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Alcohol and Alcoholism Vol. 35, No. 6, pp. 625-627, 2000
© 2000 Medical Council on Alcoholism

A MEASURE OF THE INTENSITY OF RESPONSE TO ALCOHOL TO SCREEN FOR ALCOHOL USE DISORDERS IN PRIMARY CARE

Jean-Bernard Daeppen*, Ulrika Landry, Alain Pécoud, Hedi Decrey and Bertrand Yersin

Department of Internal Medicine, Alcohol Unit, BH–10, CHUV–1011 Lausanne, Switzerland

Received 2 March 2000; first review notified 12 June 2000; accepted 8 July 2000

Alcohol-dependent subjects tend to report lower level of response to alcohol (LR) in the years before the disorder developed, compared to control subjects. The Self-Rating of the Effects of alcohol (SRE) score is a quick and valid retrospective estimate of LR. This study examined the associations between alcohol abuse or dependence and early experience of alcohol as measured on retrospective SRE score (relating to the first five times alcohol was imbibed), and the presence of alcohol abuse or dependence, in patients attending primary care. Higher Early SRE score (i.e. greater early tolerance of alcohol) was obtained in patients with an alcohol-related diagnosis than in patients without those diagnoses. Using a cut-off of 2 on the Early SRE score, the Early SRE score could discriminate between patients with and without an alcohol diagnosis with moderate to high sensitivity (84%) and modest specificity (57%).


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