Waterpipe smoking: Construction and validation of the Lebanon Waterpipe Dependence Scale (LWDS-11)

Waterpipe smoking: Construction and validation of the Lebanon Waterpipe Dependence Scale (LWDS-11)
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DOI:
10.1080/14622200701767753
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发表时间:
2008-01-01
影响因子:
4.7
通讯作者:
Aoun, Zeina
Aoun, Zeina
中科院分区:
医学2区
文献类型:
--
作者:
Salameh, Pascale;Waked, Mirna;Aoun, Zeina

文献摘要

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水烟斗吸烟在黎巴嫩正变得流行起来,但还没有研究表明与水烟斗吸烟有关的尼古丁依赖。由21个条目构成一个分数,然后进行两个因素分析,从而提取出四个因素。测量信度和重测重复性。并对不同吸烟者样本的收敛结构效度和区分效度进行了检验。黎巴嫩水烟依赖量表-11(LWDS-11)由四个子量表组成,第一个子量表代表尼古丁依赖,第二个子量表代表尼古丁依赖,第三个子量表代表尼古丁依赖,第三个子量表代表心理渴望,第四个子量表代表积极强化。内部一致性和重测重复性良好,子量表与尼古丁代谢物、呼出的一氧化碳水平和吸烟频率的测量充分相关。LWDS-11根据10分的阈值对轻度、中度和重度吸水烟者进行区分。结果在生物学和心理上都是合理的。这是第一个刻画水管依赖的量表。随着进一步的改进和证实,它可能成为一种有用的临床和流行病学工具。
Waterpipe smoking is becoming fashionable in Lebanon, but no studies have studied nicotine dependence related to waterpipe smoking. A score was constructed from 21 items and subsequently submitted to two factor analyses, which led to the extraction of four factors. Reliability and test-retest reproducibility were measured. Convergent construct validity and discriminant validity also were assessed for different smokers' samples. The Lebanon Waterpipe Dependence Scale-11 (LWDS-11) was composed of four subscales, the first representing nicotine dependence, the second negative reinforcement, the third psychological craving, and the fourth positive reinforcement. Internal consistency and test-retest reproducibility were adequate, and the subscales correlated adequately with measurements of nicotine metabolites, exhaled carbon monoxide levels, and the frequency of waterpipe smoking. The LWDS-11 discriminated between mild, moderate, and heavy waterpipe smokers, based on a threshold score of 10. Results were biologically and psychologically sound. This is the first scale to characterize waterpipe dependence. With further improvement and confirmation, it could become a useful clinical and epidemiological tool.