CAGE Alcohol Assessment Quiz

Do you think you might be addicted to alcohol? Do you think you could benefit from alcohol addiction treatment? This simple alcohol assessment test, referred to as the CAGE questionnaire (or CAGE alcohol test), can help you answer these questions. It offers a simple methodology for determining if you have an alcohol problem and can provide a quick indication for the need for a follow-up alcohol assessment. Online alcoholism assessments like the CAGE screening test have been used for decades by doctors and other licensed professionals to help reverse addiction.

Alcohol assessment

Addictions can be easy to identify. 

This self-assessment should not be considered as a final diagnosis, but can be your first step in determining whether your drinking habits are cause for concern. Please consult a medical professional if this self-screening indicates a likelihood for alcohol abuse or addiction.

1. Have you ever felt that you should cut down on your drinking?
2. Have people annoyed you by criticizing your drinking?
3. Have you ever felt bad or guilty about your drinking?
4. Have you ever had a drink first thing in the morning to calm your nerves or get rid of a hangover?

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History and Methodology of the CAGE Test

Developed in 1968, the CAGE substance abuse screening tool is a questionnaire that was created by Dr. John Ewing, founding director of the Bowles Center for Alcohol Studies at the University of North Carolina at Chapel Hill. It was developed at North Carolina Memorial Hospital to detect drinking behaviors. The name of the test is an acronym that pulls one letter from each of the four questions in the test. “C” is for “cut,” “A” is for “annoyed,” “G” is for “guilty,” and “E” is for “eye-opener.”

The CAGE assessment, which was based on the results of a 130-patient study, is one of the most popular alcohol addiction assessments designed to test for potential alcoholism. In the original study, the patients were randomly chosen to participate in an in-depth interview that included the four questions (the current CAGE questions). The questions were selected for the test after they were successful in identifying 16 alcoholics from the group.

CAGE Questionnaire Scoring

Each response to the four alcohol assessment questions is scored, either 0 or 1 point. Responses determine the percentage of the probability of alcoholism, ranging to 95 percent. Higher scores indicate a potential problem with alcohol. While a total score of 2 or higher is considered clinically significant, some clinicians, such as John Hopkins, believe a score of 1 is worth a further evaluation. According to JAMA: “A score of 2 to 3 indicates a high index of suspicion and a score of 4 is virtually diagnostic for alcoholism.”

The CAGE questionnaire score is only the first step in diagnosing alcoholism. Regardless of what the score is, it is NOT an official diagnosis, which can only be made by a licensed professional. If your CAGE score is 1 or higher, you may want to consider additional assessment options, which are listed below.

Clinical Significance of the CAGE Test

Although the CAGE online alcohol assessment is brief, its results have been shown to identify 9 out of 10 alcoholics, and 93 percent of individuals who drink in excess, according to this research study. The CAGE questions, which take less than a minute to answer, have been considered as a tool for screening high-risk groups, and may be used in self-assessment to identify the need for further follow up and assistance. Since its development in the 1960s, thousands of professionals in the alcohol addiction field have used the CAGE test questions as a means of treating men and women struggling with alcoholism.

The CAGE alcohol assessment is one of the most widely used, valid, confirmed and reliable alcohol assessment tools with high levels of sensitivity and specificity. When taking an alcohol assessment online, it’s important to be completely honest in your responses. This will help determine if further evaluation is needed.

Why the CAGE Test Works

Alcoholism is a disease, and it can be difficult for some people to accept. In many cases, it’s easier to digest the full diagnosis if it begins with something on a smaller scale, such as the results of an online quiz about alcohol. The CAGE alcohol screening includes only four questions because they have been proven to be sufficient in identifying an alcoholic more than 90 percent of the time. All four CAGE assessment questions are carefully crafted to address the most common characteristics associated with alcoholism. They encourage self-reflection from the person drinking, and provoke consideration of external factors, such as the reactions of loved ones on the outside looking in.

Oftentimes, someone may engage in excessive alcohol consumption to the point in which they are unable to see how grave their drinking has become, unless they are asked questions about it. The CAGE screening questionnaire essentially helps those struggling with alcohol to realize the extent of their drinking problem so they can get help before it’s too late.

Other Alcohol Self-Assessment Options

Additional resources to assist you in screening for alcohol use and related problems can be found on the National Institute of Health website. A number of other online alcohol addiction screening tools, similar to the CAGE assessment tool, are available to determine if you or a loved one has a potential problem. Both the Michigan Alcoholism Screening Test (MAST) and Alcohol Use Disorders Identification Test (AUDIT) offer a more in-depth screening and assessment. If your results point to potential alcoholism, your physician will also be able to provide you with a more in-depth determination of your personal situation.

References

O’Brien CP.“The CAGE Questionnaire for Detection of Alcoholism.“ Jama v. 17, no. 300 (2008):2054
Steinweg DL, Worth H.“Alcoholism: The keys to the CAGE.“ The American Journal of Medicine v. 94, no. 5 (1993):520–523
Bradley KA, Kivlahan DR, Bush KR, Mcdonell MB, Fihn SD.“Variations on the CAGE Alcohol Screening Questionnaire: Strengths and Limitations in VA General Medical Patients. Alcoholism: Clinical and Experimental Research Alcoholism“ Clin Exp Res v. 25, no. 10 (2001):1472–1478

CAGE Alcohol Assessment Quiz
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CAGE Alcohol Assessment Quiz was last modified: August 17th, 2017 by The Recovery Village