Systematic Evaluation of Psychometric Characteristics of the Michigan Alcoholism Screening Test 13-Item Short (SMAST) and 10-Item Brief (BMAST) Versions (original) (raw)
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Systematic Review of the Michigan Alcoholism Screening Test
Journal of Counseling & Development, 2018
The Michigan Alcoholism Screening Test (MAST; Selzer, 1971) is a commonly used self-report screening instrument designed to identify symptoms of problematic drinking and alcoholism (Shields, Howell, Potter, & Weiss, 2007). Peterson, Lomas, Neukrug, and Bonner (2014) reported that the MAST was the 41st most frequently used assessment instrument by professional counselors, and Neukrug, Peterson, Bonner, and Lomas (2013) reported that the MAST was the 52nd most frequently taught instrument in counselor education programs. Although there are seven brief and alternative versions of the MAST, the purpose of this systematic review is to identify published studies that explored the psychometric properties of the full-length, original MAST and to aggregate the results to better understand the overall psychometric characteristics of this instrument. The original MAST has been extensively researched and used in more than 25 countries and in a variety of populations and settings (Shields et al., 2007). Selzer (1971) developed the MAST as a quick screening tool for alcoholism and unhealthy alcohol-related behavior. The MAST uses a paper-and-pencil format and is available for free in the public domain at http://www.integration. samhsa.gov/clinical-practice/sbirt/Mast.pdf. It is a criterionreferenced instrument and uses cutoff scores for classification and interpretation. The 25 yes/no questions of the original MAST inquire about a person's past and current alcohol use and effects. The instrument can be scored and interpreted
Validation of the Revised Self-Administered Alcohol Screening Test (SAAST-R)
American Journal on Addictions, 2006
This study examined the sensitivity and specificity of the revised Self-Administered Alcohol Screening Test (SAAST-R) 1 among adult outpatients evaluated at community addictions and psychiatry and psychology clinics. A total of 417 adults (mean AE SD age of 41.4 AE 15.0 years, 52% female, 91% Caucasian) completed the 36-item SAAST-R prior to their evaluation. Based on the clinician's documentation of the patient's alcohol use, two criterion groups were established: one composed of subjects classified as having no alcohol problems (n ¼ 214), and one with alcohol problems (n ¼ 203). The SAAST-R was found to have high internal consistency reliability (Cronbach's alpha ¼ 0.96), sensitivity (90%), and specificity (82%) for differentiating outpatients with and without alcohol problems, respectively, using a cut point of ! 4 to indicate risk for alcohol-related problems. The SAAST-R was found to have good sensitivity and specificity among both males and females. (Am J Addict
Contrasting Self-Report Screens for Alcohol Problems: A Review
Alcoholism: Clinical and Experimental Research, 1995
Current trends in conceptions of alcohol problems and provision of health care put increased emphasis on identifying individuals whose alcohol use and problems cover a range of severity. The purpose of this study is to begin to provide information on the relative utility of self-report measures designed to identify (screen for) individuals with alcohol problems. To achieve this goal, the empirical literature on contrasts of self-report screening measures was reviewed, and 13 relevant studies across diverse settings and subject populations were identified. The review showed that the CAGE, the Michigan Alcoholism Screening Test (MAST), and the short MAST (MAST) have been the most widely studied self-report instruments to screen for alcohol problems. Direct comparisons show the MAST to be more sensitive than the CAGE, but with elderly patients the CAGE may perform better than the MAST. Furthermore, available data suggest that the CAGE and the sMAST perform comparably. Finally, the CAGE, MAST, and M A S T all perform best when predicting criteria most similar to those the instruments were designed to reflect. The study concludes with a discussion of priorities for research on screening instruments.
Objetivo: Evaluar la consistencia interna de la versión traducida y adaptada para Brasil del instrumento Michigan Alcoholism Screening Test-Geriatric Version (MAST-G) ─ Prueba de detección del alcoholismo de Michigan-Versión Geriátrica. Método: Estudio descriptivo de corte transversal. Los datos fueron recogidos mediante un cuestionario con informaciones sociodemográficas, CIE-10 y MAST-G, siguiendo las etapas de traducción y adaptación transcultural. Fueron entrevistados a 111 ancianos de la ciudad de São Carlos, SP, Brasil. Resultados: El promedio de edad de los entrevistados fue de 70 años, siendo el 45% varones y el 55% mujeres, con escolaridad media de tres años; el 92% vivían con la familia; el 48% de los sujetos consumían bebidas alcohólicas. El MAST-G presentó buen índice de fiabilidad, con Alfa de Cronbach α = 0,7873 y buenos índices de especificidad y sensibilidad, con nota de corte de cinco respuestas positivas. Conclusión: La versión brasileña del MAST-G ha presentado valores de consistencia interna similares a los de la versión original en inglés, mostrándose adecuada para su empleo en el marco nacional. dEScRiPToRES Anciano Trastornos relacionados com alcohol Estudios de validación RESUMo Objetivo: Avaliar a consistência interna da versão traduzida e adaptada para o Brasil do instrumento Michigan Alcoholism Screening Test-Geriatric Version (MAST-G). Método: Estudo descritivo de corte transversal. Os dados foram coletados por meio de um questionário com informações