Multidimensional Structure of the Alcohol Use Disorders Identification Test: Factorial Validity and Reliability in Patients With Anxiety and Mood Disorders in Lithuania. (16th November 2020)

• Record Type: Journal Article
• Authors: Gecaite-Stonciene, Julija; Steibliene, Vesta; Fineberg, Naomi Anne; Podlipskyte, Aurelija; Bunevicius, Adomas; Liaugaudaite, Vilma; Juskiene, Alicja; Mickuviene, Narseta; Burkauskas, Julius
• Is Part Of: Alcohol and alcoholism. Volume 56:Number 1(2021)
• Page Start: 109
• Page End: 115
• Publication Date: 2020-11-16
• Subjects: Alcoholism -- Periodicals; 616.861005
• DOI: 10.1093/alcalc/agaa118
• Languages: English
• ISSNs: 0735-0414

Abstract

Abstract: Aims: The current study aimed to evaluate the factorial structure of the Lithuanian version of the Alcohol Use Disorders Identification Test (AUDIT) in patients with anxiety and mood disorders (AMD). Methods: The AUDIT was completed by 199 consecutive outpatients with AMD (21% men, mean age 39 ± 12 years), as defined by AMD criteria in DSM-5. The MINI International Neuropsychiatric Interview was used for current diagnosis of alcohol use disorder (AUD). Sociodemographic and clinical data were also collected. Results: In patients with AMD, the AUDIT showed high internal consistency (Cronbach's alpha = 0.88) and good psychometric characteristics for identifying current AUD at a cut-off value of ≥9 (positive predictive value = 83.7%, sensitivity = 94.7%, specificity = 95.7%). The confirmatory factor analysis suggested a three-factor ('consumption', 'dependence' and 'related consequences') structure and indicated adequate fit to the model (comparative fit index = 0.966, normed fit index = 0.936, root mean square error of approximation = 0.072). Conclusions: The findings are in line with increasing evidence suggesting that the AUDIT measures three separate factors related to alcohol misuse level of consumption, dependence and alcohol-related consequences and support the utility of AUDIT as a screening instrument for AUD in AMD patients in Lithuania. Abstract : Short Summary: The current study found that in patients with anxiety and mood disorders (AMD), The Alcohol Use Disorders Identification Test is a three-factorial instrument, covering the dimensions of 'consumption', 'dependence' and 'related consequences', and can be considered as a useful screening tool for alcohol use disorder in AMD patients.