Screening for substance abuse among adolescents validity of the CAGE-AID in youth mental healtch care

C. Couwenbergh; R. van der Gaag; M. Koeter; C. de Ruiter; W. van den Brink

doi:10.1080/10826080802484264

Screening for substance abuse among adolescents validity of the CAGE-AID in youth mental healtch care

C. Couwenbergh^*, R. van der Gaag, M. Koeter, C. de Ruiter, W. van den Brink

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

25 Citations (Web of Science)

Abstract

Objective: To examine the diagnostic accuracy of the four-item self-report and parent-report versions of the CAGE-AID as a screen for substance-use disorders (SUD) among adolescents in mental health care. Method: Patients were 190 Dutch treatment-seeking adolescents (12-18 years old, mean age 15.5 years, 53% boys) and their parents who completed the CAGE-AID questionnaire during intake. DSM-IV clinical diagnoses were used as gold standard in receiver operating characteristic analyses to determine psychometric properties. Results: Psychometric properties for both the self-report and the parent-report versions showed the CAGE-AID's excellent diagnostic accuracy in predicting SUD. Conclusions: The CAGE-AID seems to be a brief and valid instrument for detecting SUD among adolescents in mental health care. However, denial may play a role in both the CAGE-AID and the clinical interviews. More research is needed to further establish the CAGE-AID's usefulness in other settings. The study's limitations have been noted.

Original language	English
Pages (from-to)	823-834
Journal	Substance Use & Misuse
Volume	44
DOIs	https://doi.org/10.1080/10826080802484264
Publication status	Published - 1 Jan 2009

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10.1080/10826080802484264

Cite this

@article{604153fb355b4fd4b77918e1cfea1be1,

title = "Screening for substance abuse among adolescents validity of the CAGE-AID in youth mental healtch care",

abstract = "Objective: To examine the diagnostic accuracy of the four-item self-report and parent-report versions of the CAGE-AID as a screen for substance-use disorders (SUD) among adolescents in mental health care. Method: Patients were 190 Dutch treatment-seeking adolescents (12-18 years old, mean age 15.5 years, 53% boys) and their parents who completed the CAGE-AID questionnaire during intake. DSM-IV clinical diagnoses were used as gold standard in receiver operating characteristic analyses to determine psychometric properties. Results: Psychometric properties for both the self-report and the parent-report versions showed the CAGE-AID's excellent diagnostic accuracy in predicting SUD. Conclusions: The CAGE-AID seems to be a brief and valid instrument for detecting SUD among adolescents in mental health care. However, denial may play a role in both the CAGE-AID and the clinical interviews. More research is needed to further establish the CAGE-AID's usefulness in other settings. The study's limitations have been noted.",

author = "C. Couwenbergh and {van der Gaag}, R. and M. Koeter and {de Ruiter}, C. and {van den Brink}, W.",

year = "2009",

month = jan,

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doi = "10.1080/10826080802484264",

language = "English",

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pages = "823--834",

journal = "Substance Use & Misuse",

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T1 - Screening for substance abuse among adolescents validity of the CAGE-AID in youth mental healtch care

AU - Couwenbergh, C.

AU - van der Gaag, R.

AU - Koeter, M.

AU - de Ruiter, C.

AU - van den Brink, W.

PY - 2009/1/1

Y1 - 2009/1/1

N2 - Objective: To examine the diagnostic accuracy of the four-item self-report and parent-report versions of the CAGE-AID as a screen for substance-use disorders (SUD) among adolescents in mental health care. Method: Patients were 190 Dutch treatment-seeking adolescents (12-18 years old, mean age 15.5 years, 53% boys) and their parents who completed the CAGE-AID questionnaire during intake. DSM-IV clinical diagnoses were used as gold standard in receiver operating characteristic analyses to determine psychometric properties. Results: Psychometric properties for both the self-report and the parent-report versions showed the CAGE-AID's excellent diagnostic accuracy in predicting SUD. Conclusions: The CAGE-AID seems to be a brief and valid instrument for detecting SUD among adolescents in mental health care. However, denial may play a role in both the CAGE-AID and the clinical interviews. More research is needed to further establish the CAGE-AID's usefulness in other settings. The study's limitations have been noted.

AB - Objective: To examine the diagnostic accuracy of the four-item self-report and parent-report versions of the CAGE-AID as a screen for substance-use disorders (SUD) among adolescents in mental health care. Method: Patients were 190 Dutch treatment-seeking adolescents (12-18 years old, mean age 15.5 years, 53% boys) and their parents who completed the CAGE-AID questionnaire during intake. DSM-IV clinical diagnoses were used as gold standard in receiver operating characteristic analyses to determine psychometric properties. Results: Psychometric properties for both the self-report and the parent-report versions showed the CAGE-AID's excellent diagnostic accuracy in predicting SUD. Conclusions: The CAGE-AID seems to be a brief and valid instrument for detecting SUD among adolescents in mental health care. However, denial may play a role in both the CAGE-AID and the clinical interviews. More research is needed to further establish the CAGE-AID's usefulness in other settings. The study's limitations have been noted.

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