sociodemográficas, o CID-10 e o MAST-G, seguindo as etapas de tradução e adaptação transcultural. Foram entrevistados 111 idosos do município de São Carlos, SP, Brasil. Resultados: A média de idade dos entrevistados foi de 70 anos, sendo 45% homens e 55% mulheres, com escolaridade média de três anos; 92% residiam com a família; 48% dos sujeitos consumiam bebida alcoólica. O MAST-G apresentou bom índice de confiabilidade, com Alfa de Cronbach α = 0,7873, e bons índices de especificidade e sensibilidade, com nota de corte de cinco respostas positivas. Conclusão: A versão brasileira do MAST-G apresentou valores de consistência interna semelhantes aos da versão original em inglês, mostrando-se adequada para uso no contexto nacional. dEScRiToRES Idoso Transtornos relacionados ao uso de álcool Estudos de validação AbSTRAcT Objective: To evaluate the internal consistency of the version of the Michigan Alcoholism Screening Test-Geriatric Version (MAST-G) instrument, translated and adapted for Brazil. Method: This was a descriptive, cross-sectional study. Data were collected through a demographic questionnaire, the ICD-10 and the MAST-G, following the steps of translation and cultural adaptation. One hundred eleven elderly in the city of São Carlos, SP, Brazil were interviewed. Results: The mean age of those interviewed was 70 years, with 45% men and 55% women, with the mean education of three years; 92% resided with family; 48% of the subjects consumed alcoholic beverages. The MAST-G presented a good level of reliability, with Cronbach's α = 0.7873, and good levels of sensitivity and specificity with a cutoff score of five positive responses. Conclusion: The Brazilian version of the MAST-G presented internal consistency values similar to the original English version, showing it to be adequate for use in the national context. dEScRiPToRS Aged Alcohol-related disorders Validation studies
Relative performance of the mast, vast, and cage versus DSM-III-R criteria for alcohol dependence
Journal of Clinical Epidemiology, 1993
number of instruments have heen developed to screen for alcoholism. With the advent of DSM-III and lay administered psychiatric diagnostic instruments, a test of the performance of these screens relative to diagnostic instruments is critical. In this paper, we document the relative effectiveness in a general medical clinic of the Michigan Alcoholism Screening Test (MAST), the Veterans Alcoholism Screening Test (VAST), and the CAGE questions in comparison to the DSM-III-R criteria for alcohol dependence as measured in the Composite International Diagnostic Interview (CIDI). All of the screens performed at acceptable levels, but the MAST and VAST tended to have higher performance characteristics. At the recommended cut points, they had higher sensitivity for lifetime alcohol dependence (VAST 95.1%, MAST 90.2%, CAGE 78.0%) as well as higher specificity (VAST 80.3%, MAST 81.7%, CAGE 76.1%). For present alcohol dependence only, at the recommended cut points the MAST and CAGE had sensitivity of 100% but specificity of 62.0 and 61.0% respectively. The VAST had sensitivity of 83.3% and specificity of 89.0%. We conclude that all three perform well relative to DSM-III-R criteria. Alcoholism Alcohol dependence Screening MAST VAST CAGE
The Psychometric Properties of the Simple Screening Instrument for Substance Abuse
Evaluation & the Health Professions, 2013
The Simple Screening Instrument for Substance Abuse (SSI-SA) is gaining widespread use as a self-report measure of substance abuse; yet, little information exists regarding the instrument's psychometric properties. This study examined the SSI's psychometric properties within a population of 6,664 adult Medicaid enrollees in Florida, who responded to a survey conducted as part of a statewide evaluation of Medicaid services. The SSI-SA had excellent internal consistency (.85). Evidence of the SSI's validity was strong; SSI-SA scores distinguished among individuals with and without
Michigan Assessment-Screening Test for Alcohol and Drugs (MAST/AD): Evaluation in a Clinical Sample
American Journal on Addictions, 2004
In this study, we sought to evaluate a modification of the Michigan Alcohol Screening Test designed to include problems associated with other drug abuse=dependence besides alcohol. Scores of the lifetime Michigan Assessment-Screening Test=Alcohol-Drug (MAST=AD) were compared to other lifetime measures of substance abuse and dependence and to psychiatric scales reflecting current or recent symptoms. Two university medical centers with alcohol-drug programs located within departments of psychiatry hosted 520 patients with alcohol-drug-related diagnoses. Patients completed their own MAST=AD using a paper-and-pencil format. Based on interviews with the patient, a research associate rated the patients' substance-related problems on the Minnesota Substance Abuse Problem Scale (M-SAPS) and obtained information on lifetime treatment for substance abuse. An addictions psychiatrist determined abuse or dependence and made a current diagnosis of alcohol abuse=dependence only, drug abuse=dependence only, and alcohol plus drug abuse=dependence. The MAST=AD was highly correlated with the M-SAPS and several other measures of substance abuse morbidity. Patients with alcohol-only and drug-only diagnoses did not differ from one another on the MAST=AD, although both groups had lower scores than those with alcohol plus drug diagnoses. Current psychosocial morbidity as assessed by the patient and the psychiatrist was associated with the MAST=AD, although less strongly than with lifetime substance abuse measures. The lifetime MAST=AD demonstrates reliability as a severity measure for alcohol and=or or drug abuse. With minor modification, this standard measure can be