Psychometric properties of brief screening tests for alcohol use disorders during pregnancy in Argentina

Autores
López, Mariana Beatríz; Lichtenberger, Aldana; Conde, Karina Natalia; Cremonte, Mariana
Año de publicación
2017
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Considering physical, mental and behavioral problems related to fetal alcohol exposure, prenatal clinical guides suggest brief evaluation of alcohol consumption during pregnancy to detect alcohol intake and to adjust interventions, if required. Even if any alcohol use should be considered risky during pregnancy, identify women with alcohol use disorders is important because they could need a more specific intervention than a simple advice to abstain. Most of screening tests have been developed and validated in male populations and focused on long term consequences of heavy alcohol use, so that they might be inappropriate to assess consumption in pregnant women. Objective: To analyze the internal reliability and validity of the alcohol screening instruments AUDIT, AUDIT-C, TWEAK, RAPS-QF and T-ACE to identify alcohol use disorders in pregnant women. Methods: 641 puerperal women were personally interviewed during the 48hs after delivery. ROC curves, sensitivity and specificity of each instrument using different cut off points were analysed. Results: All instruments showed areas under the ROC curves above .80. Larger areas were found for the TWEAK and the AUDIT. The TWEAK, the T-ACE and the AUDIT-C showed higher sensitivity, while the AUDIT and the RAPS-QF showed higher specificity. Reliability (internal consistency) was low for all instruments, improving when optimal cut off points were used, especially for the AUDIT, the AUDIT-C and the RAPS-QF. Conclusions: In other cultural contexts, studies have concluded that T-ACE and TWEAK are the best instruments to assess pregnant women. In contrast, our results evidenced low reliability of those instruments and a better performance of the AUDIT in this population.
Considerando os problemas físicos, mentais e comportamentais relacionados à exposição fetal ao álcool, as orientações clínicas pré-natais sugerem uma breve avaliação do consumo de álcool durante a gravidez para detectar o consumo de álcool e ajustar as intervenções, se necessário. Ainda que qualquer uso de álcool deva ser considerado arriscado durante a gravidez, identificar as mulheres com transtornos de uso de álcool é importante, porque elas podem precisar de uma intervenção mais específica do que um simples conselho para se abster. A maioria dos testes de triagem tem sido desenvolvidos e validados em populações masculinas, e estão focados nas consequências em longo prazo do uso excessivo de álcool, de modo que eles podem ser inadequados para avaliar o consumo em mulheres grávidas.
Fil: López, Mariana Beatríz. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Saavedra 15. Centro Interdisciplinario de Investigaciones en Psicología Matemática y Experimental Dr. Horacio J. A. Rimoldi; Argentina
Fil: Lichtenberger, Aldana. Universidad Nacional de Mar del Plata. Facultad de Psicología. Instituto de Psicología Basica, Aplicada y Tecnología. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Psicología Basica, Aplicada y Tecnología; Argentina
Fil: Conde, Karina Natalia. Universidad Nacional de Mar del Plata. Facultad de Psicología. Instituto de Psicología Basica, Aplicada y Tecnología. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Psicología Basica, Aplicada y Tecnología; Argentina
Fil: Cremonte, Mariana. Universidad Nacional de Mar del Plata. Facultad de Psicología. Instituto de Psicología Basica, Aplicada y Tecnología. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Psicología Basica, Aplicada y Tecnología; Argentina
Materia
ALCOHOLIC BEVERAGES
SCREENING
PREGNANCY
WOMEN
ARGENTINA
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/68507
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/68507
network_acronym_str CONICETDig
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network_name_str CONICET Digital (CONICET)
