Comparison of the cigarette dependence scale with four other measures of nicotine involvement: correlations with smoking history and smoking treatment outcome in smokers with substance use disorders.

Comparison of the cigarette dependence scale with four other measures of nicotine involvement: correlations with smoking history and smoking treatment outcome in smokers with substance use disorders.
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香烟依赖量表与其他四种尼古丁参与测量的比较:与吸烟史和患有物质使用障碍的吸烟者的吸烟治疗结果的相关性。

DOI:
10.1016/j.addbeh.2013.03.019
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发表时间:
2013
影响因子:
4.4
通讯作者:
Colby,SuzanneM
Colby,SuzanneM
中科院分区:
医学2区
文献类型:
--
作者:
Rohsenow,DamarisJ;Martin,RosemarieA;Tidey,JenniferW;Monti,PeterM;Colby,SuzanneM

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香烟依赖量表(CDS)是用来评估吸烟依赖的主要方面的。在法国的一项纵向调查中,CDS显示出与尼古丁依赖的Fagerström测试(FTND)相比,CDS与催促吸烟率和吸烟率变化的关系更强。在该调查中,这两项指标都没有预测到禁欲,但没有进行治疗或诱导戒烟。这项研究通过比较CDS和FTND以及其他烟草相关指标来考察CDS在治疗人群中的并发和预测有效性:(1)吸烟和戒烟史的相关性;(2)在接受吸烟治疗的物质使用障碍(SUD)吸烟者中短期戒烟的预测因子。方法物质治疗中的吸烟者(每天10支以上)接受为期8周的简短建议和尼古丁贴片;一半还接受戒烟的临时凭证。在治疗前、治疗开始后7天、14天和30天进行评估,并对戒断进行生化验证。结果在基线(n=305)时,CDS的12个条目和5个条目的信度分别为优秀和边缘信度。FTND与CDS-12和CDS-5的差异分别为43%和61%。FTND、CDS评分与每日吸烟量呈正相关,与初次吸烟时间、戒烟动机、初次吸烟年龄呈负相关。只有CDS与过去的戒烟尝试次数相关。CDS和FTND都不能预测治疗期间的戒烟情况,这与动机指标和第一次吸烟的时间不同。结论在美国进行吸烟治疗的中重度吸烟者中,CDS与FTND基本相同,但CDS-5的可靠性较差。动机是对结果最一致的预测因素,而第一支烟的时间是唯一可以预测治疗期间戒烟的烟草依赖指标。
The Cigarette Dependence Scale (CDS) was developed to assess principal aspects of smoking dependence. In a French longitudinal survey, CDS showed stronger relationships to urge and change in smoking rate than the Fagerström Test for Nicotine Dependence (FTND). Neither measure predicted abstinence at follow-up in that survey but there was no treatment or cessation induction. The present study investigated concurrent and predictive validity of the CDS in a treatment population by comparing the CDS to the FTND and other measures of tobacco involvement as (1) a correlate of smoking and cessation history and (2) a predictor of short-term smoking abstinence among smokers with substance use disorders (SUD) receiving smoking treatment.MethodsSmokers (10+ cigarettes per day) in substance treatment received brief advice and nicotine patch for 8weeks; half also received contingent vouchers for smoking cessation. Assessments were conducted pretreatment and 7, 14 and 30days after treatment initiation, with abstinence verified biochemically.ResultsAt baseline (n=305), the 12-item and 5-item CDS versions showed excellent and marginal reliability, respectively. FTND shared 43 and 61% of variance with CDS-12 and CDS-5, respectively. FTND and CDS scales correlated positively with cigarettes per day, and negatively with time to first cigarette, motivation to quit and age at first daily smoking. Only CDS correlated with the number of past quit attempts. Neither CDS nor FTND predicted abstinence within treatment, unlike the motivation measure and time to first cigarette.ConclusionIn moderate-heavy smokers with SUD in smoking treatment in the U.S., the CDS is largely equivalent to the FTND as an indicator of tobacco dependence but the CDS-5 is less reliable. Motivation was the most consistent predictor of outcome, and time to first cigarette was the only tobacco dependence measure that predicted smoking abstinence during treatment.
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