The Nicotine Dependence Syndrome Scale: A multidimensional measure of nicotine dependence
The Nicotine Dependence Syndrome Scale: A multidimensional measure of nicotine dependence
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DOI：
10.1080/1462220042000202481
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发表时间：
2004-04-01
影响因子：
4.7
通讯作者：
Hickcox, M
中科院分区：
文献类型：
--
作者：
Shiffman, S;Waters, AJ;Hickcox, M
我们报告了一个新的多维问卷的发展，以衡量尼古丁依赖，基于爱德华兹综合征的依赖概念。我们提出三项研究。在研究1中，我们对戒烟研究中的317名吸烟者使用尼古丁依赖综合征量表（NDSS）。NDSS的因子分析揭示了五个因素：驱动（渴望、戒断和主观强迫吸烟）、优先（对其他强化物的偏好）、耐受性（对吸烟影响的敏感性降低）、连续性（吸烟率的规律性）和刻板印象（吸烟的不变性）。基于第一主成分NDSS-T的单一总分被保留为依赖性的单一核心衡量标准。NDSS表现出了良好的心理测量特性：即使我们控制了Fagerstr6m容忍度问卷（FTQ）的分数，NDSS- t和因子得分也显示出与依赖相关的测量有很强的相关性；NDSS预测了吸烟时的冲动、急性戒烟时的戒断和戒烟后的结果。五个因素得分显示了与外部验证者相关的不同模式，支持度量的多维性。在研究2中，我们修订了NDSS，扩大了一些子量表，并在戒烟研究中对802名吸烟者进行了研究。同样的五个因子被提取出来，一些子量表的内部信度得到了提高，因子得分再次显示出与依赖相关验证者的关联，当我们控制FTQ分数时，这种关联在很大程度上保持不变。在研究3中，91名吸烟者参与了戒烟试验，我们确定了子量表的重测信度是足够的。因此，NDSS提出了一个有效的尼古丁依赖的多维评估，可以扩展到目前的措施。
We report the development of a new multidimensional questionnaire to measure nicotine dependence, based on Edwards's syndromal conceptualization of dependence. We present three studies. In study 1, we administered the Nicotine Dependence Syndrome Scale (NDSS) to 317 smokers in a smoking cessation study. Factor analysis of the NDSS revealed five factors: Drive (craving and withdrawal, and subjective compulsion to smoke), priority (preference for smoking over other reinforcers), tolerance (reduced sensitivity to the effects of smoking), continuity (regularity of smoking rate), and stereotypy (invariance of smoking). A single overall score based on the first principal component, NDSS-T, was retained as a single core measure of dependence. The NDSS showed promising psychometric properties: NDSS-T and factor scores showed strong associations with dependence-relevant measures, even when we controlled for scores on the Fagerstr6m Tolerance Questionnaire (FTQ); and the NDSS predicted urges when smoking, withdrawal in acute abstinence, and outcome in cessation. The five factor scores showed differential patterns of correlations with external validators, supporting the multidimensionality of the measure. In study 2, we revised the NDSS to expand some subscales and administered it to 802 smokers in a cessation study. The same five factors were extracted, the internal reliability of some subscales was improved, and the factor scores again showed associations with dependence-relevant validators, which were largely maintained when we controlled for FTQ scores. In study 3, with 91 smokers in a cessation trial, we established that the test-retest reliability of the subscales was adequate. Thus, the NDSS presents a valid multidimensional assessment of nicotine dependence that may expand on current measures.