Korean Journal of Family Medicine

Usefulness of Heavy Drinking and Binge Drinking for the Diagnosis of Alcohol Use Disorder: Seong Gu Kim, Jong Sung Kim, Han Ju Pack, Han Na Sung; Korean J Fam Med 2016;37(4):214-220. Published online July 21, 2016; DOI: https://doi.org/10.4082/kjfm.2016.37.4.214

Abstract
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Background

This research investigated the sensitivity and specificity of heavy and binge drinking for screening of alcohol use disorder.

Methods

This retrospective study was conducted with 976 adults who visited the Sun Health Screening Center for health screenings in 2015. Daily drinking amount, drinking frequency per week, and weekly drinking amount were investigated. Using criteria from the National Institute on Alcohol Abuse and Alcoholism, participants were classified as normal drinkers, heavy drinkers, or binge drinkers, and grouped by age and sex. The sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of heavy and binge drinking were compared for the diagnosis of alcohol abuse and alcohol dependence using the Diagnostic and Statistical Manual of Mental Disorders (DSM) 4th edition-text revision and alcohol use disorder using the DSM 5th edition.

Results

The sensitivity of heavy and binge drinking for the diagnosis of alcohol abuse, alcohol dependence, and alcohol use disorder were 51.7%, 43.8%, and 35.3%, and 69.0%, 62.5%, and 48.2%, respectively. The specificity of these were 90.1%, 91.7%, and 95.5%, and 84.3%, 86.8%, and 91.2%, respectively. The PPV of these were 24.8%, 40.5%, and 72.7%, and 21.7%, 38.0%, and 65.2%, respectively. The NPV of these were 96.7%, 92.6%, and 81.2%, and 97.8%, 94.7%, and 83.7%, respectively.

Conclusion

Heavy and binge drinking did not show enough diagnostic power to screen DSM alcohol use disorder although they did show high specificity and NPV.

Citations

Citations to this article as recorded by

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The Stress of Traditional Biggest Holidays among Korean Married Women.: Dong Su Kang, Jong Sung Kim, Sung Soo Kim, Jin Kyu Jung, Han Ju Pack, Suk Young Chung, Chul Sun Lim, Sang Wook Choi; Korean J Fam Med 2010;31(3):215-221. Published online March 20, 2010; DOI: https://doi.org/10.4082/kjfm.2010.31.3.215

Abstract
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Background
The Korean traditional national holidays commonly produce several physical symptoms related to stress. This study was performed to evaluate the degree of the stress from the married women during their Korean traditional biggest holidays. Methods: The subjects were 99 married women who had visited the Health Promotion Center at a university hospital. For evaluating the stress of the Korean traditional biggest holidays, subjects were allowed to write in subjective stress score based on the Social Readjustment Rating Scale. The factors associated with the stress were investigated. Results: The mean (± SD) score of the married women's stress of the Korean traditional biggest holidays was 38.7 (± 21.9). The score was widely distributed from the 0 to 100. The cases with hobbies to cope with stress showed significantly (P < 0.05) lower stress score than those without hobby. The stress score was inversely correlated with family APGAR score (r = -0.346, P < 0.01). In stepwise multiple regression model, the stress score was related to family APGAR score and hobby to cope with stress (overall R2 = 0.171, P < 0.001). Conclusion: The stress score of the Korean traditional biggest holidays was widely distributed from 0 to 100 in Korean married women. These results suggest that traditional biggest holidays act as a stressor for individual with a range of variable extent.

Citations

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Birthweight as a measure of holiday stress
Kitae Sohn
Women & Health.2018; 58(3): 347. CrossRef

3,194 View
58 Download
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Nicotine Dependence and Internal Response to Stress in Male Smokers.: Han Ju Pack, Jong Sung Kim, Kyoung Min Kim, Seong Min Kim, Dong Hoon Lee, Sung Soo Kim, Jin Gyu Jung; J Korean Acad Fam Med 2007;28(8):604-609. Published online August 10, 2007

Abstract
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Background
This study investigated the relationship between stress and nicotine dependence, dividing stress into external stress and internal response. Methods: The subjects were 263 male adults who had visited the General Health Promotion Center at Chungnam National University Hospital in Korea between April and June 2005. Nicotine dependence, external stress and internal response were measured by the Fagerstrom test for nicotine dependence, life change unit of the social readjustment rating scale and the brief encounter psychosocial instrument. Results: The mean (±SD) score of external stress in smokers (n=107) was 150.79 (±109.02), which was significantly (P<0.001) higher than 92.96 (±126.27) in non- smokers, and the mean (±SD) score of internal response in smokers was 10.30 (±3.16), which was also significantly (P<0.001) higher than 8.71 (±3.33) in non- smokers. The smokers' nicotine dependence showed positive correlation with the score of external stress (r=0.436, P<0.001) and the score of internal response (r=0.579, P<0.001). The stepwise multiple regression analysis showed that nicotine dependence was related to the score of internal response, the score of external stress, the duration of education, the age of first smoking (overall R²=0.433, P=0.040), and most closely to the score of internal response (partial R²=0.335, P<0.001). Conclusion: In order to develop an effective strategy for quitting smoking, the internal response to stress needs to be considered as one of evaluation items. (J Korean Acad Fam Med 2007;28:604-609)