Development and validation of a self-rating scale for betel quid chewers based on a male-prisoner population in Taiwan: The Betel Quid Dependence Scale
Development and validation of a self-rating scale for betel quid chewers based on a male-prisoner population in Taiwan: The Betel Quid Dependence Scale
复制标题
DOI：
10.1016/j.drugalcdep.2011.07.027
复制
发表时间：
2012-02-01
影响因子：
4.2
通讯作者：
Chang, Yong-Yuan
中科院分区：
文献类型：
--
作者：
Lee, Chen-Yi;Chang, Chin-Shun;Chang, Yong-Yuan
背景资料：槟榔是台湾男性劳工常用的物质，且有相关研究报导槟榔的依赖性，但目前尚未有专门的槟榔/槟榔依赖性评估工具。目的：发展一套可靠有效的槟榔依赖性评估工具。本研究以高雄监狱223名男性受刑人为研究对象，研究对象在受刑前有嚼槟榔行为史。槟榔依赖量表（BQDS）的条目设计参考了前人的研究成果和DSM-IV的物质依赖诊断标准。结果：BQDS具有较高的内部一致性（Cronbach 'salpha = 0.921），并具有由“生理和心理迫切需要”组成的三因素结构。“增加剂量”和“适应不良使用”的变异占总变异的61.2%。有94受试者工作特征（ROC）曲线显示，BQDS的最佳截断值为4分，最佳敏感度为0.926，特异度为0.977，预测准确率达99.3%。BQDS具有良好的内部一致性和结构效度，在该样本中被证明具有最优的信度和效标效度。建议在不同的样本，如一般人群或口腔粘膜下纤维性变（OSF）患者进一步调查，以测试该工具的推广。(C)2011爱思唯尔爱尔兰有限公司保留所有权利。
Background: Betel quid is a substance that commonly used among male labor in Taiwan, and the dependence potential has been reported in some studies, but no instrument has been developed specifically to assess areca/betel quid dependence.Objective: To develop a reliable and valid research instrument/screening tool for the measurement of betel quid dependence.Methods: There were 223 male prisoners with a history of betel quid chewing behavior before they were incarcerated in Kaohsiung Prison enrolled in this study. The items of the Betel Quid Dependence Scale (BQDS) were developed by the authors and were designed referring to previous research findings and the diagnostic criteria of Substance Dependence in DSM-IV.Results: The BQDS has high internal consistency (Cronbach's alpha = 0.921), and a three-factor structure consisting of "physical and psychological urgent need." "increasing dose" and "maladaptive use," which accounted for 61.2% of the total variance. There were 94 (42.2%) male-prisoners who satisfied DSM-IV criteria for dependent use, and the receiver operating characteristic (ROC) curve showed that the BQDS had an optimal cut-off score of 4, the optimal sensitivity was 0.926 and the specificity was 0.977, with the predictive accuracy up to 99.3%.Conclusions: The BQDS has good internal consistency and construct validity, and was proved to have optimal reliability and criterion validity in this special sample. Further investigation is suggested in different samples such as the general population or oral submucous fibrosis (OSF) patients to test the generalization of this instrument. (C) 2011 Elsevier Ireland Ltd. All rights reserved.