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What does a score of 5 or higher on the MAST indicate?

  1. No dependence on alcohol

  2. Possible substance dependence

  3. Likely alcohol dependence

  4. Complete recovery from addiction

The correct answer is: Likely alcohol dependence

A score of 5 or higher on the Michigan Alcohol Screening Test (MAST) is indicative of likely alcohol dependence. The MAST is a widely used screening tool designed to assess alcohol use and dependence. It features a series of questions that evaluate a person's behaviors and experiences related to alcohol consumption. Achieving a score of 5 or above suggests that the individual shows multiple signs or symptoms associated with problematic alcohol use, aligning with established criteria for alcohol dependence. This can include aspects such as increased tolerance, withdrawal symptoms, or continuing to drink despite negative consequences. Thus, this score is a red flag for professionals, who may use it to guide further assessment and intervention for potential substance use disorders. Other score ranges, such as below 5, may suggest no dependence or less severe issues, illustrating the importance of this screening tool in identifying those who may need additional support or treatment for their alcohol use.