Gaag, Koeter, De Ruiter, & Van den Brink, 2009;Zaldívar Basurto et al, 2009); we decided to use these small number of self-reported, face valid simple items because these questions have also been found to be appropriate in other community studies (Kann, 2001;Piko & Fitzpatrick, 2004). In addition, we also compared our data with previous results from nationally representative samples (HBSC Study for Hungary, 2009) and with another representative study of Szeged (Piko, Wills, & Walker, 2007).…”

Section: Methodsmentioning

confidence: 97%

“…In addition, we have used only self-reported data. However, as already mentioned in the Methods section earlier, self-reported measures were found to be appropriate for community studies while these are indeed less useful for a clinical diagnosis of substance abuse (Couwenbergh et al, 2009;Zaldívar Basurto et al, 2009). It should also be noted that these patterns were found in a sample of Hungarian adolescents of a specific region (using a representative sample of high school students in Szeged).…”

Section: Study's Limitationsmentioning

confidence: 93%

Religiosity as a Protective Factor Against Substance Use Among Hungarian High School Students

Kovács

Pikó

Fitzpatrick

2011

Substance Use & Misuse

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Gender differences in the relationship between religiosity and substance use (lifetime prevalence and current use) were examined among high school students in Szeged, Hungary (N = 881). Experimenting with and consuming tobacco and alcoholic beverages were characteristic in the sample to a great extent, whereas marijuana use was not as frequent. Logistic regression analyses were employed to test how variables of religiosity, that is, denominational affiliation, religiosity, and religious attendance, were related to substance use of youth by gender. Our findings confirmed the importance of the protective role of religious involvement, particularly among females.

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“…In congruence with this, Hollar and Moore clarified [22] that although substance abuse is a major problem among adolescents, studies rarely investigate the relationships between substance abuse educational achievement because of denial reasons. Hence, attempts were done to develop valid tools to diagnose substance abuse among adolescents Couwenbergh et al [23]. Meanwhile, some researchers suggested that substance abuse is an outcome rather than a cause of poor school performance [24; 25].…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting Scholastic Achievement Among School Children in a Slum Area

Sorour¹

2016

AJNS

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Slums areas present major social and health disadvantages to children, which may affect their school performance.The aim of this study was to determine the factors affecting scholastic achievement among adolescent children in a slum area. This cross-sectional study was carried out in an urban slum area (Manshiat Naser) in Cairo on a multistage stratified cluster sample of 200 preparatory school children residing in the area technique was used. The data collection tool was an interview questionnaire form covering socio-demographic characteristics, school achievement, and selected domains of the Global Risk Assessment Device (GRAD) scale. The fieldwork was from the beginning of October to the end of December 2015. The results showed that 18% of children had academic failure. Statistically significant relations were revealed between school achievement and school children's gender (p=0.001), age (p=0.03), grade (p=0.001), father education (p=0.02), mother age (p=0.19), residence (p=0.01), and income (p < 0.001). School achievement was also related to the educational (p < 0.001), accountability (p < 0.001), and health care (p < 0.001) factors of GRAD. In multivariate analysis, the risk factors predicting academic failure were a higher school grade, and higher scores of educational, accountability, and health care factors. In conclusion, the school performance of school children in slum area is most influenced by accountability, educational and health care factors, and higher school grade. Intervention studies are needed to investigate the effectiveness of school-based programs addressing these identified factors in improving school performance among these adolescents.

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Screening for Substance Abuse Among Adolescents Validity of the CAGE-AID in Youth Mental Health Care

Cited by 34 publications

References 29 publications

Use of Family CAGE-AID questionnaire to screen the family members for diagnosis of substance dependence

Use of Family CAGE-AID questionnaire to screen the family members for diagnosis of substance dependence

Religiosity as a Protective Factor Against Substance Use Among Hungarian High School Students

Factors Affecting Scholastic Achievement Among School Children in a Slum Area

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