The CAGE questionnaire is still one of the most widely used tools for assessing alcohol dependency today.
However, it has limitations, and there are mixed opinions about its efficacy.
It will also discuss the importance of seeking a diagnosis from a healthcare professional rather than relying on self-diagnosis.
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Halfpoint Images / Getty Images
When Is the CAGE Assessment Used?
Healthcare providers use the CAGE questionnaire as an initial screening tool foralcohol use disorder.
It is used when alcohol problems are suspected or may be an issue.
The Importance of Not Self-Diagnosing
Note that tools cannot and should not be used to self-diagnose.
Instead, they can be used as a starting point along with the help of a qualified healthcare professional.
One reason to avoid self-diagnosis is that people have biases even when attempting to answer the questions subjectively.
This interferes with accuracy.
Questions on the CAGE Assessment
The CAGE questionnaire consists of four questions.
The total score is obtained by adding the four individual scores together to range from 0 to 4.
Scoring 2 or 3 means there is a high level of concern for alcohol use disorder.
Scoring a 4 means the person is likely to have an alcohol use disorder.
This assessment is called the CAGE-AID questionnaire.
The AUDIT-C asks about how much alcohol a person consumes, with scores of 0-4 available for each question.
The assessment is scored on a scale from 0-12.
Rather, it is a tool to determine who should have follow-up screenings with a healthcare provider.
Recently, the CAGE assessment has begun to fall out of favor with some healthcare professionals.
The elements may depend on the severity of the condition and how long it has been an issue.
For example, someone with a mild alcohol use disorder may experience a lot of benefit fromoutpatient services.
Treatments for alcohol-related challenges include medications and behavioral treatments.
Summary
The CAGE questionnaire is a screening tool used to assess possible issues with alcohol.
It is used as an initial assessment before any other questions about alcohol use are asked.
Other screening tools include AUDIT-C and the SASQ.
Alcohol and drug use disorders are treatable.
With support, these challenges can be managed.
If you have concerns about your own alcohol or drug use, see a healthcare provider for assessment.
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