Development of a screening questionnaire for tobacco/nicotine dependence according to ICD-10, DSM-III-R, and DSM-IV
Development of a screening questionnaire for tobacco/nicotine dependence according to ICD-10, DSM-III-R, and DSM-IV
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DOI：
10.1016/s0306-4603(98)00127-0
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发表时间：
1999-03-01
影响因子：
4.4
通讯作者：
Shimizu, H
中科院分区：
文献类型：
--
作者：
Kawakami, N;Takatsuka, N;Shimizu, H
根据ICD-IO、DSM-III-R和DSM-IV筛选烟草/尼古丁依赖的10项问卷(烟草依赖筛查器；TDS)是新开发的。对日本的三个吸烟者样本进行了信度和效度评估。共有58名男性吸烟者完成了TDS和Fagerstrom耐受性问卷(FTQ)，并使用世界卫生组织的综合国际诊断访谈(样本1)对他们进行了采访。共有118名男性和36名女性吸烟者完成了TDS和FTQ，并提供了用于一氧化碳测量的呼气样本(样本2)。共有194名男性吸烟者参加了使用健康风险评估(HRA)的健康教育计划，并在收到HRA结果6个月后报告了他们的吸烟状况并完成了TDS(样本3)。在样本中，TDS的Cronbach‘sα系数在0.74到0.81之间，而FTQ的α系数在0.41到0.64之间。接收者操作员特征分析表明，TDS对ICD-10、DSM-III-R和DSM-IV诊断具有比FTQ更好的筛选性能。TDS评分与诊断的严重程度、一氧化碳水平、每天吸烟的数量和吸烟年限呈显著正相关。戒烟者的TDS得分显著低于HRA后未戒烟者。根据ICD-10、DSM-III-R和DSM-IV，TDS是一种可靠、实用的烟草/尼古丁依赖筛查问卷。(C)1999年爱思唯尔科学有限公司。
A 10-item questionnaire (the Tobacco Dependence Screener; TDS) for screening of tobacco/nicotine dependence according to ICD-IO, DSM-III-R, and DSM-IV was newly developed. The reliability and validity were assessed in three samples of smokers in Japan. A total of 58 male smokers completed the TDS and the Fagerstrom Tolerance Questionnaire (FTQ), and they were interviewed using the World Health Organization's Composite International Diagnostic Interview (Sample 1). A total of 118 male and 36 female smoking outpatients completed the TDS and the FTQ and provided a breath sample for carbon monoxide measurement (Sample 2). A total of 194 male smokers joined a health education program using a health risk appraisal (HRA) and reported their smoking status and completed the TDS 6 months after receiving the HRA results (Sample 3). The Cronbach's alpha coefficients for the TDS ranged from .74 to .81 among the samples, whereas those for the FTQ ranged from .41 to .64. Receiver operator characteristic analyses indicated that the TDS had a better screening performance for ICD-10, DSM-III-R, and DSM-IV diagnoses than did the FTQ. The TDS score significantly and positively correlated with the severity of the diagnoses, the carbon monoxide levels, number of cigarettes smoked per day, and years of smoking. The TDS score was significantly lower in those who quit smoking than in those who did not quit smoking after the HRA. It is suggested that the TDS is a reliable and useful screening questionnaire for tobacco/nicotine dependence according to ICD-10, DSM-III-R, and DSM-IV. (C) 1999 Elsevier Science Ltd.