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What is considered the "gold standard" for alcohol use screening instruments?

ACET (Alcohol Consumption Evaluation Tool)

AUDIT (Alcohol Use Disorders ID Test)

The Alcohol Use Disorders Identification Test (AUDIT) is widely regarded as the "gold standard" for screening instruments related to alcohol consumption. This is due to its comprehensive nature and validation in various populations to accurately detect alcohol use disorders and risky drinking behaviors.

AUDIT was specifically created by the World Health Organization (WHO) to effectively identify individuals at risk for alcohol-related issues, including dependence and harmful use. Its design allows for identification based on various drinking patterns, providing a nuanced understanding of an individual's alcohol consumption. The instrument includes questions that cover alcohol consumption, dependence symptoms, and alcohol-related problems, enabling a thorough assessment of both current use and potential consequences of drinking.

The reliability and validity of the AUDIT—backed by extensive research and cross-cultural applicability—make it a preferred choice among healthcare providers and researchers. Its widespread use in clinical and community settings further establishes its standing as a benchmark for assessing alcohol use.

The other screening instruments, while useful in their own contexts, do not have the same level of comprehensive validation or focus on the spectrum of alcohol-related harms as the AUDIT.

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ASSIST (Alcohol, Smoking and Substance Involvement Screening Test)

MAST (Michigan Alcohol Screening Test)

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