spelling Psychometric properties of brief screening tests for alcohol use disorders during pregnancy in ArgentinaPropriedades psicométricas de instrumentos de triagem de consumo de álcool durante gestação na ArgentinaLópez, Mariana BeatrízLichtenberger, AldanaConde, Karina NataliaCremonte, MarianaALCOHOLIC BEVERAGESSCREENINGPREGNANCYWOMENARGENTINAhttps://purl.org/becyt/ford/5.1https://purl.org/becyt/ford/5Considering physical, mental and behavioral problems related to fetal alcohol exposure, prenatal clinical guides suggest brief evaluation of alcohol consumption during pregnancy to detect alcohol intake and to adjust interventions, if required. Even if any alcohol use should be considered risky during pregnancy, identify women with alcohol use disorders is important because they could need a more specific intervention than a simple advice to abstain. Most of screening tests have been developed and validated in male populations and focused on long term consequences of heavy alcohol use, so that they might be inappropriate to assess consumption in pregnant women. Objective: To analyze the internal reliability and validity of the alcohol screening instruments AUDIT, AUDIT-C, TWEAK, RAPS-QF and T-ACE to identify alcohol use disorders in pregnant women. Methods: 641 puerperal women were personally interviewed during the 48hs after delivery. ROC curves, sensitivity and specificity of each instrument using different cut off points were analysed. Results: All instruments showed areas under the ROC curves above .80. Larger areas were found for the TWEAK and the AUDIT. The TWEAK, the T-ACE and the AUDIT-C showed higher sensitivity, while the AUDIT and the RAPS-QF showed higher specificity. Reliability (internal consistency) was low for all instruments, improving when optimal cut off points were used, especially for the AUDIT, the AUDIT-C and the RAPS-QF. Conclusions: In other cultural contexts, studies have concluded that T-ACE and TWEAK are the best instruments to assess pregnant women. In contrast, our results evidenced low reliability of those instruments and a better performance of the AUDIT in this population.Considerando os problemas físicos, mentais e comportamentais relacionados à exposição fetal ao álcool, as orientações clínicas pré-natais sugerem uma breve avaliação do consumo de álcool durante a gravidez para detectar o consumo de álcool e ajustar as intervenções, se necessário. Ainda que qualquer uso de álcool deva ser considerado arriscado durante a gravidez, identificar as mulheres com transtornos de uso de álcool é importante, porque elas podem precisar de uma intervenção mais específica do que um simples conselho para se abster. A maioria dos testes de triagem tem sido desenvolvidos e validados em populações masculinas, e estão focados nas consequências em longo prazo do uso excessivo de álcool, de modo que eles podem ser inadequados para avaliar o consumo em mulheres grávidas.Fil: López, Mariana Beatríz. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Saavedra 15. Centro Interdisciplinario de Investigaciones en Psicología Matemática y Experimental Dr. Horacio J. A. Rimoldi; ArgentinaFil: Lichtenberger, Aldana. Universidad Nacional de Mar del Plata. Facultad de Psicología. Instituto de Psicología Basica, Aplicada y Tecnología. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Psicología Basica, Aplicada y Tecnología; ArgentinaFil: Conde, Karina Natalia. Universidad Nacional de Mar del Plata. Facultad de Psicología. Instituto de Psicología Basica, Aplicada y Tecnología. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Psicología Basica, Aplicada y Tecnología; ArgentinaFil: Cremonte, Mariana. Universidad Nacional de Mar del Plata. Facultad de Psicología. Instituto de Psicología Basica, Aplicada y Tecnología. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Psicología Basica, Aplicada y Tecnología; ArgentinaThieme Medical Publishers2017-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/68507López, Mariana Beatríz; Lichtenberger, Aldana; Conde, Karina Natalia; Cremonte, Mariana; Psychometric properties of brief screening tests for alcohol use disorders during pregnancy in Argentina; Thieme Medical Publishers; Revista Brasileira de Ginecologia e Obstetrícia; 39; 7; 7-2017; 322-3290100-7203CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0037-1603744info:eu-repo/semantics/altIdentifier/doi/10.1055/s-0037-1603744info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-nd/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T10:31:41Zoai:ri.conicet.gov.ar:11336/68507instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 10:31:41.81CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Psychometric properties of brief screening tests for alcohol use disorders during pregnancy in Argentina
