The Modified Reasons for Smoking Scale: factorial structure, gender effects and relationship with nicotine dependence and smoking cessation in French smokers
The Modified Reasons for Smoking Scale: factorial structure, gender effects and relationship with nicotine dependence and smoking cessation in French smokers
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DOI：
10.1046/j.1360-0443.2003.00523.x
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发表时间：
2003-11-01
期刊：
影响因子：
6
通讯作者：
Niaura, R
中科院分区：
文献类型：
--
作者：
Berlin, I;Singleton, EG;Niaura, R
目的评估法国版的改良吸烟原因量表（MRSS）的有效性，并确定哪些吸烟模式区分男性和女性吸烟者，这与烟草依赖（如通过Fagerstrom尼古丁依赖测试，FTND评估），情绪（贝克抑郁量表11）。影响（积极和消极情绪表）和哪些是成功戒烟的预测因素。（平均值+/-SD）年龄40 ± 9岁，145例（44%）女性，平均FTND评分：6.2 +/- 2]，候选人戒烟计划和吸烟至少15支/天。结果因素分析的21-项目量表对七因素模型的拟合效果最好，解释了总方差的62.3%。确定了以下因素：“吸烟成瘾”、“吸烟带来的快乐”、"缓解/放松紧张“、”社交吸烟“、”刺激“、”习惯/自动症“和”处理“。“成瘾性吸烟”评分以剂量依赖性方式随每天吸烟数量增加而增加：“习惯/自动症”评分显著更高。吸烟的原因男女不同：女性在“缓解/放松”、“刺激”和“社交吸烟”上得分较高。高水平的依赖性（FTND大于或等于6）与显着较高的分数只在“上瘾的吸烟”，该协会是更强的女性。觉醒后第一支烟的时间与较高的“吸烟成瘾”和“习惯/自动症”相关（P < 0.001）。在多变量logistic回归中，较高的习惯/自动症评分预测戒烟失败（比值比= 1.44，95% CI = 1.06-1.95，P = 0.02）和每天吸烟数量更多（比值比= 1.03，95%CI = 1.01-1.06，p = 0.03）。结论调查问卷产生了一个连贯的因素结构;女性吸烟更多的是为了缓解/放松紧张，刺激和社会原因，而不是男性：成瘾性吸烟和自动吸烟行为在两种性别中是相似的，并且与高水平的尼古丁依赖密切相关;“习惯/自动症”评分预测了每天超过香烟的戒烟失败。
Aims To assess the validity of the French version of the Modified Reasons for Smoking Scale (MRSS), and to identify which smoking patterns differentiate male and female smokers, which are related to tobacco dependence (as assessed by the Fagerstrom Test for Nicotine Dependence, FTND), to mood (Beck Depression Inventory 11). to affect (Positive and Negative Affect Schedule) and which are predictors of successful quitting.Participants Three hundred and thirty smokers [(mean +/-SD) aged 40 +/- 9 years, 145 (44%) women, mean FTND score: 6.2 +/- 2], candidates for a smoking cessation programme and smoking at least 15 cigarettes/day.Findings Factor analysis of the 21-item scale gave the optimal fit for a seven-factor model, which accounted for 62.3%, of the total variance. The following factors were identified: 'addictive smoking', 'pleasure from smoking', 'tension reduction/relaxation', 'social smoking', 'stimulation', 'habit/automatism' and 'handling'. The 'addictive smoking' score increased in a dose-dependent manner with number of cigarettes smoked per day: the 'habit/automatism' score was significantly higher. with more than 20 cigarettes per day than with less than or equal to20 cigarettes per day The reasons for smoking were different for males and females: females scored higher on 'tension reduction/relaxation', 'stimulation' and I social smoking'. A high level of dependence (FTND greater than or equal to 6) was associated with significantly higher scores only on 'addictive smoking', the association being stronger in females. Time to first cigarette after awakening was associated with higher 'addictive smoking' and 'habit/automatism' (P < 0.001). In a multivariate logistic regression, failed quitting was predicted by higher habit/automatism score (odds ratio = 1.44, 95% Cl = 1.06-1.95, P = 0.02) and greater number of cigarettes smoked per day (odds ratio = 1.03, 95% CI = 1.01-1.06, p = 0.03).Conclusions The questionnaire yielded a coherent factor structure; women smoked more for tension reduction/relaxation, stimulation and for social reasons than men: addictive smoking and automatic smoking behaviour were similar in both sexes and were associated strongly with a high level of nicotine dependence; the 'habit/automatism' score predicted failure to quit over and above cigarettes per day.