FETAL ALCOHOL SPECTRUM DISORDERS florida resource guide

SECTION 6PreventionFig. 13 Comparison of Screening Instruments to Identify Women atRisk for Drinking During PregnancyINSTRUMENT FEATURES STRENGTHS CONCERNSCAGECut downAnnoyedGuiltyEye opener*T-ACETolerance-AnnoyedCut downEye opener*TWEAKTolerance WorryEye OpenerAmnesia Cut-downMASTMichiganAlcoholismScreening Test*AUDITAlcohol UseDisorderIdentification Test4 Questions. Not specificallydesigned for screeningpregnant women, has served asa source of items forquestionnaires designed toscreen for risk drinking duringpregnancy4 Questions. One questionregarding how many drinks tofeel high, and three questionsfrom the CAGE5 Questions. Combinesquestions from the MAST,CAGE, & T-ACE25 Questions. Not specificallydesigned for screeningpregnant women, has served asa source of items forquestionnaires designed toscreen for risk drinking duringpregnancy10 Questions. Combinesquestions about alcohol usedirectly and on consequencesof alcohol use*4 P’s 4 Questions. Questions aboutalcohol or drug use duringcurrent pregnancy, in her past,in her partner, and in herparentsModified 5P’s*TQDHTen-QuestionDrinking History5 Questions. Questions aboutalcohol or drug use during thispregnancy, in her parents, inher partner, in her past, in herprevious pregnancy *The 5 P’sis an adaptation of the 4 P’s.10 questionsFocuses on type and amountof alcohol consumed.Asses lifetime rather thancurrent alcohol relatedproblemsDeveloped for use in obstetricgynecologicalpractice. Moresensitive to risk drinking thanthe CAGEMore sensitive and less specificthan the T-ACE. Outperforms the MAST or CAGEIts purpose is the earlyidentification of harmfuldrinking rather than alcoholdisorders such as alcohol abuseYes or No formatEasy to administer and scoreQuestion about alcohol useduring previous pregnancymay help to diagnose FAS inwoman’s other child(ren). Onepredictor of a FAS is beingborn to a mother with a childwith FAS.Does not differentiate betweenbeer, wine and liquor whendetermining at-risk drinking.Does not identify heavydrinkers who have notexperienced alcohol relatedproblems. More effective inscreening men than womenDoes not identify heavydrinkers who have notexperienced alcohol relatedproblems.More effective in screeningmen than womenNot been evaluated inobstetric populations. Longerand more complicated to scorePotential lack of specificity andthe possibility that womenwould answer direct questionsabout alcohol before questionsabout problems with alcoholPotential lack of specificityand the possibility thatwomen would answer directquestions about alcohol beforequestions about problems withalcoholMore than 4 drinks per weekis considered risk drinkingBest for women not yetpregnant*Available at: www.ncemch.org/pubs/PDFs/SubAbuse.pdfAUDIT: Saunders, J., Aasland, O., Babor, T., DeLaFuente, J., & Grant, M., 1993; 4P’s: Ewing, H.; TACE: Sokol, R.,Martier, S., & Ager, J., 1989; TWEAK: Russel, M., 1994; TQDH: Weiner, L., Rossett, H., & Edelin, K., 1982FETAL ALCOHOL SPECTRUM DISORDERS florida resource guide 49