Question 1

Is the MAST still clinically relevant compared to the AUDIT?

Accepted Answer

The MAST is validated but somewhat superseded by the AUDIT. The MAST doesn't distinguish past from current problems, while the AUDIT assesses current consumption and is better calibrated for hazardous drinking. The MAST may still be preferred in forensic, treatment, or research settings where lifetime history is relevant.

Question 2

How does the MAST weighted scoring system work?

Accepted Answer

Items carry 1 point (4 items), 2 points (17 items), or 5 points (3 items for help-seeking: AA attendance, professional help, hospitalization). Items 1, 4, 6, and 7 are reverse-scored. The weighting reflects clinical significance, with help-seeking behaviors most heavily weighted (Selzer, 1971).

Question 3

What are the MAST cutoff scores?

Accepted Answer

Using weighted scoring: 0-3 (no alcohol problem), 4 (possible problem), 5+ (indicative of alcoholism). The original study reported 98% sensitivity and 95% specificity at a cutoff of 5. Optimal cutoffs vary by setting, and non-clinical populations may have elevated false positive rates (Selzer, 1971).

Question 4

What versions of the MAST exist?

Accepted Answer

The original MAST (Selzer, 1971) has 25 items. Modified versions include the Brief MAST (BMAST, 10 items), Short MAST (SMAST, 13 items), and Geriatric MAST (MAST-G, 24 items). For most settings today, shorter instruments like the AUDIT-C or CAGE may be preferred.

Question 5

What does my MAST score mean?

Accepted Answer

We have a detailed scoring guide that explains how to interpret your MAST results, including severity ranges and recommended clinical actions. Read our full scoring guide.

MAST: Michigan Alcoholism Screening Test

Take the MAST assessment. Comprehensive 24-item alcohol use disorder screening tool. Historically significant validated instrument for identifying alcohol-related problems.

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