Propriedades psicométricas de instrumentos de triagem de consumo de álcool durante gestação na Argentina
title Psychometric properties of brief screening tests for alcohol use disorders during pregnancy in Argentina
spellingShingle Psychometric properties of brief screening tests for alcohol use disorders during pregnancy in Argentina
López, Mariana Beatríz
ALCOHOLIC BEVERAGES
SCREENING
PREGNANCY
WOMEN
ARGENTINA
title_short Psychometric properties of brief screening tests for alcohol use disorders during pregnancy in Argentina
title_full Psychometric properties of brief screening tests for alcohol use disorders during pregnancy in Argentina
title_fullStr Psychometric properties of brief screening tests for alcohol use disorders during pregnancy in Argentina
title_full_unstemmed Psychometric properties of brief screening tests for alcohol use disorders during pregnancy in Argentina
title_sort Psychometric properties of brief screening tests for alcohol use disorders during pregnancy in Argentina
dc.creator.none.fl_str_mv López, Mariana Beatríz
Lichtenberger, Aldana
Conde, Karina Natalia
Cremonte, Mariana
author López, Mariana Beatríz
author_facet López, Mariana Beatríz
Lichtenberger, Aldana
Conde, Karina Natalia
Cremonte, Mariana
author_role author
author2 Lichtenberger, Aldana
Conde, Karina Natalia
Cremonte, Mariana
author2_role author
author
author
dc.subject.none.fl_str_mv ALCOHOLIC BEVERAGES
SCREENING
PREGNANCY
WOMEN
ARGENTINA
topic ALCOHOLIC BEVERAGES
SCREENING
PREGNANCY
WOMEN
ARGENTINA
purl_subject.fl_str_mv https://purl.org/becyt/ford/5.1
https://purl.org/becyt/ford/5
dc.description.none.fl_txt_mv Considering physical, mental and behavioral problems related to fetal alcohol exposure, prenatal clinical guides suggest brief evaluation of alcohol consumption during pregnancy to detect alcohol intake and to adjust interventions, if required. Even if any alcohol use should be considered risky during pregnancy, identify women with alcohol use disorders is important because they could need a more specific intervention than a simple advice to abstain. Most of screening tests have been developed and validated in male populations and focused on long term consequences of heavy alcohol use, so that they might be inappropriate to assess consumption in pregnant women. Objective: To analyze the internal reliability and validity of the alcohol screening instruments AUDIT, AUDIT-C, TWEAK, RAPS-QF and T-ACE to identify alcohol use disorders in pregnant women. Methods: 641 puerperal women were personally interviewed during the 48hs after delivery. ROC curves, sensitivity and specificity of each instrument using different cut off points were analysed. Results: All instruments showed areas under the ROC curves above .80. Larger areas were found for the TWEAK and the AUDIT. The TWEAK, the T-ACE and the AUDIT-C showed higher sensitivity, while the AUDIT and the RAPS-QF showed higher specificity. Reliability (internal consistency) was low for all instruments, improving when optimal cut off points were used, especially for the AUDIT, the AUDIT-C and the RAPS-QF. Conclusions: In other cultural contexts, studies have concluded that T-ACE and TWEAK are the best instruments to assess pregnant women. In contrast, our results evidenced low reliability of those instruments and a better performance of the AUDIT in this population.
Considerando os problemas físicos, mentais e comportamentais relacionados à exposição fetal ao álcool, as orientações clínicas pré-natais sugerem uma breve avaliação do consumo de álcool durante a gravidez para detectar o consumo de álcool e ajustar as intervenções, se necessário. Ainda que qualquer uso de álcool deva ser considerado arriscado durante a gravidez, identificar as mulheres com transtornos de uso de álcool é importante, porque elas podem precisar de uma intervenção mais específica do que um simples conselho para se abster. A maioria dos testes de triagem tem sido desenvolvidos e validados em populações masculinas, e estão focados nas consequências em longo prazo do uso excessivo de álcool, de modo que eles podem ser inadequados para avaliar o consumo em mulheres grávidas.
