Objective: Children of alcoholics have been identified as an at-risk p
opulation for a number of physical, emotional and behavioral problems.
Therefore, accurate identification of this potential client group is
important for both prevention and intervention programming. The curren
t study investigated the psychometric properties of the Children of Al
coholics Screening Test (CAST), which was developed as an assessment t
ool for identifying latency-age, adolescent and adult children of alco
holics. Method: Respondents were recruited through the use of nominati
onal sampling methods for participation in this cross-sectional study.
The study sample was composed of 65 male and 149 female respondents,
including both adult children of alcoholics (ACOAs) and adults reared
in non-substance-abusing homes (non-ACOAs). Both ACOA (n = 140) and no
n-ACOA (n = 74) groups included clinical and nonclinical subjects. Res
pondents completed a mailed, self-report survey that included the CAST
, five other standardized instruments measuring family and personal fu
nctioning, and sociodemographic questions. Results: Study findings ind
icated that the CAST is unidimensional, possesses excellent reliabilit
y (alpha = .98) and has a low standard error of measurement. Support w
as also shown for several types of measurement validity, including dis
criminant validity, factorial validity and construct validity. Conclus
ions: Data from the current study support use of the CAST as a reliabl
e and valid instrument that may be employed in both research and clini
cal practice.