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Convergence between the Penn Alcohol Craving Scale and diagnostic interview for the assessment of alcohol craving
Convergence between the Penn Alcohol Craving Scale and diagnostic interview for the assessment of alcohol craving
- Source :
- Addictive Behaviors Reports, Addictive Behaviors Reports, Vol 10, Iss, Pp-(2019)
- Publication Year :
- 2019
- Publisher :
- Elsevier BV, 2019.
-
Abstract
- Introduction The Penn Alcohol Craving Scale (PACS) is one of the most widely used instruments to measure craving for alcohol. Recent research has suggested that scores on the PACS can be used as a “stand in” for the diagnostic criterion of alcohol craving with a proposed cutoff of >20 on the PACS indicating a “positive” alcohol craving symptom. The present study examined the convergence between the PACS and face-to-face diagnostic interview for the assessment of alcohol craving. Method A sample of non-treatment seeking heavy drinkers (N = 338) enrolled in experimental studies of AUD completed the PACS as well as a face-to-face diagnostic interview for AUD, which included the craving item from the Semi-Structured Assessment for the Genetics of Alcoholism (SSAGA). Results Using the PACS cut-off score of >20, 12.9% (N = 43) of the sample met criteria for alcohol craving compared to 21% (N = 74) of the sample meeting criteria based on the diagnostic interview. Using the PACS cutoff of >20, sensitivity (i.e., true positive rate) was 41% and specificity (i.e., true negative rate) was 95%. Exploratory analyses suggested that a cut-off score of ≥15 achieved the optimal balance of sensitivity (67%) and specificity (81%) in our sample. Conclusions Advancing the assessment of alcohol craving and the conversion from DSM-IV to DSM-5 diagnostic criteria represents an important research direction. The present study recommends that a PACS score cut off of ≥15 should be used as an indicator of clinically significant alcohol craving in community samples of non-treatment seekers.<br />Highlights • The relationship between self-report and clinician-administered measures of alcohol craving is poorly understood. • Previous studies have used the PACS as a stand-in for diagnostic data, using a score of 20 as a cut off. • Using a PACS of >20, 12.9% of the sample would meet for craving; however, this cut off yielded poor sensitivity. • Exploratory analysis showed a cut off of >15 produced an acceptable balance of sensitivity and specificity in this sample.
- Subjects :
- lcsh:Social pathology. Social and public welfare. Criminology
Research paper
lcsh:BF1-990
Penn Alcohol Craving Scale
030508 substance abuse
Diagnostic interview
Craving
behavioral disciplines and activities
DSM-5
lcsh:HV1-9960
Substance Misuse
Alcohol Use and Health
03 medical and health sciences
Sensitivity
0302 clinical medicine
DSM-IV
mental disorders
medicine
Psychology
PACS
screening and diagnosis
business.industry
Alcohol craving
Brain Disorders
030227 psychiatry
Alcoholism
Detection
Psychiatry and Mental health
Important research
lcsh:Psychology
Good Health and Well Being
True negative
Specificity
medicine.symptom
Alcohol
0305 other medical science
business
True positive rate
psychological phenomena and processes
4.2 Evaluation of markers and technologies
Clinical psychology
Subjects
Details
- ISSN :
- 23528532
- Volume :
- 10
- Database :
- OpenAIRE
- Journal :
- Addictive Behaviors Reports
- Accession number :
- edsair.doi.dedup.....867e532e084885219e2614ffb4f54e0b
- Full Text :
- https://doi.org/10.1016/j.abrep.2019.100198