What does the 'C' in CAGE for substance abuse assessment refer to?

The 'C' in CAGE for substance abuse assessment stands for "Cutting down on usage." The CAGE questionnaire is a widely used screening tool to identify potential problems with alcohol use. It consists of four questions that assess various aspects of a person's drinking behavior and its effects on their life.

When someone is asked about their ability or desire to cut down on their drinking, it directly relates to their self-regulation and acknowledgment of a possible issue with alcohol. If an individual struggles to reduce their consumption, it can indicate dependency and a need for further evaluation or intervention. This question captures the critical element of self-awareness related to alcohol use, which is an essential step in recognizing and addressing potential substance abuse issues.

The other options provide related concepts around substance use, such as concern for others or cravings, but they do not align with what the 'C' specifically addresses in the CAGE acronym.