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      Is Open Access

      Validity and reliability of the Turkish version of CRAFFT Substance Abuse Screening Test among adolescents

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          Abstract

          Aim

          This study aimed to validate the CRAFFT diagnostic test, against the Diagnostic and Statistical Manual of Mental Disorders – Fourth Edition, Axis 1-based diagnostic inventory in a Turkish population of adolescents.

          Method

          The 124 adolescents who were 15–18 years old were enrolled to this study. CRAFFT was self-administered. Interviews took approximately 30 minutes, including the DSM-IV diagnostic interview for alcohol/drug dependence.

          Results

          The mean age of subjects was 16.653 years (minimum: 15 years, maximum: 18 years). A score of 2 or higher in part B was found to be optimal for detecting youths with substance dependence problems (sensitivity: 0.82; specificity: 0.88) and it was sufficiently discriminative.

          Conclusion

          The CRAFFT is a valid and reliable instrument for identifying Turkish-speaking youths at risk for substance use disorders.

          Most cited references14

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          The 12-month prevalence and trends in DSM-IV alcohol abuse and dependence: United States, 1991-1992 and 2001-2002.

          Alcohol abuse and dependence can be disabling disorders, but accurate information is lacking on the prevalence of current DSM-IV alcohol abuse and dependence and how this has changed over the past decade. The purpose of this study was to present nationally representative data on the prevalence of 12-month DSM-IV alcohol abuse and dependence in 2001-2002 and, for the first time, to examine trends in alcohol abuse and dependence between 1991-1992 and 2001-2002. Prevalences and trends of alcohol abuse and dependence in the United States were derived from face-to-face interviews in the National Institute on Alcohol Abuse and Alcoholism's (NIAAA) 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC: n = 43, 093 ) and NIAAA's 1991-1992 National Longitudinal Alcohol Epidemiologic Survey (NLAES: n= 42, 862 ). Prevalences of DSM-IV alcohol abuse and dependence in 2001-2002 were 4.65 and 3.81%. Abuse and dependence were more common among males and among younger respondents. The prevalence of abuse was greater among Whites than among Blacks, Asians, and Hispanics. The prevalence of dependence was higher in Whites, Native Americans, and Hispanics than Asians. Between 1991-1992 and 2001-2002, abuse increased while dependence declined. Increases in alcohol abuse were observed among males, females, and young Black and Hispanic minorities, while the rates of dependence rose among males, young Black females and Asian males. This study underscores the need to continue monitoring prevalence and trends and to design culturally sensitive prevention and intervention programs.
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            Likelihood of developing an alcohol and cannabis use disorder during youth: association with recent use and age.

            We extend the literature on the association of early onset of drug use and estimated risk for developing a substance use disorder (SUD) by investigating the risk that recent onset of alcohol and cannabis use confers for developing a substance use disorder at each chronological age of adolescence and young adulthood (12-21-years-old). Using 2003 data from the National Survey on Drug Use and Health [Substance Abuse Mental Health Service Administration (SAMHSA), 2004. Overview of Findings from the 2003 National Survey on Drug Use and Health. Office of Applied Studies, NSDUH Series H-24, DHHS Publication No. SMA-04-3963, Rockville, MD], we computed separate risk indices for developing an alcohol and cannabis use disorder for recent (prior 2 years) alcohol and cannabis users, respectively, at each age from 12 to 21 years of age, and compared estimated risk to recent onsets users among respondents aged 22-26. The results indicated that the teenage years were strongly linked to an elevated risk status. The odds ratio (OR) of having a prior year alcohol use disorder (AUD) among recent onset alcohol users was significantly elevated for youth at ages 14, 16, 17 and 18 (range of ORs=2.0-2.1) compared to the estimated risk for AUD among recent onset users aged 22-26. For cannabis, we obtained significantly elevated ORs for a cannabis use disorder (CUD) at each of teenage years (ages 12-18; range of ORs=3.9-7.2), when compared to older recent onset users (aged 22-26). These data provide further epidemiological support that adolescence is a particularly vulnerable period for developing a SUD.
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              Results from the 2008 National Survey on drug use and health: National Findings

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                Author and article information

                Journal
                Neuropsychiatr Dis Treat
                Neuropsychiatr Dis Treat
                Neuropsychiatric Disease and Treatment
                Neuropsychiatric Disease and Treatment
                Dove Medical Press
                1176-6328
                1178-2021
                2015
                22 June 2015
                : 11
                : 1505-1509
                Affiliations
                [1 ]Department of Child and Adolescent Psychiatry, School of Medicine, Harran University, Sanliurfa, Turkey
                [2 ]Department of Psychiatry, School of Medicine, Celal Bayar University, Manisa, Turkey
                [3 ]Balıklı Rum Hospital, Istanbul, Turkey
                [4 ]Department of Psychiatry and Behavioral Sciences, University of Texas Health Science Center, Houston, Texas, USA
                [5 ]Department of Psychiatry, Balikligol State Hospital, Sanliurfa, Turkey
                [6 ]Department of Psychiatry, School of Medicine, Harran University, Sanliurfa, Turkey
                Author notes
                Correspondence: Hasan Kandemir, Department of Child and Adolescent Psychiatry, Harran University, School of Medicine, Yenisehir, Sanliurfa 63100, Turkey, Tel +90 414 318 3000, Fax +90 414 318 3190, Email kandemirhsn@ 123456yahoo.com
                Article
                ndt-11-1505
                10.2147/NDT.S82232
                4484694
                619132c6-15b5-4017-9eaf-9ac272a36203
                © 2015 Kandemir et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License

                The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.

                History
                Categories
                Original Research

                Neurology
                crafft,substance abuse,validity,turkish,adolescent
                Neurology
                crafft, substance abuse, validity, turkish, adolescent

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