Assessment of the validity and clinical utility of AUDIT‐C versus RAPS‐4 alcohol screeners among active‐duty US Army soldiers

The AUDIT-C and RAPS-4 each capture unique but interrelated aspects of drinking behaviors. The RAPS-4 appears advantageous by including clinically oriented questions that have shown to strongly correlate with AUD risk, and in this study demonstrated strong correlations with risk for other mental health conditions. In contrast, the AUDIT-C is only limited to consumption-focused items. While the AUDIT-C is currently mandated primary alcohol screener in military settings, the stronger correlation of RAPS-4 with related behavioral health outcomes warrants further research and consideration as a preferable primary screener among SMs.

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Publication Details

Journal
Alcohol Clinical and Experimental Research
Published
2025-12-01
DOI
https://doi.org/10.1111/acer.70195
Primary Topic
Substance Abuse Treatment and Outcomes
Type
article
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article

Assessment of the validity and clinical utility of AUDIT‐C versus RAPS‐4 alcohol screeners among active‐duty US Army soldiers

Farifteh F. Duffy, Phillip J. Quartana, Joshua E. Wilk, Matthew R. Beymer et al.
Alcohol Clinical and Experimental Research
Substance Abuse Treatment and Outcomes
article

Assessment of the validity and clinical utility of AUDIT‐C versus RAPS‐4 alcohol screeners among active‐duty US Army soldiers

Farifteh F. Duffy, Phillip J. Quartana, Joshua E. Wilk, Matthew R. Beymer, Amy Millikan Bell, Stephanie A. Q. Gomez, Stephanie A Bricault, Kristiana D. Carrasquillo, Charles W. Hoge
article en

Abstract

The AUDIT-C and RAPS-4 each capture unique but interrelated aspects of drinking behaviors. The RAPS-4 appears advantageous by including clinically oriented questions that have shown to strongly correlate with AUD risk, and in this study demonstrated strong correlations with risk for other mental health conditions. In contrast, the AUDIT-C is only limited to consumption-focused items. While the AUDIT-C is currently mandated primary alcohol screener in military settings, the stronger correlation of RAPS-4 with related behavioral health outcomes warrants further research and consideration as a preferable primary screener among SMs.

Alcohol Clinical and Experimental ResearchVol. 49(12)
U.S. Army Center for Health Promotion and Preventive Medicine (US), Next Generation Technology (United States) (US), Walter Reed Army Institute of Research (US)
Openalex Percentile: Top 50%
Substance Abuse Treatment and Outcomes
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Assessment of the validity and clinical utility of AUDIT‐C versus RAPS‐4 alcohol screeners among active‐duty US Army soldiers — Farifteh F. Duffy, Phillip J. Quartana, et al. · Alcohol Clinical and Experimental Research (2025) | TGRS Research Map | TGRS