Validity of the CAGE questionnaire for screening alcohol-dependent inpatients on hospital wards

Castells, M.; Furlanetto, Letícia Maria

doi:10.1590/s1516-44462005000100012

Cited by 47 publications

(43 citation statements)

References 13 publications

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“…8,14,15,20,21 However, it should be borne in mind that the CAGE questionnaire might have been preferable to the AUDIT, as suggested in a validation study of the former, involving medical patients at another general hospital in Brazil. 22 The prevalence rates of depression reported among patients at general hospitals in Brazil-ranging from 26% 3 to 59.1% 23 vary more than do those of AUD and nicotine dependence in the same setting. These discrepancies among studies are Although standard psychiatric interviews are reliable and efficient, they require considerable time and are not readily accessible as standard practice in non-psychiatric settings.…”

Section: Discussionmentioning

confidence: 98%

Depression, alcohol use disorders and nicotine dependence among patients at a general hospital

Botega¹,

Mitsuushi²,

Azevedo³

et al. 2010

Rev. Bras. Psiquiatr.

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Objective: To determine prevalence rates and identify patient characteristics associated with depression, alcohol use disorders and nicotine dependence among individuals admitted to a general teaching hospital. Method: Using the Hospital Anxiety and Depression Scale and Alcohol Use Disorder Identification Test, we assessed 4,352 consecutive medical and surgical patients admitted over a 13-month period. The patients were also asked to report their daily cigarette smoking habits during the last month. Multiple logistic regression analyses were performed, and odds ratios (ORs) were calculated. Results: The mean age of the sample was 49.3 years, and 56.6% were male. Prevalence rates of depression, alcohol use disorders and nicotine dependence were, respectively, 14%, 9.8% and 16.9%. In the multivariate analysis, depression was associated with previous suicide attempts (OR = 8.7), lower level of education (OR = 3.6), prior use of psychotropic medications (OR = 3.1), cancer (OR = 1.7) and pain (OR = 1.7). Alcohol use disorders were associated with male sex (OR = 6.3), smoking (OR = 3.5), admission for an external cause of injury, such as a traffic accident (OR = 2.4), and previous suicide attempts (OR = 2.3). Nicotine dependence was associated with alcohol use disorders (OR = 3.4), young adulthood (OR = 2.3), widowhood (OR = 2.2) and previous suicide attempts (OR = 1.8). Conclusion: This is the largest sample of medical and surgical patients ever surveyed with standardized screening instruments in a general hospital in Brazil. The high prevalence rates of psychiatric disorders and the profiles of the patients evaluated in this study underscore the need to develop methods that are more effective for detecting and managing such disorders. Hospital admission should be considered a major opportunity for the detection of psychiatric disorders and the subsequent implementation of the appropriate specific treatment strategies. Descriptors

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Section: Discussionmentioning

confidence: 98%

Depression, alcohol use disorders and nicotine dependence among patients at a general hospital

Botega¹,

Mitsuushi²,

Azevedo³

et al. 2010

Rev. Bras. Psiquiatr.

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“…8,26 The CAGE questionnaire 9,10 was included in the block of questions about lifestyle to detect alcohol abuse.…”

Section: Methodsmentioning

confidence: 99%

“…10 To achieve greater specifi city (lower number of false positives), the cut-off point of two or more positive responses was used. 9 The JCQ measures aspects associated with the social and psychological structure and it can be applied to different types of work, 3,5,7 including as a form to relate work to certain ways individuals become ill. 4 A version that has been translated to Portuguese and recently validated was used. 6 The aspects of work situations identifi ed by the JCQ are: decision latitude, psychological demand, physical demand and social support.…”

Section: Methodsmentioning

confidence: 99%

Fatores psicossociais do trabalho e transtornos mentais comuns em eletricitários

Souza¹,

Carvalho²,

Araújo³

et al. 2010

Rev. Saúde Pública

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OBJECTIVE:To identify psychosocial aspects of work associated with common mental disorders in workers who maintain electrical transmission lines and equipment. METHODS:A cross-sectional study was performed with 158 workers in the maintenance sector of an electric power company, in Northeastern Brazil. The main independent variable were the psychosocial aspects of work, measured according to the demand-control model (passive job, active job, low-strain job, and high-strain job), while the dependent variable was the prevalence of common mental disorders, measured by the Self-Reporting Questionnaire (SRQ-20). The relationships between variables were analyzed in multiple logistic regression models, considering a 5% signifi cance level. RESULTS:The prevalence of common mental disorders was 20.3%, varying according to the four categories of the demand-control model. The high-strain job group showed a prevalence that was 2.7 times higher than that of the lowstrain job group, after adjustment for the "physical activity practice", "leisure", "level of education" and "social support" covariables. CONCLUSIONS:The prevalence of common mental disorders was associated with psychosocial aspects present in the work of electricians, especially high-strain jobs, in addition to high psychological demand and low social support.

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“…La literatura apoya el uso de instrumentos de cribado para aumentar la detección temprana de TUA (Barnaby, Drummond, McCloud, Burns, y Omu, 2003;Fiellin, Reid, y O'Connor, 2000). El cuestionario CAGE es breve, sencillo de aplicar, y ampliamente usado como instrumento de cribado para detectar TUA en la población general (Baltieri y de Andrade, 2008;Curran, Gawley, Casey, Gill, y Crumlish, 2009) así como en muestras clínicas (Berks y McCormick, 2008;Fiellin et al, 2000;Lejoyeux et al, 2012;Mitchell, Bird, Rizzo, Hussain, y Meader, 2014) y psiquiátricas (Castells y Furlanetto, 2005;Derks, Vink, Willemsen, van den Brink, y Boomsma, 2014;Etter y Etter, 2004;Kim, Shin, Kim, y Lee, 2016;Lejoyeux et al, 2014;Malet, Schwan, Boussiron, Aublet-Cuvelier, y Llorca, 2005;Oe et al, 2016;Tang et al, 2016). También se ha utilizado para valorar pacientes geriátricos (Draper et al, 2015;León-Muñoz et al, 2015) y en estudios de género (de Oliveira, Kerr-Correa, Lima, Bertolote, y Santos, 2014).…”

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“…Ha sido validado en varios idiomas, incluyendo castellano (Rodríguez-Martos, 1986). Para que la entrevista resulte menos intimidatoria para el paciente, también se diseñaron cuestionarios modificados o "camuflados" derivados del CAGE original (Castells y Furlanetto, 2005), aplicados en las poblaciones general y clínica españolas (Córdoba et al, 1998;Escobar, Espí, y Canteras, 1995;González García et al, 1997;Rodrí-guez-Martos, 1986;Rodríguez Fernández, Gómez Moraga, y García Rodríguez, 1997). No obstante, hasta la fecha, escasean estudios con poblaciones psiquiátricas españolas.…”

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Cribaje de trastornos por uso de alcohol en pacientes psiquiátricos ambulatorios: influencia de género, edad, y diagnóstico psiquiátrico

et al. 2017

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Validity of the CAGE questionnaire for screening alcohol-dependent inpatients on hospital wards

Cited by 47 publications

References 13 publications

Depression, alcohol use disorders and nicotine dependence among patients at a general hospital

Depression, alcohol use disorders and nicotine dependence among patients at a general hospital

Fatores psicossociais do trabalho e transtornos mentais comuns em eletricitários

Cribaje de trastornos por uso de alcohol en pacientes psiquiátricos ambulatorios: influencia de género, edad, y diagnóstico psiquiátrico

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