A version of DSM-IV criteria adapted for adolescents and applied to young smokers
A version of DSM-IV criteria adapted for adolescents and applied to young smokers
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DOI：
10.1016/s0300-2896(03)75390-3
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发表时间：
2003-07-01
影响因子：
8
通讯作者：
Labarga, IH
中科院分区：
文献类型：
--
作者：
Jiménez, MLC;Trullén, AP;Labarga, IH
目的：使用适用于青少年的 DSM-IV 尼古丁依赖标准版本 (DSM-IVa) 评估青少年吸烟者的尼古丁依赖。确定其有用性以及诊断青少年吸烟者最相关的项目。人群和方法：对 2647 名 10 至 17 岁的学童进行了调查。使用有限总体方程加上 10% 计算每个年龄的样本量，以便在研究结束时如果撤回问卷，绝对误差不会增加。样本按每个年龄组的性别和学校类型进行分层，每个层的分配与个体数量成正比。使用随机数字表选择学校和学生。该问卷收集了与DSM-IVa标准相关的最重要的个人数据和信息。结果：吸烟者占样本的23.1%，其中63.5%每天吸烟。根据DSM-IVa标准，70.7%的吸烟者有尼古丁依赖。 DSM-IVa 的 kappa 值为 I，内部一致性良好（Cronbach's alpha：0.5598）。 结论：DSM-IVa 对研究人群有用，但并不完美。根据标准，70.7%的受访者已经有尼古丁依赖。关键问题是那些涉及尼古丁戒断综合症症状以及需要花费大量空闲时间获取或吸烟的问题。
OBJECTIVES: To evaluate nicotine dependence in adolescent smokers using a version of DSM-IV criteria for nicotine dependence adapted for adolescents (DSM-IVa). To establish its usefulness and the most relevant items for diagnosing adolescent smokers.POPULATION AND METHODS: Two thousand six hundred forty-seven schoolchildren between 10 and 17 years old were surveyed. A sample size was calculated for each year of age, using the finite population equation with the addition of 10% so that the absolute error would not increase at the end of the study if questionnaires were withdrawn. The sample was stratified by sex and type of school for each age group, with allocation to each stratum proportional to the number of individuals. Schools and students were selected using random number tables. The questionnaire collected the most significant personal data and information related to DSM-IVa criteria.RESULTS: Smokers made up 23.1% of the sample, and 63.5% of them smoked daily. According to the DSM-IVa criteria, 70.7% of the smokers were nicotine dependent. The DSM-IVa had a kappa value of I and internal consistency was good (Cronbach's alpha: 0.5598).CONCLUSIONS: The DSM-IVa is useful in the studied population, although not perfect. According to the criteria, 70.7% of those interviewed were already nicotine dependent. The key questions were those that referred to the presence of nicotine withdrawal syndrome symptoms and the need to spend a large amount of free time obtaining or smoking cigarettes.