A comparison of self-report measures of nicotine dependence among male drug/alcohol-dependent cigarette smokers
A comparison of self-report measures of nicotine dependence among male drug/alcohol-dependent cigarette smokers
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DOI：
10.1080/1462220031000158708
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发表时间：
2003-10-01
影响因子：
4.7
通讯作者：
Burling, TA
中科院分区：
文献类型：
--
作者：
Burling, AS;Burling, TA
本研究检验了法格斯特罗姆耐受性问卷 (FTQ)、法格斯特罗姆尼古丁依赖测试 (FTND) 和吸烟严重指数 (HSI) 的心理测量特性和有效性，这些指标被用作男性药物/酒精依赖吸烟者（n = 191 名大型戒烟研究参与者）尼古丁依赖的自我报告指标。所有这三个指标的内部一致性都相当低。 FTQ 和 FTND 具有相似的双因子结构，但 FTND 因子结构占项目方差的百分比更大。所有三项指标在预期方向上均与尼古丁依赖的几个独立的自我报告和生化指标（例如，香烟盒年数、可替宁）以及吸烟地形的基线指标显着相关。 FTND 在多项相关性上优于 FTQ，而 HSI 则优于 FTQ 和 FTND。关于针对尼古丁可用性减少的三种措施和补偿指标之间的相关性的结果是模棱两可的。 HSI 和 FTND 可以预测接受吸烟治疗的个体子样本 (n = 93) 至少 4 周的生化验证戒烟后戒烟时间。所有这三项指标的心理测量特性都一般，并且它们与独立指标的关系程度通常不大。所有这三项措施似乎都可以作为男性药物/酒精依赖个体中尼古丁依赖的自我报告措施。恒生指数似乎是这三个指标中最好的；因此，对药物/酒精依赖吸烟者的研究应确保报告这一措施的结果。应继续努力开发针对尼古丁依赖的自我报告测量方法，使其在该人群中具有更好的特性和表现。
This study examined the psychometric properties and validity of the Fagerstrom Tolerance Questionnaire (FTQ), the Fagerstrom Test for Nicotine Dependence (FTND), and the Heaviness of Smoking Index (HSI) when used as self-report measures of nicotine dependence among male drug/alcohol-dependent smokers (n = 191 participants in a large stop-smoking study). All three measures had fairly low internal consistency. The FTQ and FTND had similar two-factor structures, but the FTND factor structure accounted for a greater percentage of the item variance. All three measures were significantly correlated in the expected directions with several independent self-report and biochemical indicators of nicotine dependence (e.g., cigarette pack-years, cotinine) and with baseline measures of smoking topography. The FTND outperformed the FTQ on several correlations, and the HSI outperformed both the FTQ and the FTND. Results concerning correlations between each of the three measures and indicators of compensation in response to reductions in nicotine availability were equivocal. The HSI and FTND were predictive of at least 4 weeks of biochemically verified postquit abstinence among a subsample of individuals receiving smoking treatment (n = 93). All three measures had mediocre psychometric properties, and the magnitudes of their relationships with independent indicators were generally modest. All three measures appeared to be valid as self-report measures of nicotine dependence among male drug/alcohol-dependent individuals. The HSI appeared to be the best of the three measures; thus, studies of drug/alcohol-dependent smokers should be sure to report the results from this measure. Efforts to develop self-report measures of nicotine dependence with better properties and performance in this population should continue to be pursued.