“…Respondents were asked whether they had ever felt that they should cut down on drinking, whether people had ever annoyed them by criticizing their drinking, whether they had ever felt bad or guilty about drinking, and whether they had ever had a drink fi rst thing in the morning ( eye opener ) to steady their nerves or get rid of a hangover. A total of two or more positive responses have long been used to indicate alcohol abuse and dependence, with the cutpoint based on a sensitivity analysis ( Fiellin, Reid, & O'Connor, 2000 ;Mayfi eld et al, 1974 ). The National Institute on Alcohol Abuse and Alcoholism (NIAAA), in contrast, recommends a screening cutpoint of one positive response for clinical use ( Bradley, Kivlahan, Bush, McDonell, & Fihn, 2001 ;NIAAA, 2005 ), and Friedmann and colleagues (1999) found this cutpoint more suitable for screening elderly hospital emergency department patients.…”