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January 1987, Vol 141, No. 1 >
Article | January 1987

Screening for Risk Factors for Adolescent Alcohol and Drug Use FREE

Michael Klitzner, PhD; Richard H. Schwartz, MD; Paul Gruenewald, PhD; Margaret Blasinsky
[+] Author Affiliations

Accepted for publication Oct 8, 1986.

Reprint requests to Pacific Institute for Research and Evaluation, 7101 Wisconsin Ave, Suite 805, Bethesda, MD 20814 (Dr Klitzner).


Am J Dis Child. 1987;141(1):45-49. doi:10.1001/archpedi.1987.04460010045021.
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• While alcohol and drug abuse are widely prevalent among adolescents, screening for drug and alcohol use, abuse,abuse, and risk factors is not a routine practice in primary care pediatrics. This article presents data from a pilot investigation of an instrument for in-office screening of alcohol and drug use and abuse problems. abuse 42-item questionnaire was administered to two patient populations: (1) 97 youths from a drug abuseabuse treatment program and (2) 206 youths from a private pediatric practice. The questionnaire successfully discriminated between the two samples and appears capable of discriminating drug andnd alcohol risk within the samples. This research suggests that a simple paperand-pencil questionnaire can successfully discriminate the degree of risk of substance abuse in adolescent patient Populations and that such an instrument can be successfully integrated into the routine activities of pediatric practice.

(AJDC 1987;141:45-49)

REFERENCES

1 +
Frankenburg WK, Dodds JB:  The Denver Developmental Screening Test . J Pediatr 1967;;71: 181-191.
2 +
Beck AT: Depression: Causes and Treatment . Philadelphia, University of Pennsylvania Press, 1967;.
3 +
Schwartz RH, Hayden GF, Getson PR, et al:  Drinking patterns and social consequences: A study of middle-class adolescents in two private pediatric practices . Pediatrics 1986;;77: 139-143.
4 +
Silber Capon M, Kuperschmit I:  Administration of the Michigan Alcoholism Screening Test (MAST) at a student health service . J Am Coll Health 1985;;33:229-233.
5 +
Brown RC, Sanders JM, Schonberg SK:  Driving safety and adolescent behavior . Pediatrics 1986;;77:603-607.
6 +
Wilford B: Drug Abuse: A Guide for the Primary Care Physician . Chicago, American Medical Association, 1981;.
7 +
Dupont R: Getting Touch on Gateway Drugs . Washington, DC, American Psychiatric Press, 1984;.
8 +
Macdonald DI: Drugs, Drinking, and Adolescents . Chicago, Year Book Medical Publishers Inc, 1984;.
9 +
Cohen S, Gallant DM: Diagnosis of Drug and Alcohol Abuse , US Dept of Health and Human Services publication ADM 84-1347, Medical Monograph Series, vol 1, No. (6) . Rockville, Md, National Institute on Drug Abuse, 1981;.
10 +
Smart RG, Jarvis GK:  Do self-report studies of drug use really give dependable results? Can J Criminol 1981;;23:83-92.
11 +
Needle R, McCubbin H, Lorence J, et al:  Reliability and validity of adolescent self-reported drug use in a family-based study: A methodological report . Int J Addict 1983;;18:901-912.
12 +
Mayer J, Filstead WJ:  The adolescent alcohol involvement scale: An instrument for measuring adolescents' use and misuse of alcohol . J Stud Alcohol 1979;;40:291-300.
13 +
Hennecke L, Gitlow SE:  Alcohol use and alcoholism in adolescence . NY State J Med 1983;;83:936-940.
14 +
Ewing JA:  Detecting alcoholism: The CAGE questionnaire . JAMA 1984;;252:1905-1907.
15 +
Pilat JM, Jones JW: Identification of children of alcoholics: Two empirical studies, in Health and Research World . Rockville, Md, National Institute on Alcohol Abuse and Alcoholism, 1984-1985;, vol 9, No. (2) , pp 27-33.
16 +
Anastasi A: Psychological Testing , ed 5. New York, Macmillan Publishing Co Inc, 1982;.
17 +
Johnston LD, Bachman JG, O'Malley PM: Student Drug Use, Attitudes, and Beliefs: National Trends 1975-198[ill], US Dept of Health and Human Services publication ADM 83-1260 . Md, National Institute on Drug Abuse, 1984;.
18 +
Lord FM: Applications of Item Response Theory to Practical Testing Problems . NJ, Lawrence Erlbaum Associates Inc Publishers, 1980;.
19 +
Malvin JH, Moskowitz JM:  Anonymous versus identifiable self-reports of adolescent drug attitudes, intentions, and use . Public Opinion Q 1983;;47:557-566.
20 +
Howard G, Daily P:  Response shift bias: A source of contamination of self-report measures . J Appl Psychol 1979;;64:144-150.
21 +
Howard G:  Response bias shifts: A problem in evaluating interventions with pre/post selfreports . Evaluation Rev 1980;;4:93-106.
22 +
Blum RH: Horatio Alger's Children . San Francisco, Jossey-Bass Inc Publishers, 1972;.
23 +
Bradburn NM, Sudman S: Improving Interview Methods and Questionnaire Design . San Francisco, Jossey-Bass Inc Publishers, 1979;.
24 +
Goldstein K:  Note: A comparison of selfand peer-reports of smoking and drinking behavior . Psychol Rep 1966;;18:702.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