Fil: López, Mariana Beatríz. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Saavedra 15. Centro Interdisciplinario de Investigaciones en Psicología Matemática y Experimental Dr. Horacio J. A. Rimoldi; Argentina
Fil: Lichtenberger, Aldana. Universidad Nacional de Mar del Plata. Facultad de Psicología. Instituto de Psicología Basica, Aplicada y Tecnología. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Psicología Basica, Aplicada y Tecnología; Argentina
Fil: Conde, Karina Natalia. Universidad Nacional de Mar del Plata. Facultad de Psicología. Instituto de Psicología Basica, Aplicada y Tecnología. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Psicología Basica, Aplicada y Tecnología; Argentina
Fil: Cremonte, Mariana. Universidad Nacional de Mar del Plata. Facultad de Psicología. Instituto de Psicología Basica, Aplicada y Tecnología. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mar del Plata. Instituto de Psicología Basica, Aplicada y Tecnología; Argentina
description Considering physical, mental and behavioral problems related to fetal alcohol exposure, prenatal clinical guides suggest brief evaluation of alcohol consumption during pregnancy to detect alcohol intake and to adjust interventions, if required. Even if any alcohol use should be considered risky during pregnancy, identify women with alcohol use disorders is important because they could need a more specific intervention than a simple advice to abstain. Most of screening tests have been developed and validated in male populations and focused on long term consequences of heavy alcohol use, so that they might be inappropriate to assess consumption in pregnant women. Objective: To analyze the internal reliability and validity of the alcohol screening instruments AUDIT, AUDIT-C, TWEAK, RAPS-QF and T-ACE to identify alcohol use disorders in pregnant women. Methods: 641 puerperal women were personally interviewed during the 48hs after delivery. ROC curves, sensitivity and specificity of each instrument using different cut off points were analysed. Results: All instruments showed areas under the ROC curves above .80. Larger areas were found for the TWEAK and the AUDIT. The TWEAK, the T-ACE and the AUDIT-C showed higher sensitivity, while the AUDIT and the RAPS-QF showed higher specificity. Reliability (internal consistency) was low for all instruments, improving when optimal cut off points were used, especially for the AUDIT, the AUDIT-C and the RAPS-QF. Conclusions: In other cultural contexts, studies have concluded that T-ACE and TWEAK are the best instruments to assess pregnant women. In contrast, our results evidenced low reliability of those instruments and a better performance of the AUDIT in this population.
publishDate 2017
dc.date.none.fl_str_mv 2017-07
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/68507
López, Mariana Beatríz; Lichtenberger, Aldana; Conde, Karina Natalia; Cremonte, Mariana; Psychometric properties of brief screening tests for alcohol use disorders during pregnancy in Argentina; Thieme Medical Publishers; Revista Brasileira de Ginecologia e Obstetrícia; 39; 7; 7-2017; 322-329
0100-7203
CONICET Digital
CONICET
url http://hdl.handle.net/11336/68507
identifier_str_mv López, Mariana Beatríz; Lichtenberger, Aldana; Conde, Karina Natalia; Cremonte, Mariana; Psychometric properties of brief screening tests for alcohol use disorders during pregnancy in Argentina; Thieme Medical Publishers; Revista Brasileira de Ginecologia e Obstetrícia; 39; 7; 7-2017; 322-329
0100-7203
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
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info:eu-repo/semantics/altIdentifier/doi/10.1055/s-0037-1603744
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-nd/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Thieme Medical Publishers
publisher.none.fl_str_mv Thieme Medical Publishers
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.070432

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