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Self-Administered Alcoholism Screening Test (SAAST) and Self-Administered Alcoholism Screening Test Revised (SAAST-R)

Brief Description:
• SAAST-R: Vickers-Douglas et al., (2005)
• Original SAAST was developed by Swenson and Morse in 1975 and was created for use with adult medical patients. It derived from the Michigan Alcoholism Screening Test (MAST).
• SAAST-R was developed to fix the downfalls of the SAAST: indicating recency of alcohol use (current and lifetime), correcting verb tense for lifetime use and fixing out of date language, Including diagnostic criteria and distinguishing participants recovering from alcoholism from those just developing alcoholism

Versions:
• English
• Computer
• mSASST (modified version)

Type of Measure:
• Self-completed
• Yes/No (Except for two items)
• SAAST-R: 31 items
• SAAST: 35 items

Target Population:
• Adult

Scoring:
• Summed total
• Total score can range from 0 to 34 (on the SAAST-R and 0-35 on the SAAST)

Psychometrics:
Source Reference: Vickers-Douglas et al. (2005): 2 sets of participants: 60 recovering alcoholics and 95 anxiolytic study participants; Used the SAAST-R.
• Reliability: Spearman correlation coefficient for SAAST and SAAST-R scores across participants was 0.89; Cronbach’s alpha for SAAST was 0.94 and for the SAAST-R was 0.97; Item-total correlations ranged from -0.09 to 0.87 for the SAAST-R
• SAAST showed a two factor solution (Factor one: symptoms of dependence, psychosocial consequences of drinking; Factor two: severe withdrawal symptoms and hospitalization or treatment for alcohol problems)
• SAAST-R showed a two factor solution (Factor one: symptoms of consequences of misuse; Factor two: severe withdrawal symptoms and drinking in response to these symptoms)

Smith & Pristach (1990): 21 schizophrenic patients admitted to a acute care psychiatric unit; Used the SAAST.
• Every patient with a 8 or higher SAAST score also met dependence or abuse criteria for the DSM-III-R.
• Six of the SAAST items were highly predictive of abuse or alcoholism

Utility for Prevalence Surveys:
• Fair (lengthy, untested)

Research Applicability:
• Fair

Copyright, Cost, and Source Issues:
• Public domain: free to use with proper acknowledgments

Source References:
Vicers-Douglas, K. S., Patten, C. A., Decker, P. A., Offord, K. P., Colligan, R. C., Islam-Zwart, K. A., Wolter, T. D., Croghan, I. T., Hall-Flavin, D., & Hurt, R. D. (2005). Revision of the self-administered alcoholism screening test (SAAST-R): A pilot study. Substance Use and Misuse, 40, 789-812.

Supporting References:
Smith, C. M., & Pristach, C. A. (1990). Utility of the self-administered alcoholism screening test (SAAST) in schizophrenic patients. Alcoholism: Clinical and Experimental Research, 14(5), 690-694.

Strengths:
• Designed to improve performance of the MAST
• Assesses both current drinking status and lifetime experience

Weaknesses:
• SAAST does not differentiate between current alcohol abuse and past alcohol abuse
• Lengthy
• Limited psychometric data – not widely used