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References

1 +
Frankenburg WK, Dodds JB:  The Denver Developmental Screening Test . J Pediatr 1967;;71: 181-191.
2 +
Beck AT: Depression: Causes and Treatment . Philadelphia, University of Pennsylvania Press, 1967;.
3 +
Schwartz RH, Hayden GF, Getson PR, et al:  Drinking patterns and social consequences: A study of middle-class adolescents in two private pediatric practices . Pediatrics 1986;;77: 139-143.
4 +
Silber Capon M, Kuperschmit I:  Administration of the Michigan Alcoholism Screening Test (MAST) at a student health service . J Am Coll Health 1985;;33:229-233.
5 +
Brown RC, Sanders JM, Schonberg SK:  Driving safety and adolescent behavior . Pediatrics 1986;;77:603-607.
6 +
Wilford B: Drug Abuse: A Guide for the Primary Care Physician . Chicago, American Medical Association, 1981;.
7 +
Dupont R: Getting Touch on Gateway Drugs . Washington, DC, American Psychiatric Press, 1984;.
8 +
Macdonald DI: Drugs, Drinking, and Adolescents . Chicago, Year Book Medical Publishers Inc, 1984;.
9 +
Cohen S, Gallant DM: Diagnosis of Drug and Alcohol Abuse , US Dept of Health and Human Services publication ADM 84-1347, Medical Monograph Series, vol 1, No. (6) . Rockville, Md, National Institute on Drug Abuse, 1981;.
10 +
Smart RG, Jarvis GK:  Do self-report studies of drug use really give dependable results? Can J Criminol 1981;;23:83-92.
11 +
Needle R, McCubbin H, Lorence J, et al:  Reliability and validity of adolescent self-reported drug use in a family-based study: A methodological report . Int J Addict 1983;;18:901-912.
12 +
Mayer J, Filstead WJ:  The adolescent alcohol involvement scale: An instrument for measuring adolescents' use and misuse of alcohol . J Stud Alcohol 1979;;40:291-300.
13 +
Hennecke L, Gitlow SE:  Alcohol use and alcoholism in adolescence . NY State J Med 1983;;83:936-940.
14 +
Ewing JA:  Detecting alcoholism: The CAGE questionnaire . JAMA 1984;;252:1905-1907.
15 +
Pilat JM, Jones JW: Identification of children of alcoholics: Two empirical studies, in Health and Research World . Rockville, Md, National Institute on Alcohol Abuse and Alcoholism, 1984-1985;, vol 9, No. (2) , pp 27-33.
16 +
Anastasi A: Psychological Testing , ed 5. New York, Macmillan Publishing Co Inc, 1982;.
17 +
Johnston LD, Bachman JG, O'Malley PM: Student Drug Use, Attitudes, and Beliefs: National Trends 1975-198[ill], US Dept of Health and Human Services publication ADM 83-1260 . Md, National Institute on Drug Abuse, 1984;.
18 +
Lord FM: Applications of Item Response Theory to Practical Testing Problems . NJ, Lawrence Erlbaum Associates Inc Publishers, 1980;.
19 +
Malvin JH, Moskowitz JM:  Anonymous versus identifiable self-reports of adolescent drug attitudes, intentions, and use . Public Opinion Q 1983;;47:557-566.
20 +
Howard G, Daily P:  Response shift bias: A source of contamination of self-report measures . J Appl Psychol 1979;;64:144-150.
21 +
Howard G:  Response bias shifts: A problem in evaluating interventions with pre/post selfreports . Evaluation Rev 1980;;4:93-106.
22 +
Blum RH: Horatio Alger's Children . San Francisco, Jossey-Bass Inc Publishers, 1972;.
23 +
Bradburn NM, Sudman S: Improving Interview Methods and Questionnaire Design . San Francisco, Jossey-Bass Inc Publishers, 1979;.
24 +
Goldstein K:  Note: A comparison of selfand peer-reports of smoking and drinking behavior . Psychol Rep 1966;;18:702.

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